TY - JOUR
T1 - Improving benchmarking by using an explicit framework for the development of composite indicators
T2 - An example using pediatric quality of care
AU - Profit, Jochen
AU - Typpo, Katri V.
AU - Hysong, Sylvia J.
AU - Woodard, Le Chauncy D.
AU - Kallen, Michael A.
AU - Petersen, Laura A.
N1 - Funding Information:
This project is supported by NICHD K23 HD056298-01 (PI Jochen Profit, MD, MPH) and in part by the Houston VA Health Services Research & Development (HSR&D) Center of Excellence (HFP90-020). Dr. Petersen is a recipient of the American Heart Association Established Investigator Award (Grant number 0540043N). Dr. Hysong is a recipient of a VA HSR&D Career Development Award (CD2-07-0181).
PY - 2010/2/9
Y1 - 2010/2/9
N2 - Background: The measurement of healthcare provider performance is becoming more widespread. Physicians have been guarded about performance measurement, in part because the methodology for comparative measurement of care quality is underdeveloped. Comprehensive quality improvement will require comprehensive measurement, implying the aggregation of multiple quality metrics into composite indicators.Objective: To present a conceptual framework to develop comprehensive, robust, and transparent composite indicators of pediatric care quality, and to highlight aspects specific to quality measurement in children.Methods: We reviewed the scientific literature on composite indicator development, health systems, and quality measurement in the pediatric healthcare setting. Frameworks were selected for explicitness and applicability to a hospital-based measurement system.Results: We synthesized various frameworks into a comprehensive model for the development of composite indicators of quality of care. Among its key premises, the model proposes identifying structural, process, and outcome metrics for each of the Institute of Medicine's six domains of quality (safety, effectiveness, efficiency, patient-centeredness, timeliness, and equity) and presents a step-by-step framework for embedding the quality of care measurement model into composite indicator development.Conclusions: The framework presented offers researchers an explicit path to composite indicator development. Without a scientifically robust and comprehensive approach to measurement of the quality of healthcare, performance measurement will ultimately fail to achieve its quality improvement goals.
AB - Background: The measurement of healthcare provider performance is becoming more widespread. Physicians have been guarded about performance measurement, in part because the methodology for comparative measurement of care quality is underdeveloped. Comprehensive quality improvement will require comprehensive measurement, implying the aggregation of multiple quality metrics into composite indicators.Objective: To present a conceptual framework to develop comprehensive, robust, and transparent composite indicators of pediatric care quality, and to highlight aspects specific to quality measurement in children.Methods: We reviewed the scientific literature on composite indicator development, health systems, and quality measurement in the pediatric healthcare setting. Frameworks were selected for explicitness and applicability to a hospital-based measurement system.Results: We synthesized various frameworks into a comprehensive model for the development of composite indicators of quality of care. Among its key premises, the model proposes identifying structural, process, and outcome metrics for each of the Institute of Medicine's six domains of quality (safety, effectiveness, efficiency, patient-centeredness, timeliness, and equity) and presents a step-by-step framework for embedding the quality of care measurement model into composite indicator development.Conclusions: The framework presented offers researchers an explicit path to composite indicator development. Without a scientifically robust and comprehensive approach to measurement of the quality of healthcare, performance measurement will ultimately fail to achieve its quality improvement goals.
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U2 - 10.1186/1748-5908-5-13
DO - 10.1186/1748-5908-5-13
M3 - Article
C2 - 20181129
AN - SCOPUS:77949537762
SN - 1748-5908
VL - 5
JO - Implementation Science
JF - Implementation Science
IS - 1
M1 - 13
ER -