Improving benchmarking by using an explicit framework for the development of composite indicators: an example using pediatric quality of care

Persistent Link:
http://hdl.handle.net/10150/610160
Title:
Improving benchmarking by using an explicit framework for the development of composite indicators: an example using pediatric quality of care
Author:
Profit, Jochen; Typpo, Katri; Hysong, Sylvia; Woodard, LeChauncy; Kallen, Michael; Petersen, Laura
Affiliation:
Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA; Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA; Houston Veterans Affairs (VA) Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA; University of Arizona Health Sciences Center, Department of Pediatrics, Section of Pediatric Critical Care Medicine, Tucson, AZ, USA; The University of Texas M. D. Anderson Cancer Center, Department of General Internal Medicine, Ambulatory Treatment and Emergency Care, Houston, TX, USA
Issue Date:
2010
Publisher:
BioMed Central
Citation:
Profit et al. Implementation Science 2010, 5:13 http://www.implementationscience.com/content/5/1/13
Journal:
Implementation Science
Rights:
© 2010 Profit et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
Abstract:
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.
EISSN:
1748-5908
DOI:
10.1186/1748-5908-5-13
Version:
Final published version
Additional Links:
http://www.implementationscience.com/content/5/1/13

Full metadata record

DC FieldValue Language
dc.contributor.authorProfit, Jochenen
dc.contributor.authorTyppo, Katrien
dc.contributor.authorHysong, Sylviaen
dc.contributor.authorWoodard, LeChauncyen
dc.contributor.authorKallen, Michaelen
dc.contributor.authorPetersen, Lauraen
dc.date.accessioned2016-05-20T08:59:59Z-
dc.date.available2016-05-20T08:59:59Z-
dc.date.issued2010en
dc.identifier.citationProfit et al. Implementation Science 2010, 5:13 http://www.implementationscience.com/content/5/1/13en
dc.identifier.doi10.1186/1748-5908-5-13en
dc.identifier.urihttp://hdl.handle.net/10150/610160-
dc.description.abstractBACKGROUND: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.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.implementationscience.com/content/5/1/13en
dc.rights© 2010 Profit et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0)en
dc.titleImproving benchmarking by using an explicit framework for the development of composite indicators: an example using pediatric quality of careen
dc.typeArticleen
dc.identifier.eissn1748-5908en
dc.contributor.departmentDepartment of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USAen
dc.contributor.departmentSection of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USAen
dc.contributor.departmentHouston Veterans Affairs (VA) Health Services Research and Development Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USAen
dc.contributor.departmentUniversity of Arizona Health Sciences Center, Department of Pediatrics, Section of Pediatric Critical Care Medicine, Tucson, AZ, USAen
dc.contributor.departmentThe University of Texas M. D. Anderson Cancer Center, Department of General Internal Medicine, Ambulatory Treatment and Emergency Care, Houston, TX, USAen
dc.identifier.journalImplementation Scienceen
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen
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