ASTRID GRGURICH

QI Measurement: Interpretation

Importance of Interpretation

Continuously develop and improve services

Improve clinical outcomes of patients

Importance of Measurement

“Measurement is a critical part of testing and implementing changes; measures tell a team

whether the changes they are making actually lead to improvement.”

(IHI, 2011).

Desirable Characteristics

RelevanceEvidence-basedReliabilityReproducibilityValidityFeasibility

How?

Quality Measure Interpretation

Criterion-based

Opportunity

Criterion-based

Appropriateness Model

All-or-none

Opportuntity Model

Number of cases in which indicated care delivered

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Number of opportunities to deliver care

Evaluating QI Programs

Formative

Summative

In conclusion...

Improvement is a cycle, so there is no summit to reach

Seek usefulness not perfection

References

Agency for Healthcare Quality Research. (2010). National healthcare quality report 2010. Retrieved from http://www.ahrq.gov/qual/nhqr10/Chap1a.htm

Endsley, S. (2007). Measure to improve. Retrieved from http://www.aafp.org/online/en/home/practicemgt/quality/qitools/perfmeasure/practmeas.html

Institute for Healthcare Improvement. (2011). Measures. http://www.ihi.org/knowledge/Pages/Measures/default.aspx

Varkey, P. (Ed.). (2010). Medical quality management: Theory and practice. Sudbury, MA: Jones and Bartlett Publishers.