The Importance of Accurate Data in Quality-of-Care Measurement
Authors: Bernard Rosof
Journal: Annals of Internal Medicine (2012)

Editorials4 September 2012The Importance of Accurate Data in Quality-of-Care MeasurementBernard Rosof, MDBernard Rosof, MDFrom North Shore-LIJ Health System, Huntington, NY 11743.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-5-201209040-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In this issue, Meddings and colleagues (1) report a cross-sectional, statewide analysis of the effect of nonpayment for hospital-acquired catheter-associated urinary tract infection (CAUTI). This work reflects the importance of accurate data as we begin to analyze the financial impact of nonpayment for certain hospital-acquired conditions and the direction of local and national quality improvement initiatives based on those data. Disturbingly, these investigators found that the CAUTI rates determined by using claims data were much lower than epidemiologic surveillance would indicate and seemed to be suspect. Consequently, the financial savings from nonpayment for CAUTI was negligible. The data obtained from ...References1. Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection. A statewide analysis. Ann Intern Med. 2012;157:305-12. LinkGoogle Scholar2. Physician Consortium for Performance Improvement. Work Group Charge. American Medical Association; 2009. Accessed at www.ama-assn.org/resources/doc/cqi/pcpi-work-group-charge.pdf on 29 July 2012. Google Scholar3. National Quality Forum. Measure Evaluation Criteria. January 2011. Accessed at www.qualityforum.org/Measuring_Performance/Submitting_Standards/Measure_Evaluation_Criteria.aspx on 25 July 2012. Google Scholar4. Classen DC, Resar R, Griffin F, Federico F, Frankel T, Kimmel N, et al. “Global trigger tool” shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30:581-9. [PMID: 21471476] CrossrefMedlineGoogle Scholar5. Egener B, McDonald W, Rosof B, Gullen D. Perspective: organizational professionalism: relevant competencies and behaviors. Acad Med. 2012;87:668-74. [PMID: 22450182] CrossrefMedlineGoogle Scholar6. ABIM Foundation. ACP—ASIM Foundation. European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243-6. [PMID: 11827500] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Bernard Rosof, MDAffiliations: From North Shore-LIJ Health System, Huntington, NY 11743.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-1789.Corresponding Author: Bernard Rosof, MD, Huntington Hospital, 270 Park Avenue, Huntington, NY 11743; e-mail, [email protected]. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection Jennifer A. Meddings , Heidi Reichert , Mary A.M. Rogers , Sanjay Saint , Joe Stephansky , and Laurence F. McMahon Jr. Metrics Cited byComparison Between Clinical Registry and Medicare Claims Data on the Classification of Hospital Quality of Surgical CareElectronic Medical Records and Quality of Cancer Care 4 September 2012Volume 157, Issue 5Page: 379-380KeywordsAdverse eventsHealth careHealth care qualityHealth information technologyMedicareMotivationPerformance measuresQuality improvementSafety ePublished: 4 September 2012 Issue Published: 4 September 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...