Moving to Measures That Matter and Motivate Change
Authors: Helen Burstin, Shantanu Agrawal, Amir Qaseem
Journal: Annals of Internal Medicine (2017)

Editorials19 September 2017Moving to Measures That Matter and Motivate ChangeHelen Burstin, MD, MPH, Shantanu Agrawal, MD, and Amir Qaseem, MD, PhD, MHAHelen Burstin, MD, MPHFrom National Quality Forum, Washington, DC, and American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this author, Shantanu Agrawal, MDFrom National Quality Forum, Washington, DC, and American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this author, and Amir Qaseem, MD, PhD, MHAFrom National Quality Forum, Washington, DC, and American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-1855 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Quality measurement is intended to drive improvement in care and provide accountability on cost and quality. The shift in U.S. health care to payment for value over volume has intensified a focus on outcome measures. Patients and their families seek meaningful measures that reflect avoidance of harm and mortality, as well as those that reflect their experience. To meet the goals of payment and delivery reform, we need clinically meaningful measures that represent team- and episode-based care over time and place. We should focus on the next generation of data sources and innovative measures.In their article for Annals, Baker ...References1. Baker DW, Chassin MR. Holding providers accountable for health care outcomes. Ann Intern Med. 2017;167:418-23. doi:10.7326/M17-0691 LinkGoogle Scholar2. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al; GRADE Working Group. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924-6. [PMID: 18436948] doi:10.1136/bmj.39489.470347.AD CrossrefMedlineGoogle Scholar3. National Quality Forum. Submitting Standards: 2016 Measure Evaluation Criteria and Guidance. Accessed at www.qualityforum.org/Measuring_Performance/Submitting_Standards.aspx on 14 July 2017. Google Scholar4. Almagro P, Calbo E, Ochoa de Echagüen A, Barreiro B, Quintana S, Heredia JL, et al. Mortality after hospitalization for COPD. Chest. 2002;121:1441-8. [PMID: 12006426] CrossrefMedlineGoogle Scholar5. Cella D, Hahn EA, Jensen SE, Butt Z, Nowinski CJ, Rothrock N, Lohr KN. Patient-Reported Outcomes in Performance Measurement. Research Triangle Park, NC: Research Triangle Pr; 2015. Google Scholar6. Department of Health and Human Services, Office of the Assistant Secretary of Planning and Evaluation. Report to Congress: Social Risk Factors and Performance Under Medicare's Value-Based Payment Programs. Accessed at https://aspe.hhs.gov/pdf-report/report-congress-social-risk-factors-and-performance-under-medicares-value-based-purchasing-programs on 14 July 2017. Google Scholar7. National Quality Forum. Attribution—Principles and Approaches. Accessed at www.qualityforum.org/Publications/2016/12/Attribution_-_Principles_and_Approaches.aspx on 14 July 2017. Google Scholar Author, Article, and Disclosure InformationAffiliations: From National Quality Forum, Washington, DC, and American College of Physicians, Philadelphia, Pennsylvania.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-1855.Corresponding Author: Helen Burstin, MD, MPH, National Quality Forum, 1030 15th Street NW, Washington, DC 20005; e-mail, [email protected]org.Current Author Addresses: Drs. Burstin and Agrawal, National Quality Forum, 1030 15th Street Northwest, Washington, DC 20005.Dr. Qaseem: American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.This article was published at Annals.org on 15 August 2017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoHolding Providers Accountable for Health Care Outcomes David W. Baker and Mark R. Chassin Metrics Cited byBuilding Connections Between Guidelines and Quality ImprovementHelen Burstin, MD, MPH and Eric Schneider, MD, MScShared decision making for the allergistIntegration of care for HIV and opioid use disorderQuality Indicators, Outcomes, and Performance Pay 19 September 2017Volume 167, Issue 6Page: 442-443KeywordsChronic obstructive pulmonary diseaseDisclosureForecastingGrading of Recommendations Assessment Development and EvaluationHealth careHealth care providersInformation storage and retrievalMedical risk factorsMortalitySafety ePublished: 15 August 2017 Issue Published: 19 September 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...