American College of Cardiology and American Heart Association methodology for the selection and creation of performance measures for quantifying the quality of cardiovascular care
American College of Cardiology and American Heart Association methodology for the selection and creation of performance measures for quantifying the quality of cardiovascular care
复制标题
DOI：
10.1161/01.cir.0000157096.95223.d7
复制
发表时间：
2005-04-05
期刊：
影响因子：
37.8
通讯作者：
Normand, SLT
中科院分区：
文献类型：
--
作者：
Spertus, JA;Eagle, KA;Normand, SLT
量化心血管护理质量的能力关键取决于将高质量护理的建议转化为对该护理的测量。随着支付方和监管机构越来越多地寻求量化医疗质量，测量过程对执业医生的影响可能会增长。本声明描述了美国心脏病学会和美国心脏协会所采用的方法，通过这些方法来创建绩效衡量标准和设计技术，以量化那些直接反映心血管护理质量的护理方面。提出了确定目标人群、确定护理维度、综合文献和实施选择措施过程的方法。希望通过实施这一方法，将创造出一系列新的措施，因此，通过在质量改进工作的背景下使用这些措施，心血管护理的质量将得到改善。
The ability to quantify the quality of cardiovascular care critically depends on the translation of recommendations for high-quality care into the measurement of that care. As payers and regulatory agencies increasingly seek to quantify healthcare quality, the implications of the measurement process on practicing physicians are likely to grow. This statement describes the methodology by which the American College of Cardiology and the American Heart Association approach creating performance measures and devising techniques for quantifying those aspects of care that directly reflect the quality of cardiovascular care. Methods for defining target populations, identifying dimensions of care, synthesizing the literature, and operationalizing the process of selecting measures are proposed. It is hoped that new sets of measures will be created through the implementation of this approach, and consequently, through the use of such measurement sets in the context of quality improvement efforts, the quality of cardiovascular care will improve.