TY - JOUR
T1 - Chief complaint-based performance measures
T2 - A new focus for acute care quality measurement
AU - Griffey, Richard T.
AU - Pines, Jesse M.
AU - Farley, Heather L.
AU - Phelan, Michael P.
AU - Beach, Christopher
AU - Schuur, Jeremiah D.
AU - Venkatesh, Arjun K.
N1 - Publisher Copyright:
© 2014 American College of Emergency Physicians.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Performance measures are increasingly important to guide meaningful quality improvement efforts and value-based reimbursement. Populations included in most current hospital performance measures are defined by recorded diagnoses using International Classification of Diseases, Ninth Revision codes in administrative claims data. Although the diagnosis-centric approach allows the assessment of disease-specific quality, it fails to measure one of the primary functions of emergency department (ED) care, which involves diagnosing, risk stratifying, and treating patients' potentially life-threatening conditions according to symptoms (ie, chief complaints). In this article, we propose chief complaint-based quality measures as a means to enhance the evaluation of quality and value in emergency care. We discuss the potential benefits of chief complaint-based measures, describe opportunities to mitigate challenges, propose an example measure set, and present several recommendations to advance this paradigm in ED-based performance measurement.
AB - Performance measures are increasingly important to guide meaningful quality improvement efforts and value-based reimbursement. Populations included in most current hospital performance measures are defined by recorded diagnoses using International Classification of Diseases, Ninth Revision codes in administrative claims data. Although the diagnosis-centric approach allows the assessment of disease-specific quality, it fails to measure one of the primary functions of emergency department (ED) care, which involves diagnosing, risk stratifying, and treating patients' potentially life-threatening conditions according to symptoms (ie, chief complaints). In this article, we propose chief complaint-based quality measures as a means to enhance the evaluation of quality and value in emergency care. We discuss the potential benefits of chief complaint-based measures, describe opportunities to mitigate challenges, propose an example measure set, and present several recommendations to advance this paradigm in ED-based performance measurement.
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U2 - 10.1016/j.annemergmed.2014.07.453
DO - 10.1016/j.annemergmed.2014.07.453
M3 - Article
C2 - 25443989
AN - SCOPUS:84930383520
SN - 0196-0644
VL - 65
SP - 387
EP - 395
JO - Annals of Emergency Medicine
JF - Annals of Emergency Medicine
IS - 4
ER -