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Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art

Improving quality of care in arthroplasty is of increasing importance to payors, hospitals, surgeons, and patients. Efforts to compel improvement have traditionally focused measurement and reporting of data describing structural factors, care processes (or ‘quality measures’), and clinical outcomes....

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Detalles Bibliográficos
Autor principal: Auerbach, Andrew
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745455/
https://www.ncbi.nlm.nih.gov/pubmed/19381743
http://dx.doi.org/10.1007/s11999-009-0840-8
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author Auerbach, Andrew
author_facet Auerbach, Andrew
author_sort Auerbach, Andrew
collection PubMed
description Improving quality of care in arthroplasty is of increasing importance to payors, hospitals, surgeons, and patients. Efforts to compel improvement have traditionally focused measurement and reporting of data describing structural factors, care processes (or ‘quality measures’), and clinical outcomes. Reporting structural measures (eg, surgical case volume) has been used with varying degrees of success. Care process measures, exemplified by initiatives such as the Surgical Care Improvement Project measures, are chosen based on the strength of randomized trial evidence linking the process to improved outcomes. However, evidence linking improved performance on Surgical Care Improvement Project measures with improved outcomes is limited. Outcome measures in surgery are of increasing importance as an approach to compel care improvement with prominent examples represented by the National Surgical Quality Improvement Project. Although outcomes-focused approaches are often costly, when linked to active benchmarking and collaborative activities, they may improve care broadly. Moreover, implementation of computerized data systems collecting information formerly collected on paper only will facilitate benchmarking. In the end, care will only be improved if these data are used to define methods for innovating care systems that deliver better outcomes at lower or equivalent costs.
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spelling pubmed-27454552009-09-17 Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art Auerbach, Andrew Clin Orthop Relat Res Symposium: Abjs Carl T. Brighton Workshop on Health Policy Issues in Orthopaedic Surgery Improving quality of care in arthroplasty is of increasing importance to payors, hospitals, surgeons, and patients. Efforts to compel improvement have traditionally focused measurement and reporting of data describing structural factors, care processes (or ‘quality measures’), and clinical outcomes. Reporting structural measures (eg, surgical case volume) has been used with varying degrees of success. Care process measures, exemplified by initiatives such as the Surgical Care Improvement Project measures, are chosen based on the strength of randomized trial evidence linking the process to improved outcomes. However, evidence linking improved performance on Surgical Care Improvement Project measures with improved outcomes is limited. Outcome measures in surgery are of increasing importance as an approach to compel care improvement with prominent examples represented by the National Surgical Quality Improvement Project. Although outcomes-focused approaches are often costly, when linked to active benchmarking and collaborative activities, they may improve care broadly. Moreover, implementation of computerized data systems collecting information formerly collected on paper only will facilitate benchmarking. In the end, care will only be improved if these data are used to define methods for innovating care systems that deliver better outcomes at lower or equivalent costs. Springer-Verlag 2009-04-21 2009-10 /pmc/articles/PMC2745455/ /pubmed/19381743 http://dx.doi.org/10.1007/s11999-009-0840-8 Text en © The Author(s) 2009
spellingShingle Symposium: Abjs Carl T. Brighton Workshop on Health Policy Issues in Orthopaedic Surgery
Auerbach, Andrew
Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art
title Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art
title_full Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art
title_fullStr Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art
title_full_unstemmed Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art
title_short Healthcare Quality Measurement in Orthopaedic Surgery: Current State of the Art
title_sort healthcare quality measurement in orthopaedic surgery: current state of the art
topic Symposium: Abjs Carl T. Brighton Workshop on Health Policy Issues in Orthopaedic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2745455/
https://www.ncbi.nlm.nih.gov/pubmed/19381743
http://dx.doi.org/10.1007/s11999-009-0840-8
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