Abstract:
CONTEXT:In 2008, the Centers for Medicare & Medicaid Services (CMS) required U.S. hospices to implement comprehensive quality improvement programs. CMS contracted with the Quality Improvement Organization in North and South Carolina to develop quality measures and instruments to assess hospice and palliative care quality. OBJECTIVES:To develop a set of quality measures, with complete specifications, and data collection tools for use by hospice and palliative care providers in quality improvement. METHODS:Quality measures were identified from: published literature, the National Quality Forum, CMS measures, the National Quality Measures Clearinghouse, and measures submitted by two national hospice organizations. Available data on the quality measures were gathered and pilot data were collected for measures with no available data. A Technical Expert Panel (TEP) rated quality measures on: importance, scientific soundness, feasibility and usability, using numeric scores for each dimension. Scores for quality measures were averaged across dimensions and across TEP members to identify measures for further development. RESULTS:Of 174 measures identified, 88 were determined appropriate to the setting and were reviewed and rated by the TEP. Measures with overall scores ≥75th percentile (n = 23), measures with high importance scores (n = 7), measures for under-represented domains (n = 2), and process measures antecedent to TEP identified measures (n = 2), and were selected. CONCLUSIONS:Specifications and data collection tools are available for 34 PEACE quality measures that were highly rated by experts in hospice and palliative care. Future research should assess the scientific soundness and responsiveness of these measures to quality improvement.
journal_name
J Palliat Medjournal_title
Journal of palliative medicineauthors
Schenck AP,Rokoske FS,Durham DD,Cagle JG,Hanson LCdoi
10.1089/jpm.2010.0238subject
Has Abstractpub_date
2010-12-01 00:00:00pages
1451-9issue
12eissn
1096-6218issn
1557-7740journal_volume
13pub_type
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pub_type: 杂志文章
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