Development of System-level Performance Measures for Evaluation of Models of Care for Inflammatory Arthritis in Canada

The Journal of Rheumatology
Claire E H BarberArthritis Alliance of Canada Performance Measurement Development Panel

Abstract

To develop system-level performance measures for evaluating the care of patients with inflammatory arthritis (IA), including rheumatoid arthritis (RA), psoriatic arthritis, ankylosing spondylitis, and juvenile idiopathic arthritis. This study involved several methodological phases. Over multiple rounds, various participants were asked to help define a set of candidate measurement themes. A systematic search was conducted of existing guidelines and measures. A set of 6 performance measures was defined and presented to 50 people, including patients with IA, rheumatologists, allied health professionals, and researchers using a 3-round, online, modified Delphi process. Participants rated the validity, feasibility, relevance, and likelihood of use of the measures. Measures with median ratings ≥ 7 for validity and relevance were included in the final set. Six performance measures were developed evaluating the following aspects of care, with each measure being applied separately for each type of IA except where specified: waiting times for rheumatology consultation for patients with new onset IA, percentage of patients with IA seen by a rheumatologist, percentage of patients with IA seen in yearly followup by a rheumatologist, percent...Continue Reading

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Citations

Jan 17, 2016·Translational Research : the Journal of Laboratory and Clinical Medicine·Dmitry KhodyakovElizabeth Bromley
Feb 26, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Dmitry KhodyakovLisa V Rubenstein
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Feb 17, 2018·Arthritis Care & Research·Claire E H BarberUNKNOWN Canadian Early Arthritis Cohort Investigators
Dec 3, 2016·The Journal of Rheumatology·Claire E H BarberDeborah A Marshall
Jan 3, 2018·The Journal of Rheumatology·Amanda Steiman
Apr 3, 2016·The Journal of Rheumatology·Julie BrophyClaire E H Barber
Oct 3, 2017·The Journal of Rheumatology·Claire E H BarberUNKNOWN RACCD Working Group
Nov 17, 2017·The Journal of Rheumatology·Matthew CooperClaire E H Barber
Jul 3, 2017·The Journal of Rheumatology·Shirley L Chow, Kaveh G Shojania
Nov 6, 2018·The Journal of Rheumatology·Natasha K Gakhal
Apr 12, 2020·ACR Open Rheumatology·Katie LundonClaire Barber
Feb 18, 2016·The Journal of Rheumatology·Jessica WiddifieldUNKNOWN CAnadian Network for Advanced Interdisciplinary Methods for comparative effectiveness research (CAN-AIM)
Aug 16, 2019·BMC Health Services Research·Claire E H BarberNatalie J Shiff
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Jan 17, 2021·The Journal of Rheumatology·Claire E H BarberUNKNOWN Kelly English, and Diane Lacaille for the RA Quality Measurement Delphi Panel Group
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Sep 29, 2020·Rheumatic Diseases Clinics of North America·Cheryl Barnabe
Mar 8, 2020·Arthritis Care & Research·Claire E H BarberDiane Lacaille
Apr 4, 2017·Seminars in Arthritis and Rheumatism·Brooke A WilsonClaire E H Barber

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