Quality measures for primary care of complex pediatric patients

Pediatrics
Alex Y ChenRita Mangione-Smith

Abstract

A well-recognized gap exists in assessing and improving the quality of care for medically complex patients. Our objective was to examine evidence for primary care based on the patient-centered medical home model and to identify valid and meaningful quality measures for use in complex pediatric patients. We conducted literature searches on Medline and the National Quality Measures Clearinghouse for existing measures, as well as evidence to inform the development of new quality measures. We used a 3-step process to select relevant sources from published literature: (1) the titles were screened by 2 independent reviewers; (2) the abstracts were reviewed for quality-of-care contents or constructs; and (3) full-text articles were obtained and reviewed for measure specification. All materials were reviewed for the Oxford Centre For Evidence-Based Medicine level of evidence and for relevance to primary care of complex pediatric patients. A national expert panel was convened to evaluate and rate the measures by using the Rand/University of California Los Angeles Appropriateness Method. We presented 74 quality measures to the expert panel for review and discussion. The panel rated and accepted 35 measures as valid and feasible for asses...Continue Reading

References

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Citations

Dec 18, 2013·Hospital Pediatrics·Natalia PaciorkowskiDouglas Carlson
Jan 29, 2014·Journal of the American College of Surgeons·UNKNOWN Task Force for Children's Surgical Care
Aug 3, 2014·Pediatric Clinics of North America·Monica Ogelby, Richard D Goldstein
Apr 16, 2016·The Journal of Pediatrics·Adam B GoldinMarjorie J Arca
Jun 6, 2015·Disaster Medicine and Public Health Preparedness·Robert K KanterDelaney Gracy
Jan 1, 2012·Scientifica·Leiyu Shi
Sep 20, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Maria JorinaKathy Jenkins
May 2, 2017·Academic Pediatrics·Carlos F Lerner, Thomas S Klitzner
Feb 7, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Robert J GrahamSusan K Parsons
Oct 9, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Peter BorusiakArmin Wegener
Jul 1, 2020·Health Services Research·Ryan J CollerMarshall Bruce Edmonson
Jul 18, 2016·Maternal and Child Health Journal·Nancy C Cheak-Zamora, Matthew Thullen
Apr 20, 2017·BMC Health Services Research·Francine A van den Driessen MareeuwEsther de Vries
Dec 13, 2016·Pediatrics·Dennis Z KuoUNKNOWN COUNCIL ON CHILDREN WITH DISABILITIES
Mar 1, 2012·Pediatrics·Charles J Homer

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