Evaluating key performance indicators of the process of care in juvenile idiopathic arthritis

被引:1
作者
Cooper, Sarah M. M. [1 ]
Currie, Gillian R. R. [1 ,2 ,3 ,4 ]
Kromm, Seija [1 ,5 ]
Twilt, Marinka [3 ,6 ]
Marshall, Deborah A. A. [1 ,3 ,7 ,8 ]
机构
[1] Univ Calgary, Cumming Sch Med, Dept Community Hlth Sci, Calgary, AB, Canada
[2] Univ Calgary, Cumming Sch Med, Dept Paediat, Calgary, AB, Canada
[3] Univ Calgary, Alberta Childrens Hosp Res Inst, Calgary, AB, Canada
[4] Hlth Res Innovat Ctr, Room 3C56,3280 Hosp Drive NW, Calgary, AB T2N 4Z6, Canada
[5] Alberta Hlth Serv, Maternal Newborn Child & Youth Strateg Clin Networ, Calgary, AB, Canada
[6] Univ Calgary, Cumming Sch Med, Dept Paediat, Sect Rheumatol, Calgary, AB, Canada
[7] Univ Calgary, McCaig Inst Bone & Joint Hlth, Calgary, AB, Canada
[8] Univ Calgary, OBrien Inst Publ Hlth, Calgary, AB, Canada
基金
加拿大健康研究院;
关键词
Key performance indicators; Quality improvement; Juvenile idiopathic arthritis; QUALITY; SET;
D O I
10.1186/s12969-023-00818-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
ObjectiveTo determine whether and how often the information to measure a set of key performance indicators (KPIs) in juvenile idiopathic arthritis (JIA) is found in data collected routinely in a Pediatric Rheumatology Clinic.MethodsA retrospective electronic chart review and administrative data analysis was conducted for a cohort of 140 patients with JIA at a tertiary Pediatric Rheumatology Clinic between 2016-2020. The set of KPIs include measuring patient outcomes (joint assessment, physician's global assessment of disease activity, assessment of functional ability, composite disease activity measurement), access to care (waiting time between referral and first visit, visit with the rheumatologist within the first year of diagnosis, annual follow-up visits with the rheumatologist), and safety (tuberculosis screening, and laboratory monitoring). Documentation was assessed as a binary variable indicating whether the required information was ever found. Documentation frequency for each KPI was assessed with counts and percentages of the number of times the required information was documented for each clinic visit. Compliance with the safety KPI definitions was assessed using administrative databases.ResultsData for each KPI were found at least once in the cohort and documentation varied in frequency and consistency. Access to care and safety KPIs were documented more frequently than patient outcome KPIs. A joint assessment was documented at every visit for 95% of patients, 46% for an assessment of pain, and none for a physician's global assessment of disease activity, an assessment of functional ability, or a composite disease activity measurement.ConclusionAlthough feasible to measure, there is an opportunity for improving the consistency of documentation. Having an active system of monitoring KPIs and tools to simplify measurement is a key step in the process toward improved patient care outcomes. Streamlining the collection of KPI data can increase the likelihood of compliance. Next steps should involve replicating this study in various centres.
引用
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页数:13
相关论文
共 35 条
[1]   Measuring Quality in Pediatric Emergency Care [J].
Alessandrini, Evaline A. ;
Knapp, Jane .
CLINICAL PEDIATRIC EMERGENCY MEDICINE, 2011, 12 (02) :102-112
[2]  
Analytics (DIMR) Alberta Health Services, 2016, DAT REP REP AHSDRR D
[3]  
[Anonymous], 2014, TIM CLOS GAP REP CAR
[4]  
[Anonymous], 2001, Crossing the quality chasm: a new health system for the 21st century
[5]   Implementation and Evaluation of Audit and Feedback for Monitoring Treat-to-Target (T2T) Strategies in Rheumatoid Arthritis Using Performance Measures [J].
Barber, Claire E. H. ;
Mosher, Dianne ;
Dowling, Shawn ;
Bohm, Victoria ;
Solbak, Nathan M. ;
MacMullan, Paul ;
Pan, Bo ;
Barnabe, Cheryl ;
Hazlewood, Glen S. ;
Then, Karen L. ;
Marshall, Deborah A. ;
Rankin, James A. ;
Li, Linda C. ;
Tsui, Karen ;
English, Kelly ;
Homik, Joanne ;
Spencer, Nicole ;
Hall, Marc ;
Lacaille, Diane .
RHEUMATOLOGY AND THERAPY, 2020, 7 (04) :909-925
[6]   A Canadian evaluation framework for quality improvement in childhood arthritis: key performance indicators of the process of care [J].
Barber, Claire E. H. ;
Twilt, Marinka ;
Pham, Tram ;
Currie, Gillian R. ;
Benseler, Susanne ;
Yeung, Rae S. M. ;
Batthish, Michelle ;
Blanchette, Nicholas ;
Guzman, Jaime ;
Lang, Bianca ;
LeBlanc, Claire ;
Levy, Deborah M. ;
O'Brien, Christine ;
Schmeling, Heinrike ;
Soon, Gordon ;
Spiegel, Lynn ;
Whitney, Kristi ;
Marshall, Deborah A. .
ARTHRITIS RESEARCH & THERAPY, 2020, 22 (01)
[7]   Patient factors associated with waiting time to pediatric rheumatologist consultation for patients with juvenile idiopathic arthritis [J].
Barber, Claire E. H. ;
Barnabe, Cheryl ;
Benseler, Susanne ;
Chin, Ricky ;
Johnson, Nicole ;
Luca, Nadia ;
Miettunen, Paivi ;
Twilt, Marinka ;
Veeramreddy, Dwaraka ;
Shiff, Natalie J. ;
Schmeling, Heinrike .
PEDIATRIC RHEUMATOLOGY, 2020, 18 (01)
[8]   Testing population-based performance measures identifies gaps in juvenile idiopathic arthritis (JIA) care [J].
Barber, Claire E. H. ;
Lix, Lisa M. ;
Lacaille, Diane ;
Marshall, Deborah A. ;
Kroeker, Kristine ;
Benseler, Susanne ;
Twilt, Marinka ;
Schmeling, Heinrike ;
Barnabe, Cheryl ;
Hazlewood, Glen S. ;
Bykerk, Vivian ;
Homik, Joanne ;
Thorne, J. Carter ;
Burt, Jennifer ;
Mosher, Dianne ;
Katz, Steven ;
Shiff, Natalie J. .
BMC HEALTH SERVICES RESEARCH, 2019, 19 (01)
[9]  
Berwick DM, 2003, MED CARE, V41, pI30
[10]  
Damberg C., 2011, An Evaluation of the Use of Performance Measures in Health Care