Chief Complaint-Based Performance Measures: A New Focus for Acute Care Quality Measurement

被引：33

作者：

Griffey, Richard T. ^{[1
,2
]}

Pines, Jesse M. ^{[3
,4
]}

Farley, Heather L. ^{[5
]}

Phelan, Michael P. ^{[6
]}

Beach, Christopher ^{[7
]}

Schuur, Jeremiah D. ^{[8
]}

Venkatesh, Arjun K. ^{[9
]}

机构：

[1] Washington Univ, Sch Med, Div Emergency Med, St Louis, MO 63130 USA

[2] Washington Univ, Sch Med, Inst Publ Hlth, St Louis, MO USA

[3] George Washington Univ, Sch Med, Dept Emergency Med, Washington, DC USA

[4] George Washington Univ, Sch Med, Dept Hlth Policy, Washington, DC USA

[5] Cleveland Clin, Inst Patient Safety, Dept Emergency Med, Cleveland, OH 44106 USA

[6] Christiana Care Hlth Syst, Dept Emergency Med, Wilmington, DE USA

[7] Northwestern Feinberg Sch Med, Dept Emergency Med, Chicago, IL USA

[8] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Emergency Med, Boston, MA 02115 USA

[9] Yale Univ, Sch Med, Dept Emergency Med, New Haven, CT USA

来源：

ANNALS OF EMERGENCY MEDICINE | 2015年 / 65卷 / 04期

基金：

美国国家卫生研究院;

关键词：

EMERGENCY-DEPARTMENT PATIENTS; SYNDROMIC SURVEILLANCE; CLINICAL POLICY; STANDARDIZED COMMUNICATION; DISCHARGE DIAGNOSIS; MEDICINE PROJECT; CRITICAL-ISSUES; MANAGEMENT; SYSTEM; INFORMATION;

D O I：

10.1016/j.annemergmed.2014.07.453

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Performance measures are increasingly important to guide meaningful quality improvement efforts and value-based reimbursement. Populations included in most current hospital performance measures are defined by recorded diagnoses using International Classification of Diseases, Ninth Revision codes in administrative claims data. Although the diagnosis-centric approach allows the assessment of disease-specific quality, it fails to measure one of the primary functions of emergency department (ED) care, which involves diagnosing, risk stratifying, and treating patients' potentially life-threatening conditions according to symptoms (ie, chief complaints). In this article, we propose chief complaint-based quality measures as a means to enhance the evaluation of quality and value in emergency care. We discuss the potential benefits of chief complaint-based measures, describe opportunities to mitigate challenges, propose an example measure set, and present several recommendations to advance this paradigm in ED-based performance measurement.

引用

页码：387 / 395

页数：9

共 44 条

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