 |
|
Pitfalls of Converting Practice Guidelines Into Quality Measures
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
To the Editor: The article by Dr Walter et al1 illustrates why the implementation of quality measuring requires careful attention to sampling and target population. However, the issue raised in their article is not a problem of translating guidelines into measures, but rather one of implementing measures in practice. The use of a nonrandom sample of patients with severe chronic illness to examine performance on a screening measure is a problem.
In contrast, the National Committee for Quality Assurance (NCQA) implements a similar colorectal cancer (CRC) screening measure comprised of a random sample population selected from more than 80 million members of managed care organizations. The NCQA measure sets an age limit of 75 years2 and excludes those with prior history of CRC. Critical aspects shared by the NCQA and the Veterans Administration (VA) include auditing the data, making multiple checks including data "cleaning," and reporting the data as both . . . [Full Text of this Article]
Greg Pawlson, MD, MPH
pawlson@ncqa.org
Sarah Hudson Scholle, DrPH, MPH;
Philip Renner, MBA
National Committee for Quality Assurance
Washington, DC
RELATED ARTICLES
Pitfalls of Converting Practice Guidelines Into Quality Measures
Barbara B. Fleming and Robert A. Petzel
JAMA. 2004;292(11):1301-1302.
EXTRACT
| FULL TEXT
Pitfalls of Converting Practice Guidelines Into Quality Measures—Reply
Louise C. Walter, Paul A. Heineken, and Kenneth E. Covinsky
JAMA. 2004;292(11):1302.
EXTRACT
| FULL TEXT
Pitfalls of Converting Practice Guidelines Into Quality Measures: Lessons Learned From a VA Performance Measure
Louise C. Walter, Natalie P. Davidowitz, Paul A. Heineken, and Kenneth E. Covinsky
JAMA. 2004;291(20):2466-2470.
ABSTRACT
| FULL TEXT
|
