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Titolo:
Achievable benchmarks of care: the ABC(TM)s of benchmarking
Autore:
Weissman, NW; Allison, JJ; Kiefe, CI; Farmer, RM; Weaver, MT; Williams, OD; Child, IG; Pemberton, JH; Brown, KC; Baker, CS;
Indirizzi:
Univ Alabama, Dept Hlth Serv Adm, Birmingham, AL 35294 USA Univ Alabama Birmingham AL USA 35294 h Serv Adm, Birmingham, AL 35294 USA Univ Alabama, Ctr Outcomes & Effectiveness Res & Educ, Birmingham, AL USA Univ Alabama Birmingham AL USA ectiveness Res & Educ, Birmingham, AL USA Univ Alabama, Dept Med, Birmingham, AL 35294 USA Univ Alabama Birmingham AL USA 35294 , Dept Med, Birmingham, AL 35294 USA Alabama Qual Assurance Fdn Inc, Birmingham, AL USA Alabama Qual Assurance Fdn Inc Birmingham AL USA Inc, Birmingham, AL USA Univ Alabama, Sch Nursing, Birmingham, AL USA Univ Alabama Birmingham AL USA Alabama, Sch Nursing, Birmingham, AL USA
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 3, volume: 5, anno: 1999,
pagine: 269 - 281
SICI:
1356-1294(199908)5:3<269:ABOCTA>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; COOPERATIVE CARDIOVASCULAR PROJECT; HEALTH-CARE; CLINICAL BENCHMARKING; PRACTICE GUIDELINES; QUALITY MANAGEMENT; MEDICARE PATIENTS; PERFORMANCE; FEEDBACK; IMPROVEMENT;
Keywords:
benchmarks; CQI; performance measures; process of care; quality of care; quality improvement;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
75
Recensione:
Indirizzi per estratti:
Indirizzo: Weissman, NW Univ Alabama, Dept Hlth Serv Adm, 1675 Univ Blvd, Birmingham,AL 35294 USA Univ Alabama 1675 Univ Blvd Birmingham AL USA 35294 35294 USA
Citazione:
N.W. Weissman et al., "Achievable benchmarks of care: the ABC(TM)s of benchmarking", J EVAL CL P, 5(3), 1999, pp. 269-281

Abstract

Benchmarking is generally considered to be an important tool for quality improvement. Traditional approaches to benchmarking have relied on subjective identification of 'leaders in the field'. We derive an objective, reproducible and attainable Achievable Benchmark of Care (ABC(TM)) by measuring and analysing performance on process-of-care indicators. Three characteristics of the ABC(TM) that we deem essential are: (1) benchmarks represent a measurable level of excellence; (2) benchmarks are demonstrably attainable; (3) benchmarks are derived from data in an objective, reproducible and predetermined fashion. From these characteristics it follows that (4) providers with high performance are selected to define a level of excellence in a predetermined fashion, but (5) providers with high performance on small numbersof cases do not influence unduly benchmark levels. We use the 'pared mean'to operationalize the ABC(TM). Roughly, the pared mean summarizes the performance of top-ranked providers whereby at least 10% of the patient pool across all providers is included. Bayesian estimators for adjustment of performance of providers with small sample sizes are used to rank providers. Randomized controlled trials to assess the independent effect of the ABC(TM) in quality improvement projects are under way. We have developed a methodology objectively and reproducibly to derive a level of excellent, attainable performance, based on measured performance by a group of providers. The ABC(TM) can be applied to groups of providers in communities, to institutions and departments within them, or to individual practitioners.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/07/20 alle ore 07:00:52