Process Metrics and Outcomes to Inform Quality Improvement in Pediatric Hospital Medicine

Arti D Desai; Amy J Starmer

doi:10.1016/j.pcl.2019.03.002

Process Metrics and Outcomes to Inform Quality Improvement in Pediatric Hospital Medicine

Pediatr Clin North Am. 2019 Aug;66(4):725-737. doi: 10.1016/j.pcl.2019.03.002. Epub 2019 May 13.

Authors

Arti D Desai¹, Amy J Starmer²

Affiliations

¹ University of Washington, Seattle Children's Research Institute, 2001 8th Avenue, Suite 400, Seattle, WA 98121, USA. Electronic address: arti.desai@seattlechildrens.org.
² Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.

PMID: 31230619
DOI: 10.1016/j.pcl.2019.03.002

Abstract

This article provides an overview of the selection, development, and use of process and outcome measures for pediatric hospital medicine quality improvement initiatives. It reviews commonly used categories of process and outcome measures and provides a list of common sources and repositories of previously validated measures. It also provides a blueprint for the development of novel measures. The relative merits of various data collection methods are discussed (eg, medical record abstraction, administrative, surveys), along with guiding principles for disseminating the results of quality improvement evaluations on a local and national level.

Keywords: Hospitalists; Hospitals; Inpatients; Outcome and process assessment (healthcare); Pediatrics; Quality of care.

Publication types

Research Support, U.S. Gov't, P.H.S.
Review

MeSH terms

Hospital Medicine / standards*
Hospitalists / standards*
Hospitals, Pediatric / standards*
Humans
Outcome and Process Assessment, Health Care*
Pediatrics / standards*
Quality Improvement*

Grants and funding

K08 HS024299/HS/AHRQ HHS/United States