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Clin Infect Dis. 2019 May 17;68(11):1946-1951. doi: 10.1093/cid/ciy814.

How Do You Measure Up: Quality Measurement for Improving Patient Care and Establishing the Value of Infectious Diseases Specialists.

Author information

1
Division of Infectious Diseases and International Health, University of Virginia, Charlottesville.
2
Infectious Diseases Division, Washington University School of Medicine.
3
BJC HealthCare, St. Louis, Missouri.
4
Research, Community Benefit, and Medical Strategy, Mid-Atlantic Permanente Medical Group, HIV/AIDS, Kaiser Permanente, Rockville, Maryland.
5
Clare Gentry MD PA, Houston, Texas.
6
Division of Infectious Diseases, Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, Pennsylvania.
7
Department of Medicine, University Hospitals Cleveland Medical Center, Ohio.
8
Division of Infectious Diseases, University of Pittsburgh, Pennsylvania.
9
College of Public Health, University of Oklahoma Health Sciences Center.
10
Infectious Diseases Physicians, Annandale, Virginia.
11
MedStar Washington Medical Center, Washington, D.C.
12
Division of Infectious Diseases, Boston University School of Medicine, Massachussetts.
13
Infectious Diseases Society of America, Arlington, Virginia.
14
Department of Medicine, Rutgers University Robert Wood Johnson Medical School, Piscataway.
15
IDCare, Hillsborough Township, New Jersey.

Abstract

The shift from volume-based to value-based reimbursement has created a need for quantifying clinical performance of infectious diseases (ID) physicians. Nationally recognized ID specialty-specific quality measures will allow stakeholders, such as patients and payers, to determine the value of care provided by ID physicians and will promote clinical quality improvement. Few ID-specific measures have been developed; herein, we provide an overview of the importance of quality measurement for ID, discuss issues in quality measurement specific to ID, and describe standards by which candidate quality measures can be evaluated. If ID specialists recognize the need for quality measurement, then ID specialists can direct ID-related quality improvement, quantify the impact of ID physicians on patient outcomes, compare their performance to that of peers, and convey to stakeholders the value of the specialty.

KEYWORDS:

infectious diseases; measurement; quality; reimbursement; value

PMID:
30256911
DOI:
10.1093/cid/ciy814

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