Performance measurement for people with multiple chronic conditions: Conceptual model

American Journal of Managed Care

Volumn 19, Issue 10, 2013, Pages

  Giovannetti, Erin R ^a,f   Dy, Sydney ^a,b   Leff, Bruce ^a,b   Weston, Christine ^b   Adams, Karen ^a   Valuck, Tom B ^c   Pittman, Aisha T ^c   Blaum, Caroline S ^a,d   McCann, Barbara A ^e   Boyd, Cynthia M ^a,b  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^c NATIONAL QUALITY FORUM   (United States)

^d UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^e Interim Healthcare   (United States)

^f NATIONAL COMMITTEE FOR QUALITY ASSURANCE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHRONIC DISEASE; CONCEPTUAL FRAMEWORK; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HUMAN; MEDICAL LITERATURE; MOTIVATION; PERFORMANCE MEASUREMENT FOR PEOPLE WITH MULTIPLE CHRONIC CONDITION; PERFORMANCE MEASUREMENT SYSTEM; PRIORITY JOURNAL; COMORBIDITY; STANDARDS; THEORETICAL MODEL;

CHRONIC DISEASE; COMORBIDITY; HUMANS; MODELS, THEORETICAL; QUALITY INDICATORS, HEALTH CARE;

EID: 84887221400     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (46)

1. US Department of Health and Human Services. Multiple Chronic Conditions: A Strategic Framework. Optimum Health and Quality of Life for Individuals With Multiple Chronic Conditions. http://www.hhs.gov/ash/initiatives/mcc/mcc- framework.pdf. Published December 2010. Accessed January 2012.
2. Fortin M, Bravo G, Hudon C, et al. Relationship between multimorbidity and health-related quality of life of patients in primary care. Qual Life Res. 2006;15(1):83-91.
3. Naessens JM, Stroebel RJ, Finnie DM, et al. Effect of multiple chronic conditions among working-age adults. Am J Manag Care. 2011;17(2): 118-122.
4. Wolff JL, Boult C, Boyd C, Anderson G. Newly reported chronic conditions and onset of functional dependency. J Am Geriatr Soc. 2005; 53(5):851-855.
5. Marengoni A, von Strauss E, Rizzuto D, Winblad B, Fratiglioni L. The impact of chronic multimorbidity and disability on functional decline and survival in elderly persons: a community-based, longitudinal study. J Intern Med. 2009;265(2):288-295.
6. Parekh AK, Barton MB. The challenge of multiple comorbidity for the US health care system. JAMA. 2010;303(13):1303-1304.
7. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294(6): 716-724.
8. Librero J, Peiró S, Ordiñana R. Chronic comorbidity and outcomes of hospital care: length of stay, mortality, and readmission at 30 and 365 days. J Clin Epidemiol. 1999;52(3):171-179.
9. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. 2002;162(20):2269-2276.
10. Hohl CM, Dankoff J, Colacone A, Afilalo M. Polypharmacy, adverse drug-related events, and potential adverse drug interactions in elderly patients presenting to an emergency department. Ann Emerg Med. 2001;38(6):666-671.
11. Tinetti ME, Bogardus ST Jr, Agostini JV. Potential pitfalls of diseasespecific guidelines for patients with multiple conditions. N Engl J Med. 2004;351(27):2870-2874.
12. Bayliss EA, Edwards AE, Steiner JF, Main DS. Processes of care desired by elderly patients with multimorbidities. Fam Pract. 2008;25(4): 287-293.
13. Fried TR, McGraw S, Agostini JV, Tinetti ME. Views of older personswith multiple morbidities on competing outcomes and clinical decision-making. J Am Geriatr Soc. 2008;56(10):1839-1844.
14. Fortin M, Dionne J, Pinho G, Gignac J, Almirall J, Lapointe L. Randomized controlled trials: do they have external validity for patients with multiple comorbidities? Ann Fam Med. 2006;4(2):104-108.
15. Lind A. Measuring Quality for Complex Medicaid Beneficiaries in New York. New York: Medicaid Institute at United Hospital Fund; 2011.
16. Committee on Quality of Health Care in America, Institute of Medicine. Crossing the Quality Chasm: a New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
17. National Quality Forum. Measurement Framework: Evaluating Efficiency Across Patient-Focused Episodes of Care. http://www.qualityforum.org/ Publications/2010/01/Measurement-Framework-Evaluating-Efficiency-Across-Patient- Focused-Episodes-of-Care.aspx. Published January 2010. Accessed January 2012.
18. Zapka JG, Taplin SH, Solberg LI, Manos MM. A framework for improving the quality of cancer care: the case of breast and cervical cancer screening. Cancer Epidemiol Biomarkers Prev. 2003;12(1):4-13.
19. Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Schwartz JS. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc. 2004;52(5): 675-684.
20. published correction appears in J Am Geriatr Soc. 2004;52(7):1228
21. Cowing M, Davino-Ramaya CM, Ramaya K, Szmerekovsky J. Health care delivery performance: service, outcomes, and resource stewardship. Perm J. 2009;13(4):72-78.
22. McDonald KM, Schultz E, Albin L, et al. Care Coordination Measures Atlas Version 3. Prepared by Stanford University under subcontract to Battelle on Contract No. 290-04-0020. Rockville, MD: Agency for Healthcare Research and Quality; November 2010. AHRQ publication 11-0023-EF.
23. Boyd CM, Fortin M. Future of multimorbidity research: how should understanding of multimorbidity inform health system design? Public Health Rev. 2011;32(2):451-474.
24. Piette JD, Kerr EA. The impact of comorbid chronic conditions on diabetes care. Diabetes Care. 2006;29(3):725-731.
25. Grant RW, Ashburner JM, Hong CS, Chang Y, Barry MJ, Atlas SJ. Defining patient complexity from the primary care physician's perspective: a cohort study. Ann Intern Med. 2011;155(12):797-804.
26. Wolff JL, Roter DL. Older adults' mental health function and patient-centered care: does the presence of a family companion help or hinder communication? J Gen Intern Med. 2012;27(6):661-668.
27. Boyd C, Leff B, Weiss C, Wolff J, Hamblin A, Martin L. Clarifying multimorbidity patterns to improve targeting and delivery of clinical services for Medicaid populations. Faces of Medicaid Data Brief. http://www.chcs.org/usr- doc/clarifying-multimorbidity-patterns.pdf. Published December 2010. Accessed February 1, 2013.
28. Woodard LD, Landrum CR, Urech TH, Rofit J, Virani SS, Petersen LA. Treating chronically ill people with diabetes mellitus with limited life expectancy: implications for performance measurement. J Am Geriatr Soc. 2012;60(2):193-201.
29. Guiding principles for the care of older adults with multimorbidity: an approach for clinicians: American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. J Am Geriatr Soc. 2012;60(10):E1-E25.
30. Werner RM, Asch DA. Clinical concerns about clinical performance measurement. Ann Fam Med. 2007;5(2):159-163.
31. National Committee for Quality Assurance. HEDIS 2010. http://www.ncqa.org/tabid/1044/Default.aspx. Accessed May 4, 2010.
32. Lee SJ, Walter LC. Quality indicators for older adults: preventing unintended harms. JAMA. 2011;306(13):1481-1482.
33. Parekh AK, Goodman RA, Gordon C, Koh HK; HHS Interagency Workgroup on Multiple Chronic Conditions. Managing multiple chronic conditions: strategic framework for improving health outcomes and quality of life. Public Health Rep. 2011;126(4):460-471.
34. Sarver N, Murphy K. Management of asthma: new approaches to establishing control. J Am Acad Nurse Pract. 2009;21(1):54-65.
35. Dalton C, Farrell R, De Souza A, et al. Patient inclusion in goal setting during early inpatient rehabilitation after acquired brain injury. Clin Rehabil. 2012;26(2):165-173.
36. van Lieshout J, Steenkamer B, Knippenberg M, Wensing M. Improvement of primary care for patients with chronic heart failure: a study protocol for a cluster randomised trial comparing two strategies. Implement Sci. 2011;6:28.
37. Carney PA, Eiff MP, Saultz JW, et al. Aspects of the Patient-centered Medical Home currently in place: initial findings from preparing the personal physician for practice. Fam Med. 2009;41(9):632-639.
38. Lindblad CI, Hanlon JT, Gross CR, et al. Clinically important drugdisease interactions and their prevalence in older adults. Clin Ther. 2006;28(8):1133-1143.
39. Schäfer I, von Leitner EC, Schön G, et al. Multimorbidity patterns in the elderly: a new approach of disease clustering identifies complex interrelations between chronic conditions. PLoS One. 2010;5(12):e15941.
40. Boyd CM, Giovannetti ER, Leff B, Weston C, Dy SM. Background Paper for the Development of a Framework for Measurement of Performance for People with Multiple Chronic Conditions Commissioned by the National Quality Forum. Washington, DC: National Quality Forum; 2011.
41. Persell SD, Kho AN, Thompson JA, Baker DW. Improving hypertension quality measurement using electronic health records. Med Care. 2009;47(4):388-394.
42. Persell SD, Wright JM, Thompson JA, Kmetik KS, Baker DW. Assessing the validity of national quality measures for coronary artery disease using an electronic health record. Arch Intern Med. 2006;166(20): 2272-2277.
43. Guyatt GH, Oxman AD, Vist GE, et al; GRADE Working Group. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336(7650):924-926.
44. Baker DW, Qaseem A; American College of Physicians' Performance Measurement Committee. Evidence-based performance measures: preventing unintended consequences of quality measurement. Ann Intern Med. 2011;155(9):638-640.
45. Boyd CM, Leff B, Wolff JL, et al. Informing clinical practice guideline development and implementation: prevalence of coexisting conditions among adults with coronary heart disease. J Am Geriatr Soc. 2011; 59(5):797-805.
46. Uhlig K, Leff B, Kent D, et al. A framework for crafting clinical practice guidelines that are relevant to the care and management of peoplewith multimorbidity. J Gen Intern Med. In press.