Performance Measurement
How do you know if you are providing the best healthcare for your patient? Performance measurement allows us to assess care against evidence-based clinical guidelines and nationally recognized standards.
Performance measures are developed, tested, and endorsed by many organizations including medical specialty societies, healthcare quality organizations, health systems, private and public health payers, and the federal government. The science of measuring healthcare performance has made enormous progress over the last two decades and continues to rapidly grow and evolve.
ACP is engaged in discussions about the benefits of performance measurement because we recognize the inevitability of its use in practice and want to shape its presence in Internal Medicine. The Performance Measurement Committee (PMC) oversees the performance measurement related activities of the College and actively participates at the national level though involvement with many different organizations at each step of the performance measurement process.
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ACP Performance Measurement Committee Papers
ACP has developed policy papers and performance measurement commentaries in scientific journals to educate ACP members about performance measurement initiatives.
- Pay for Performance Through the Lens of Medical Professionalism
- Evidence-Based Performance Measures: Preventing Unintended Consequences of Quality Measurement
- Design and Use of Performance Measures to Decrease Low-Value Services and Achieve Cost-Conscious Care
Performance Measures Related to ACP Guidelines
The PMC reviews performance measures and develops a commentary related to the clinical evidence and recommendations in ACP Guidelines and Guidance Statements. The implications for performance measures on clinical topics developed by the PMC are below:
CLINICAL TOPIC - Upper Endoscopy in Patients with Gastroesophageal Reflux Disease (GERD)
- Implications for Performance Measurement:
ACP does not support the National Quality Forum (NQF) measure 0622 that addresses the percentage of adult patients with gastroesophogeal reflux disease (GERD) with alarm symptoms who have had an upper gastrointestinal study. - Upper Endoscopy for Gastroesophageal Reflux:
Review of the Performance Measures by the Performance Measurement Committee of the American College of Physicians - ACP Best Practice Advice:
Upper Endoscopy for Gastroesophageal Reflux
CLINICAL TOPIC - Venous Thromboembolism Prophylaxis in Hospitalized Patients
- Implications for Performance Measurement:
ACP recommends against hospital performance measures that promote universal VTE prevention regardless of patient's individual risks for VTE and bleeding. - Evidence-Based Performance Measures:
Preventing Unintended Consequences of Quality Measurement - ACP Clinical Practice Guideline:
Venous Thromboembolism Prophylaxis in Hospitalized Patients
Review of Performance Measures Developed by National Organizations
The ACP Performance Measurement Committee reviews, comments, and votes on performance measures pertinent to Internal Medicine that are currently under development or endorsement at national organizations including the National Committee for Quality Assurance (NCQA), the Centers for Medicare and Medicaid Services (CMS), the American Medical Association Physician Consortium on Performance Improvement (AMA-PCPI), and the National Quality Forum (NQF).
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