Developing and implementing measures of quality of care in the intensive care unit

Peter J. Pronovost, Marlene R. Miller, Todd Dorman, Sean Berenholtz, Haya Rubin

Research output: Contribution to journalArticle

Abstract

As consumers, payers, and regulatory agencies require evidence regarding quality of care, the demand for intensive care unit (ICU) quality measures will likely grow. ICU providers and professional societies may need to partner with experts in quality measurement to develop and implement quality measures. This essay outlines the steps for developing and implementing quality measures and provides examples of potential ICU quality indicators. Outcome measures, in particular mortality rates, require risk adjustment, making data collection burdensome and broad implementation unlikely. On the other hand, structure and process measures may be feasible to implement broadly. Given the steps for developing quality measures outlined in this essay and the growing evidence in the literature regarding the impact of ICU care, the future should realize the development and implementation of ICU quality indicators that are rigorously developed and provide insights into opportunities to improve the quality of ICU care.

Original languageEnglish (US)
Pages (from-to)297-303
Number of pages7
JournalCurrent Opinion in Critical Care
Volume7
Issue number4
DOIs
StatePublished - 2001

Fingerprint

Quality of Health Care
Intensive Care Units
Risk Adjustment
Process Assessment (Health Care)
Outcome Assessment (Health Care)
Mortality

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Developing and implementing measures of quality of care in the intensive care unit. / Pronovost, Peter J.; Miller, Marlene R.; Dorman, Todd; Berenholtz, Sean; Rubin, Haya.

In: Current Opinion in Critical Care, Vol. 7, No. 4, 2001, p. 297-303.

Research output: Contribution to journalArticle

Pronovost, Peter J. ; Miller, Marlene R. ; Dorman, Todd ; Berenholtz, Sean ; Rubin, Haya. / Developing and implementing measures of quality of care in the intensive care unit. In: Current Opinion in Critical Care. 2001 ; Vol. 7, No. 4. pp. 297-303.
@article{7917970f9213485ea3487dfde3ead13d,
title = "Developing and implementing measures of quality of care in the intensive care unit",
abstract = "As consumers, payers, and regulatory agencies require evidence regarding quality of care, the demand for intensive care unit (ICU) quality measures will likely grow. ICU providers and professional societies may need to partner with experts in quality measurement to develop and implement quality measures. This essay outlines the steps for developing and implementing quality measures and provides examples of potential ICU quality indicators. Outcome measures, in particular mortality rates, require risk adjustment, making data collection burdensome and broad implementation unlikely. On the other hand, structure and process measures may be feasible to implement broadly. Given the steps for developing quality measures outlined in this essay and the growing evidence in the literature regarding the impact of ICU care, the future should realize the development and implementation of ICU quality indicators that are rigorously developed and provide insights into opportunities to improve the quality of ICU care.",
author = "Pronovost, {Peter J.} and Miller, {Marlene R.} and Todd Dorman and Sean Berenholtz and Haya Rubin",
year = "2001",
doi = "10.1097/00075198-200108000-00014",
language = "English (US)",
volume = "7",
pages = "297--303",
journal = "Current Opinion in Critical Care",
issn = "1070-5295",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Developing and implementing measures of quality of care in the intensive care unit

AU - Pronovost, Peter J.

AU - Miller, Marlene R.

AU - Dorman, Todd

AU - Berenholtz, Sean

AU - Rubin, Haya

PY - 2001

Y1 - 2001

N2 - As consumers, payers, and regulatory agencies require evidence regarding quality of care, the demand for intensive care unit (ICU) quality measures will likely grow. ICU providers and professional societies may need to partner with experts in quality measurement to develop and implement quality measures. This essay outlines the steps for developing and implementing quality measures and provides examples of potential ICU quality indicators. Outcome measures, in particular mortality rates, require risk adjustment, making data collection burdensome and broad implementation unlikely. On the other hand, structure and process measures may be feasible to implement broadly. Given the steps for developing quality measures outlined in this essay and the growing evidence in the literature regarding the impact of ICU care, the future should realize the development and implementation of ICU quality indicators that are rigorously developed and provide insights into opportunities to improve the quality of ICU care.

AB - As consumers, payers, and regulatory agencies require evidence regarding quality of care, the demand for intensive care unit (ICU) quality measures will likely grow. ICU providers and professional societies may need to partner with experts in quality measurement to develop and implement quality measures. This essay outlines the steps for developing and implementing quality measures and provides examples of potential ICU quality indicators. Outcome measures, in particular mortality rates, require risk adjustment, making data collection burdensome and broad implementation unlikely. On the other hand, structure and process measures may be feasible to implement broadly. Given the steps for developing quality measures outlined in this essay and the growing evidence in the literature regarding the impact of ICU care, the future should realize the development and implementation of ICU quality indicators that are rigorously developed and provide insights into opportunities to improve the quality of ICU care.

UR - http://www.scopus.com/inward/record.url?scp=0034829188&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034829188&partnerID=8YFLogxK

U2 - 10.1097/00075198-200108000-00014

DO - 10.1097/00075198-200108000-00014

M3 - Article

VL - 7

SP - 297

EP - 303

JO - Current Opinion in Critical Care

JF - Current Opinion in Critical Care

SN - 1070-5295

IS - 4

ER -