Quality measurement for rhinosinusitis

A review from the Quality Improvement Committee of the American Rhinologic Society

Luke Rudmik, Jose Mattos, John Schneider, Peter R. Manes, Janalee K. Stokken, Jivianne Lee, Thomas S. Higgins, Rodney J. Schlosser, Douglas D. Reh, Michael Setzen, Zachary M. Soler

Research output: Contribution to journalArticle

Abstract

Background: Measuring quality outcomes is an important prerequisite to improve quality of care. Rhinosinusitis represents a high value target to improve quality of care because it has a high prevalence of disease, large economic burden, and large practice variation. In this study we review the current state of quality measurement for management of both acute (ARS) and chronic rhinosinusitis (CRS). Methods: The major national quality metric repositories and clearinghouses were queried. Additional searches included the American Academy of Otolaryngology-Head and Neck Surgery database, PubMed, and Google to attempt to capture any additional quality metrics. Results: Seven quality metrics for ARS and 4 quality metrics for CRS were identified. ARS metrics focused on appropriateness of diagnosis (n = 1), antibiotic prescribing (n = 4), and radiologic imaging (n = 2). CRS quality metrics focused on appropriateness of diagnosis (n = 1), radiologic imaging (n = 1), and measurement of patient quality of life (n = 2). The Physician Quality Reporting System (PQRS) currently tracks 3 ARS quality metrics and 1 CRS quality metric. There are no outcome-based rhinosinusitis quality metrics and no metrics that assess domains of safety, patient-centeredness, and timeliness of care. Conclusions: The current status of quality measurement for rhinosinusitis has focused primarily on the quality domain of efficiency and process measures for ARS. More work is needed to develop, validate, and track outcome-based quality metrics along with CRS-specific metrics. Although there has been excellent work done to improve quality measurement for rhinosinusitis, there remain major gaps and challenges that need to be considered during the development of future metrics.

Original languageEnglish (US)
JournalInternational Forum of Allergy and Rhinology
DOIs
StateAccepted/In press - 2017

Fingerprint

Quality of Health Care
Quality Improvement
Cost of Illness
Process Assessment (Health Care)
Otolaryngology
Patient Safety
PubMed
Neck
Head
Quality of Life
Databases
Anti-Bacterial Agents
Physicians

Keywords

  • Chronic rhinosinusitis
  • Quality improvement
  • Quality measurement
  • Quality of care
  • Sinusitis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology

Cite this

Quality measurement for rhinosinusitis : A review from the Quality Improvement Committee of the American Rhinologic Society. / Rudmik, Luke; Mattos, Jose; Schneider, John; Manes, Peter R.; Stokken, Janalee K.; Lee, Jivianne; Higgins, Thomas S.; Schlosser, Rodney J.; Reh, Douglas D.; Setzen, Michael; Soler, Zachary M.

In: International Forum of Allergy and Rhinology, 2017.

Research output: Contribution to journalArticle

Rudmik, L, Mattos, J, Schneider, J, Manes, PR, Stokken, JK, Lee, J, Higgins, TS, Schlosser, RJ, Reh, DD, Setzen, M & Soler, ZM 2017, 'Quality measurement for rhinosinusitis: A review from the Quality Improvement Committee of the American Rhinologic Society', International Forum of Allergy and Rhinology. https://doi.org/10.1002/alr.21983
Rudmik, Luke ; Mattos, Jose ; Schneider, John ; Manes, Peter R. ; Stokken, Janalee K. ; Lee, Jivianne ; Higgins, Thomas S. ; Schlosser, Rodney J. ; Reh, Douglas D. ; Setzen, Michael ; Soler, Zachary M. / Quality measurement for rhinosinusitis : A review from the Quality Improvement Committee of the American Rhinologic Society. In: International Forum of Allergy and Rhinology. 2017.
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abstract = "Background: Measuring quality outcomes is an important prerequisite to improve quality of care. Rhinosinusitis represents a high value target to improve quality of care because it has a high prevalence of disease, large economic burden, and large practice variation. In this study we review the current state of quality measurement for management of both acute (ARS) and chronic rhinosinusitis (CRS). Methods: The major national quality metric repositories and clearinghouses were queried. Additional searches included the American Academy of Otolaryngology-Head and Neck Surgery database, PubMed, and Google to attempt to capture any additional quality metrics. Results: Seven quality metrics for ARS and 4 quality metrics for CRS were identified. ARS metrics focused on appropriateness of diagnosis (n = 1), antibiotic prescribing (n = 4), and radiologic imaging (n = 2). CRS quality metrics focused on appropriateness of diagnosis (n = 1), radiologic imaging (n = 1), and measurement of patient quality of life (n = 2). The Physician Quality Reporting System (PQRS) currently tracks 3 ARS quality metrics and 1 CRS quality metric. There are no outcome-based rhinosinusitis quality metrics and no metrics that assess domains of safety, patient-centeredness, and timeliness of care. Conclusions: The current status of quality measurement for rhinosinusitis has focused primarily on the quality domain of efficiency and process measures for ARS. More work is needed to develop, validate, and track outcome-based quality metrics along with CRS-specific metrics. Although there has been excellent work done to improve quality measurement for rhinosinusitis, there remain major gaps and challenges that need to be considered during the development of future metrics.",
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AU - Rudmik, Luke

AU - Mattos, Jose

AU - Schneider, John

AU - Manes, Peter R.

AU - Stokken, Janalee K.

AU - Lee, Jivianne

AU - Higgins, Thomas S.

AU - Schlosser, Rodney J.

AU - Reh, Douglas D.

AU - Setzen, Michael

AU - Soler, Zachary M.

PY - 2017

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N2 - Background: Measuring quality outcomes is an important prerequisite to improve quality of care. Rhinosinusitis represents a high value target to improve quality of care because it has a high prevalence of disease, large economic burden, and large practice variation. In this study we review the current state of quality measurement for management of both acute (ARS) and chronic rhinosinusitis (CRS). Methods: The major national quality metric repositories and clearinghouses were queried. Additional searches included the American Academy of Otolaryngology-Head and Neck Surgery database, PubMed, and Google to attempt to capture any additional quality metrics. Results: Seven quality metrics for ARS and 4 quality metrics for CRS were identified. ARS metrics focused on appropriateness of diagnosis (n = 1), antibiotic prescribing (n = 4), and radiologic imaging (n = 2). CRS quality metrics focused on appropriateness of diagnosis (n = 1), radiologic imaging (n = 1), and measurement of patient quality of life (n = 2). The Physician Quality Reporting System (PQRS) currently tracks 3 ARS quality metrics and 1 CRS quality metric. There are no outcome-based rhinosinusitis quality metrics and no metrics that assess domains of safety, patient-centeredness, and timeliness of care. Conclusions: The current status of quality measurement for rhinosinusitis has focused primarily on the quality domain of efficiency and process measures for ARS. More work is needed to develop, validate, and track outcome-based quality metrics along with CRS-specific metrics. Although there has been excellent work done to improve quality measurement for rhinosinusitis, there remain major gaps and challenges that need to be considered during the development of future metrics.

AB - Background: Measuring quality outcomes is an important prerequisite to improve quality of care. Rhinosinusitis represents a high value target to improve quality of care because it has a high prevalence of disease, large economic burden, and large practice variation. In this study we review the current state of quality measurement for management of both acute (ARS) and chronic rhinosinusitis (CRS). Methods: The major national quality metric repositories and clearinghouses were queried. Additional searches included the American Academy of Otolaryngology-Head and Neck Surgery database, PubMed, and Google to attempt to capture any additional quality metrics. Results: Seven quality metrics for ARS and 4 quality metrics for CRS were identified. ARS metrics focused on appropriateness of diagnosis (n = 1), antibiotic prescribing (n = 4), and radiologic imaging (n = 2). CRS quality metrics focused on appropriateness of diagnosis (n = 1), radiologic imaging (n = 1), and measurement of patient quality of life (n = 2). The Physician Quality Reporting System (PQRS) currently tracks 3 ARS quality metrics and 1 CRS quality metric. There are no outcome-based rhinosinusitis quality metrics and no metrics that assess domains of safety, patient-centeredness, and timeliness of care. Conclusions: The current status of quality measurement for rhinosinusitis has focused primarily on the quality domain of efficiency and process measures for ARS. More work is needed to develop, validate, and track outcome-based quality metrics along with CRS-specific metrics. Although there has been excellent work done to improve quality measurement for rhinosinusitis, there remain major gaps and challenges that need to be considered during the development of future metrics.

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KW - Quality improvement

KW - Quality measurement

KW - Quality of care

KW - Sinusitis

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