The importance of performance evaluation in implementation of the dialysis outcomes quality initiative guidelines

E. P. Steinberg

Research output: Contribution to journalArticle

Abstract

To determine the extent to which actual practices become more consistent over time with those advocated in Dialysis Outcomes Quality Initiative Guidelines, clinical performance measures (CPMs) that are based on the DOQI Guidelines will need to be developed and implemented. CPMs also can be used to evaluate the effectiveness of interventions that are undertaken to promote compliance with specific Guideline recommendations, to validate DOQI Guidelines that were based in whole or in part on expert opinion, and to protect against erosion of the quality of care delivered to end-stage renal disease patients that could occur as a result of economic pressures. To achieve these goals, CPMs must be valid, reliable, and practical to use. A federally sponsored effort to develop such CPMs is currently underway. This report presents an overview of CPMs and the challenges involved in developing technically sound specifications for CPMs that are based on DOQI guidelines.

Original languageEnglish (US)
Pages (from-to)36-41
Number of pages6
JournalAdvances in Renal Replacement Therapy
Volume6
Issue number1
StatePublished - 1999
Externally publishedYes

Fingerprint

Dialysis
Guidelines
Quality of Health Care
Expert Testimony
Chronic Kidney Failure
Economics
Pressure

Keywords

  • Clinical performance measures
  • Dialysis
  • End-stage renal disease
  • Practice guidelines

ASJC Scopus subject areas

  • Nephrology

Cite this

The importance of performance evaluation in implementation of the dialysis outcomes quality initiative guidelines. / Steinberg, E. P.

In: Advances in Renal Replacement Therapy, Vol. 6, No. 1, 1999, p. 36-41.

Research output: Contribution to journalArticle

@article{408938b54bf54a808c72d7a940c00540,
title = "The importance of performance evaluation in implementation of the dialysis outcomes quality initiative guidelines",
abstract = "To determine the extent to which actual practices become more consistent over time with those advocated in Dialysis Outcomes Quality Initiative Guidelines, clinical performance measures (CPMs) that are based on the DOQI Guidelines will need to be developed and implemented. CPMs also can be used to evaluate the effectiveness of interventions that are undertaken to promote compliance with specific Guideline recommendations, to validate DOQI Guidelines that were based in whole or in part on expert opinion, and to protect against erosion of the quality of care delivered to end-stage renal disease patients that could occur as a result of economic pressures. To achieve these goals, CPMs must be valid, reliable, and practical to use. A federally sponsored effort to develop such CPMs is currently underway. This report presents an overview of CPMs and the challenges involved in developing technically sound specifications for CPMs that are based on DOQI guidelines.",
keywords = "Clinical performance measures, Dialysis, End-stage renal disease, Practice guidelines",
author = "Steinberg, {E. P.}",
year = "1999",
language = "English (US)",
volume = "6",
pages = "36--41",
journal = "Advances in Chronic Kidney Disease",
issn = "1548-5595",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - The importance of performance evaluation in implementation of the dialysis outcomes quality initiative guidelines

AU - Steinberg, E. P.

PY - 1999

Y1 - 1999

N2 - To determine the extent to which actual practices become more consistent over time with those advocated in Dialysis Outcomes Quality Initiative Guidelines, clinical performance measures (CPMs) that are based on the DOQI Guidelines will need to be developed and implemented. CPMs also can be used to evaluate the effectiveness of interventions that are undertaken to promote compliance with specific Guideline recommendations, to validate DOQI Guidelines that were based in whole or in part on expert opinion, and to protect against erosion of the quality of care delivered to end-stage renal disease patients that could occur as a result of economic pressures. To achieve these goals, CPMs must be valid, reliable, and practical to use. A federally sponsored effort to develop such CPMs is currently underway. This report presents an overview of CPMs and the challenges involved in developing technically sound specifications for CPMs that are based on DOQI guidelines.

AB - To determine the extent to which actual practices become more consistent over time with those advocated in Dialysis Outcomes Quality Initiative Guidelines, clinical performance measures (CPMs) that are based on the DOQI Guidelines will need to be developed and implemented. CPMs also can be used to evaluate the effectiveness of interventions that are undertaken to promote compliance with specific Guideline recommendations, to validate DOQI Guidelines that were based in whole or in part on expert opinion, and to protect against erosion of the quality of care delivered to end-stage renal disease patients that could occur as a result of economic pressures. To achieve these goals, CPMs must be valid, reliable, and practical to use. A federally sponsored effort to develop such CPMs is currently underway. This report presents an overview of CPMs and the challenges involved in developing technically sound specifications for CPMs that are based on DOQI guidelines.

KW - Clinical performance measures

KW - Dialysis

KW - End-stage renal disease

KW - Practice guidelines

UR - http://www.scopus.com/inward/record.url?scp=0032917576&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032917576&partnerID=8YFLogxK

M3 - Article

C2 - 9925148

AN - SCOPUS:0032917576

VL - 6

SP - 36

EP - 41

JO - Advances in Chronic Kidney Disease

JF - Advances in Chronic Kidney Disease

SN - 1548-5595

IS - 1

ER -