Performance Measurement in Chronic Kidney Disease
Open Access
- 1 February 2011
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of the American Society of Nephrology
- Vol. 22 (2), 225-234
- https://doi.org/10.1681/asn.2010111152
Abstract
Do Americans receive high-value health care? Value only improves by advancing key indicators in one of two directions: increasing quality, decreasing cost, or both. In the face of unyielding mortality rates and the relentless expense of end-stage renal disease, government agencies and professional organizations are now focusing on new quality measures for patients with advancing chronic kidney disease. These performance measures are in early stages of refinement but reflect efforts of payers to slow the incidence of progressive renal disease across the population. To improve quality of care, one must study the performance measures themselves and determine how to capture the necessary data efficiently, identify the appropriate patients for measurement, and assign accountability to providers. Here, we discuss the challenges of doing this well.Keywords
This publication has 98 references indexed in Scilit:
- Diminishing Efficacy of Combination Therapy, Response‐Heterogeneity, and Treatment Intolerance Limit the Attainability of Tight Risk Factor Control in Patients with DiabetesHealth Services Research, 2010
- Bicarbonate Supplementation Slows Progression of CKD and Improves Nutritional StatusJournal of the American Society of Nephrology, 2009
- Clinical Testing Patterns and Cost Implications of Variation in the Evaluation of CKD Among US PhysiciansAmerican Journal of Kidney Diseases, 2009
- Combining GFR and Albuminuria to Classify CKD Improves Prediction of ESRDJournal of the American Society of Nephrology, 2009
- Treatment Center and Geographic Variability in Pre-ESRD Care Associate with Increased MortalityJournal of the American Society of Nephrology, 2009
- Chronic Kidney Disease Adversely Influences Patient SafetyJournal of the American Society of Nephrology, 2008
- The Relative Merits of Population‐Based and Targeted Prevention StrategiesThe Milbank Quarterly, 2008
- Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid DiseasesJAMA, 2005
- Chronic Kidney Disease and the Risks of Death, Cardiovascular Events, and HospitalizationThe New England Journal of Medicine, 2004
- The Quality of CareJAMA, 1988