Measuring process of arthritis care: A proposed set of quality measures for the process of care in juvenile idiopathic arthritis
Open Access
- 14 September 2010
- journal article
- research article
- Published by Wiley in Arthritis Care & Research
- Vol. 63 (1), 10-16
- https://doi.org/10.1002/acr.20348
Abstract
Objective The ability to assess quality of care is a necessary component of continuous quality improvement. The assessment typically is accomplished by determination of compliance with a defined set of quality measures (QMs). The objective of this effort was to establish a set of QMs for the assessment of the process of care in juvenile idiopathic arthritis (JIA). Methods A 12‐member working group composed of representatives from the American College of Rheumatology, American Academy of Pediatrics, American Board of Pediatrics, and Association of Rheumatology Health Professionals was assembled to guide the project. Delphi questionnaires were sent to 237 health professionals involved in the care of children with JIA. A total of 471 items in 23 domains were identified. The working group met via 4 live e‐meetings during which results from the Delphi questionnaires were distilled to a reduced draft set. Each working group member selected a proposed QM to investigate and present evidence from the literature as to its attributes and appropriateness for inclusion into the set. Nominal group technique was used to come to consensus on a proposed set of QMs. Results The proposed set contains 12 QMs within 4 health care domains. Each QM consists of a statement of 1) the assessment to be completed, 2) when the first assessment should be completed and a suggested frequency of assessment during followup, 3) recommendations of appropriate tools or methods of assessment, and 4) initial performance goals. Conclusion Implementation of the proposed QM set will improve the process of care, facilitate continuous quality improvement, and eventuate in improved health outcomes of children with JIA.Keywords
This publication has 13 references indexed in Scilit:
- Evaluation of 21-Numbered Circle and 10-Centimeter Horizontal Line Visual Analog Scales for Physician and Parent Subjective Ratings in Juvenile Idiopathic ArthritisThe Journal of Rheumatology, 2010
- Quality improvement in pediatric rheumatology: what do we need to do?Current Opinion in Rheumatology, 2008
- Prevalence and complications of uveitis in juvenile idiopathic arthritis in a population-based nation-wide study in Germany: suggested modification of the current screening guidelinesRheumatology, 2007
- Ophthalmologic Examinations in Children With Juvenile Rheumatoid ArthritisPublished by American Academy of Pediatrics (AAP) ,2006
- Measuring quality in arthritis care: Methods for developing the Arthritis Foundation's quality indicator setArthritis Care & Research, 2004
- Development and preliminary validation of a Children's Arthritis Self-Efficacy ScaleArthritis & Rheumatism, 2001
- Development and preliminary validation of a self-efficacy measure for use among parents of children with juvenile idiopathic arthritisArthritis & Rheumatism, 2000
- The OMERACT filter for Outcome Measures in Rheumatology.1998
- Measurement of health status in children with juvenile rheumatoid arthritisArthritis & Rheumatism, 1994
- A methodological framework to develop and select indices for clinical trials: statistical and judgmental approaches.1982