Agreement Among Measures Examining Low-Value Imaging for Low Back Pain
This study demonstrates the need for additional consensus surrounding how to translate guideline recommendations to administrative measures assessing imaging overuse for acute low back pain.
The Presurgical Episode: An Untapped Opportunity to Improve Value
Expansion of episode of care measurement models to include presurgical care is an added opportunity to improve quality, value, and efficiency in healthcare delivery.
Measuring Patient-Centered Medical Home Access and Continuity in Clinics With Part-Time Clinicians
Commonly used measures of performance for assessing patient access do not reflect PCMH-encouraged strategies to improve access that may be preferentially used by part-time physicians.
Cardiac Risk Is Not Associated With Hypertension Treatment Intensification
This study shows how cardiovascular prevention would be much more efficient if risk were used in treatment decisions, but that currently it plays no role.
Treatment Decisions for Complex Patients: Differences Between Primary Care Physicians and Midlevel Providers
Midlevel providers were significantly less likely than physicians to change blood pressure (BP) treatment for complex diabetic patients presenting with elevated BP at a single visit.
Availability of Data for Measuring Physician Quality Performance
Typical health plan data provide limited information for benchmarking physician performance using even a less stringent rule for attributing patient measures to physicians.
Benchmarking Physician Performance: Reliability of Individual and Composite Measures
At least 50 quality events per physician are needed to reach a minimum level of reliability for most quality measures calculated from administrative data.
Management of Chronic Noncancer Pain by VA Primary Care Providers: When Is Pain Control a Priority?
Additional training opportunities for primary care physicians and better use of ancillary services may be needed to further improve care for chronic pain patients.
Gender Disparities in Lipid Management: The Presence of Disparities Depends on the Quality Measure
Avoiding Pitfalls in Chronic Disease Quality Measurement: A Case for the Next Generation of Technical Quality Measures
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