دورية أكاديمية
أعرض في EDS

Pediatric Rheumatology Care and Outcomes Improvement Network's Quality Measure Set to Improve Care of Children With Juvenile Idiopathic Arthritis.

التفاصيل البيبلوغرافية
العنوان: Pediatric Rheumatology Care and Outcomes Improvement Network's Quality Measure Set to Improve Care of Children With Juvenile Idiopathic Arthritis.
المؤلفون: Bingham CA; Penn State Children's Hospital and Penn State College of Medicine, Hershey, Pennsylvania., Harris JG; Children's Mercy Hospitals and Clinics, Kansas City, Missouri., Qiu T; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Gilbert M; Medical University of South Carolina, Charleston., Vora SS; Levine Children's Hospital and Atrium Health, Charlotte, North Carolina., Yildirim-Toruner C; Baylor College of Medicine and Texas Children's Hospital, Houston., Ferraro K; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Lovell DJ; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Taylor J; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Mannion ML; University of Alabama at Birmingham., Weiss JE; Hackensack University Medical Center and Hackensack Meridian Health, Hackensack, New Jersey., Laxer RM; The Hospital for Sick Children and the University of Toronto, Toronto, Ontario, Canada., Shishov M; Phoenix Children's Hospital, Phoenix, Arizona., Oberle EJ; Nationwide Children's Hospital and The Ohio State University, Columbus., Gottlieb BS; Cohen Children's Medical Center of New York and Zucker School of Medicine at Hofstra/Northwell, Queens, New York., Lee TC; Stanford Medicine Children's Health, Stanford University, Stanford, California., Pan N; Hospital for Special Surgery and Cornell University, New York, New York., Burnham JM; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Fair DC; Medical College of Wisconsin and Children's Wisconsin, Milwaukee., Batthish M; McMaster Children's Hospital and McMaster University, Hamilton, Ontario, Canada., Hazen MM; Boston Children's Hospital, Boston, Massachusetts., Spencer CH; University of Mississippi Medical Center, Jackson., Morgan EM; Seattle Children's Hospital and the University of Washington, Seattle.
مؤلفون مشاركون: Pediatric Rheumatology Care and Outcomes Improvement Network
المصدر: Arthritis care & research [Arthritis Care Res (Hoboken)] 2023 Dec; Vol. 75 (12), pp. 2442-2452. Date of Electronic Publication: 2023 Jul 13.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 101518086 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2151-4658 (Electronic) Linking ISSN: 2151464X NLM ISO Abbreviation: Arthritis Care Res (Hoboken) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hoboken, NJ : John Wiley & Sons
مواضيع طبية MeSH: Arthritis, Juvenile*/therapy , Arthritis, Juvenile*/drug therapy , Rheumatology*/methods , Antirheumatic Agents*/therapeutic use, Humans ; Child ; Quality Indicators, Health Care ; Outcome Assessment, Health Care
مستخلص: Objective: To describe the selection, development, and implementation of quality measures (QMs) for juvenile idiopathic arthritis (JIA) by the Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN), a multihospital learning health network using quality improvement methods and leveraging QMs to drive improved outcomes across a JIA population since 2011.
Methods: An American College of Rheumatology-endorsed multistakeholder process previously selected initial process QMs. Clinicians in PR-COIN and parents of children with JIA collaboratively selected outcome QMs. A committee of rheumatologists and data analysts developed operational definitions. QMs were programmed and validated using patient data. Measures are populated by registry data, and performance is displayed on automated statistical process control charts. PR-COIN centers use rapid-cycle quality improvement approaches to improve performance metrics. The QMs are revised for usefulness, to reflect best practices, and to support network initiatives.
Results: The initial QM set included 13 process measures concerning standardized measurement of disease activity, collection of patient-reported outcome assessments, and clinical performance measures. Initial outcome measures were clinical inactive disease, low pain score, and optimal physical functioning. The revised QM set has 20 measures and includes additional measures of disease activity, data quality, and a balancing measure.
Conclusion: PR-COIN has developed and tested JIA QMs to assess clinical performance and patient outcomes. The implementation of robust QMs is important to improve quality of care. PR-COIN's set of JIA QMs is the first comprehensive set of QMs used at the point-of-care for a large cohort of JIA patients in a variety of pediatric rheumatology practice settings.
(© 2023 The Authors. Arthritis Care & Research published by Wiley Periodicals LLC on behalf of American College of Rheumatology.)
التعليقات: Comment in: Arthritis Care Res (Hoboken). 2023 Dec;75(12):2420-2422. (PMID: 37458090)
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معلومات مُعتمدة: AHRQ U19-HS-021114 United States ARTHFN ARTHFN; AHRQ U19-HS-021114 United States ARTHFN ARTHFN; RI-PCC-2017 United States PCORI Patient-Centered Outcomes Research Institute
المشرفين على المادة: 0 (Antirheumatic Agents)
تواريخ الأحداث: Date Created: 20230612 Date Completed: 20231130 Latest Revision: 20231221
رمز التحديث: 20231221
DOI: 10.1002/acr.25168
PMID: 37308458
قاعدة البيانات: MEDLINE
الوصف
تدمد:2151-4658
DOI:10.1002/acr.25168