Experts have examined process-of-care measures used in national transparency and payment programs to promote quality in hospitals and health systems and among physicians and have proposed four criteria for improving quality measures.
An article in the New England Journal of Medicine outlines the following four criteria:
- Measures must be based on a strong foundation of research showing that the process addressed by the measure, when performed correctly, leads to improved clinical outcomes.
- The measurement strategy must accurately capture whether the evidence-based care has been delivered.
- Measures should address a process quite proximate to the desired outcome, with relatively few intervening processes.
- The measure should have minimal or no unintended adverse consequences.