Advertisement

The History of Quality Metrics

  • Deeb N. SalemEmail author
  • Sucharita Kher
  • Danisha Charles
  • Karen M. Freund
Chapter
  • 21 Downloads

Abstract

In a humorous, satirical editorial, Dr. Joseph Alpert depicts Socrates conversing with Asculepo, a young medical student, regarding the elements of high-quality medicine. In their discussion, Asculepo states that he is confused about the elements of high-quality medicine that his professors called quality “metrics.” Socrates responds that it is “quite strange” that they want to teach you to practice high-quality medicine, but they evidently cannot agree on how to measure this thing called “quality.” During the past two decades, quality measures have evolved to play a crucial role in healthcare delivery; but in many ways, we are still not clear about what they should consist of.

Keywords

Quality metrics Socrates Consumer Reports Healthcare Ratings 

References

  1. 1.
    Alpert JS. Socrates on quality. Am J Med. 2018;131(8):855–6.  https://doi.org/10.1016/j.amjmed.2018.03.022.CrossRefPubMedGoogle Scholar
  2. 2.
    Ayanian JZ, Markel H. Donabedian’s lasting framework for health care quality. N Engl J Med. 2016;375(3):205–7.  https://doi.org/10.1056/NEJMp1605101.CrossRefPubMedGoogle Scholar
  3. 3.
  4. 4.
    Donabedian A. Evaluating the quality of medical care. Milbank Q. 1966;83(4):691–729.  https://doi.org/10.1111/j.1468-0009.2005.00397.x.CrossRefGoogle Scholar
  5. 5.
    Esposito ML, Selker HP, Salem DN. Quantity over quality: how the rise in quality measures is not producing quality results. J Gen Intern Med. 2015;30(8):1204–7.  https://doi.org/10.1007/s11606-015-3278-6.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Frakt AB, Jha AK. Face the facts: we need to change the way we do pay for performance changing how we do pay for performance. Ann Intern Med. 2018;168(4):291–2.  https://doi.org/10.7326/M17-3005.CrossRefPubMedGoogle Scholar
  7. 7.
    Grady D, Redberg RF, O’Malley PG. Quality improvement for quality improvement studies quality improvement for quality improvement studies editorial. JAMA Intern Med. 2018;178(2):187.  https://doi.org/10.1001/jamainternmed.2017.6875.CrossRefPubMedGoogle Scholar
  8. 8.
    Hwang SW, Salem D, Thaler D, Heilman CB. A review of stroke DRG mortality rate as a quality of care measure. AAANS Bulletin. 2007;16(2):28–31.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Deeb N. Salem
    • 1
    Email author
  • Sucharita Kher
    • 2
  • Danisha Charles
    • 3
  • Karen M. Freund
    • 1
  1. 1.Department of MedicineTufts Medical Center, Tufts University School of MedicineBostonUSA
  2. 2.Department of Medicine, Division of Pulmonary, Critical Care & Sleep MedicineTufts Medical CenterBostonUSA
  3. 3.Tufts Medical CenterBostonUSA

Personalised recommendations