This is an archived course. A more recent version may be available at ocw.mit.edu.

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Evaluating Process & Outcome Metrics: Patient Safety

Objective Learn how to design an evaluation study with appropriate clinical and economic outcomes.
Date April 8, 2011
Lecturer

Pedro Delgado
Executive Director, Institute for Healthcare Improvement

Lecture

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Readings

  1. Brook, Robert H., Elizabeth A. McGlynn, and Paul D. Cleary. "Quality of Health Care: Part 2: Measuring Quality of Care." New England Journal of Medicine 335, no. 13 (1996): 966-970.
  2. Taylor, R. S., and J. Elston. "The Use of Surrogate Outcomes in Model-Based Cost-Effectiveness Analyses: A Survey of UK Health Technology Assessment Reports." Health Technology Assessment 13, no. 8 (2009): iii, ix-xi, and 1-50. (This resource may not render correctly in a screen reader.PDF)
  3. Eisenstein, Eric L., Maqui Ortiz, and Kevin J. Anstrom, et al. "Assessing the quality of medical information technology economic evaluations: Room for improvement." American Medical Informatics Association: Annual Symposium Proceedings (2006): 234-238.
  4. McGlynn, Elizabeth A., and Steven M. Asch. "Developing a Clinical Performance Measure." American Journal of Preventive Medicine 14, no. 3 supplementary (1998): 14-21.

Discussion Questions

  1. What are the attributes of a clinical quality measure?
  2. How do clinical quality measures differ from other measures used in health care (e.g. measures of utilization, quality of life, health status)?
  3. How do the various stakeholders in the health-care system value each of the attributes of clinical quality measures?
  4. How is quality measurement useful for quality improvement?