Performance Measures

Author(s):
Barbara M. Soule, RN, MPA, CIC, FSHEA Principal, Infection Prevention and Control

Joint Commission Resources
Oak Brook, IL

Deborah M. Nadzam, PhD, RN, BB, FAAN Practice Leader, Patient Safety Services

Joint Commission Resources
Oak Brook, IL

Published:
October 3, 2014

Abstract

During the past several years a great deal of work has been accomplished nationwide on the development and use of performance measures. The Joint Commission launched its ORYX outcome measures in 1998.1The Centers for Medicare & Medicaid Services launched national comparative measures for long-term care in 2002, home care in 2003, and hospital reporting with the National Voluntary Hospital Reporting Initiative in 2004.2The Institute of Medicine published its reports on quality: To Err Is Human3in 1999 and Crossing the Quality Chasm4in 2001. The Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee includes performance measures in its evidence-based guidelines,5and the Society for Healthcare Epidemiology of America and the Infectious Disease Society of America have included indicators in the Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.6The Department of Health and Human Services has developed national performance indicators to guide a nationwide agenda for measuring healthcare-associated infections.7The quality world has come to be much more definitive and sophisticated with regard to the use of indicators. This chapter reviews many of the systems and processes available for measuring quality and provides a framework for evaluation, development, and use of effective indicators.