Performance Feedback Improves Compliance With Quality Measures

Veronica Loy, James Kwiatt, Amar Dodda, Eric Martin, Ashish Dua, Kia Saeian

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Cirrhotic complications portend high morbidity and mortality and burden the health care system. Established quality measures in management of cirrhotics include screening for esophageal varices (EV), screening for hepatocellular carcinoma (HCC), and hepatitis A and B immunization. A retrospective review was conducted to identify adherence to cirrhosis. Baseline rates were shared with providers. Compliance with quality measures was measured prospectively at 1-month, 2-month, 1-year, and 3-year follow-up after provision of performance feedback. Baseline HCC rate was 60%, EV was 68%, and hepatitis A and B immunization was 51% and 47%, respectively. After performance feedback, HCC, EV, and hepatitis A and B vaccination rates improved to rates ranging from 92% to 100% and remained statistically significant after 3 years. Provider feedback, a simple intervention, achieved significant improvement in compliance with quality measures for management of cirrhotics. This improvement in adherence to quality measures was sustainable over a 3-year time period.

Original languageEnglish (US)
Pages (from-to)118-124
Number of pages7
JournalAmerican Journal of Medical Quality
Volume31
Issue number2
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Fingerprint

Hepatitis A
Esophageal and Gastric Varices
Hepatitis B
Compliance
Hepatocellular Carcinoma
Immunization
Vaccination
Fibrosis
Morbidity
Delivery of Health Care
Mortality

Keywords

  • cirrhosis
  • feedback
  • hepatology
  • quality improvement

ASJC Scopus subject areas

  • Health Policy

Cite this

Performance Feedback Improves Compliance With Quality Measures. / Loy, Veronica; Kwiatt, James; Dodda, Amar; Martin, Eric; Dua, Ashish; Saeian, Kia.

In: American Journal of Medical Quality, Vol. 31, No. 2, 01.03.2016, p. 118-124.

Research output: Contribution to journalArticle

Loy, Veronica ; Kwiatt, James ; Dodda, Amar ; Martin, Eric ; Dua, Ashish ; Saeian, Kia. / Performance Feedback Improves Compliance With Quality Measures. In: American Journal of Medical Quality. 2016 ; Vol. 31, No. 2. pp. 118-124.
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