OBJECTIVE: To outline the principles that direct the Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) dedicated to diabetes quality improvement (QUERI-DM). RESEARCH DESIGN AND METHODS: We discuss the VA initiatives aimed at improving diabetes care for veterans as well as general issues that should be considered in quality improvement initiatives. We specifically describe some of the epidemiological, statistical, and organizational issues that have guided our quality improvement (QI) programs. RESULTS: The five principles that have guided the QUERI-DM process are: 1) treating clinical guidelines and goals distinct from quality standards and quality improvement priorities; 2) targeting high-risk patients and high-impact quality issues; 3) profiling processes over outcomes; 4) targeting processes that will improve patient outcomes; and 5) paying attention to the loci of practice variation. CONCLUSIONS: The authors recommend that all five principles be considered when moving from practice guidelines to performance measures and QI initiatives. Targeting high-priority problems and high-risk groups can greatly improve the effectiveness and efficiency of QI interventions.
OBJECTIVE: To outline the principles that direct the Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) dedicated to diabetes quality improvement (QUERI-DM). RESEARCH DESIGN AND METHODS: We discuss the VA initiatives aimed at improving diabetes care for veterans as well as general issues that should be considered in quality improvement initiatives. We specifically describe some of the epidemiological, statistical, and organizational issues that have guided our quality improvement (QI) programs. RESULTS: The five principles that have guided the QUERI-DM process are: 1) treating clinical guidelines and goals distinct from quality standards and quality improvement priorities; 2) targeting high-risk patients and high-impact quality issues; 3) profiling processes over outcomes; 4) targeting processes that will improve patient outcomes; and 5) paying attention to the loci of practice variation. CONCLUSIONS: The authors recommend that all five principles be considered when moving from practice guidelines to performance measures and QI initiatives. Targeting high-priority problems and high-risk groups can greatly improve the effectiveness and efficiency of QI interventions.
Authors: Bijan Najafi; Hooman Mohseni; Gurtej S Grewal; Talal K Talal; Robert A Menzies; David G Armstrong Journal: J Diabetes Sci Technol Date: 2017-05-17
Authors: Leslie R M Hausmann; Kwonho Jeong; James E Bost; Nancy R Kressin; Said A Ibrahim Journal: Am J Public Health Date: 2009-05-14 Impact factor: 9.308
Authors: Maria C E Rossi; Giuseppe Lucisano; Marco Comaschi; Carlo Coscelli; Domenico Cucinotta; Patrizia Di Blasi; Giovanni Bader; Fabio Pellegrini; Umberto Valentini; Giacomo Vespasiani; Antonio Nicolucci Journal: Diabetes Care Date: 2011-02 Impact factor: 19.112