Daniel J Schumacher1, Abigail Martini2, Eric Holmboe3, Kartik Varadarajan2, Jamiu Busari4, Cees van der Vleuten5, Carol Carraccio6. 1. Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center (DJ Schumacher and A Martini); Office of the Chief Medical Officer, UCHealth (K Varadarajan), Cincinnati, Ohio. Electronic address: daniel.schumacher@cchmc.org. 2. Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center (DJ Schumacher and A Martini); Office of the Chief Medical Officer, UCHealth (K Varadarajan), Cincinnati, Ohio. 3. Accreditation Council for Graduate Medical Education (E Holmboe), Chicago, Ill. 4. School of Health Professions Education (J Busari), Maastricht University, Maastricht, The Netherlands. 5. Department of Educational Development and Research in the Faculty of Health, Medicine, and Life Sciences and School of Health Professions Education (SHE) (C van der Vleuten), Maastricht University, Maastricht, The Netherlands. 6. American Board of Pediatrics (C Carraccio), Chapel Hill, NC.
Abstract
OBJECTIVE: Despite the need for quality measures relevant to the work residents complete, few attempts have been made to address this gap. Resident-sensitive quality measures (RSQMs) can help fill this void. This study engaged resident and supervisor stakeholders to develop and inform next steps in creating such measures. METHODS: Two separate nominal group techniques (NGTs), one with residents and one with faculty and fellow supervisors, were used to generate RSQMs for 3 specific illnesses (asthma, bronchiolitis, and closed head injury) as well as general care for the pediatric emergency department. Two separate Delphi processes were then used to prioritize identified RSQMs. The measures produced by each group were compared side by side, illuminating similarities and differences that were explored through focus groups with residents and supervisors. These focus groups also probed future settings in which to develop RSQMs. RESULTS: In the NGT and Delphi groups, residents and supervisors placed considerable focus on measures in 3 areas across the illnesses of interest: 1) appropriate medication dosing, 2) documentation, and 3) information provided at patient discharge. Focus groups highlighted hospital medicine and general pediatrics as priority areas for developing future RSQMs but also noted contextual variables that influence the application of similar measures in different settings. Residents and supervisors had both similar as well as unique insights into developing RSQMs. CONCLUSIONS: This study continues to pave the path forward in developing future RSQMs by exploring specific settings, measures, and stakeholders to consider when undertaking this work.
OBJECTIVE: Despite the need for quality measures relevant to the work residents complete, few attempts have been made to address this gap. Resident-sensitive quality measures (RSQMs) can help fill this void. This study engaged resident and supervisor stakeholders to develop and inform next steps in creating such measures. METHODS: Two separate nominal group techniques (NGTs), one with residents and one with faculty and fellow supervisors, were used to generate RSQMs for 3 specific illnesses (asthma, bronchiolitis, and closed head injury) as well as general care for the pediatric emergency department. Two separate Delphi processes were then used to prioritize identified RSQMs. The measures produced by each group were compared side by side, illuminating similarities and differences that were explored through focus groups with residents and supervisors. These focus groups also probed future settings in which to develop RSQMs. RESULTS: In the NGT and Delphi groups, residents and supervisors placed considerable focus on measures in 3 areas across the illnesses of interest: 1) appropriate medication dosing, 2) documentation, and 3) information provided at patient discharge. Focus groups highlighted hospital medicine and general pediatrics as priority areas for developing future RSQMs but also noted contextual variables that influence the application of similar measures in different settings. Residents and supervisors had both similar as well as unique insights into developing RSQMs. CONCLUSIONS: This study continues to pave the path forward in developing future RSQMs by exploring specific settings, measures, and stakeholders to consider when undertaking this work.
Authors: Mark V Mai; Evan W Orenstein; John D Manning; Anthony A Luberti; Adam C Dziorny Journal: Appl Clin Inform Date: 2020-06-24 Impact factor: 2.342
Authors: Benjamin Kinnear; Matthew Kelleher; Dana Sall; Daniel P Schauer; Eric J Warm; Andrea Kachelmeyer; Abigail Martini; Daniel J Schumacher Journal: J Gen Intern Med Date: 2020-10-26 Impact factor: 5.128