When core measures fail: how often has the patient received the prescribed care?

Mo Med. 2011 May-Jun;108(3):179-81.

Abstract

Core measures were developed to assess the gap between recommended best medical practice and actual applied care using publicly-reported hospital results We found that 29+/-6% (p>0.001), of failed core measure cases actually received best medical practice care but failed documentation requirements.

MeSH terms

  • Academic Medical Centers
  • Algorithms
  • Guideline Adherence
  • Heart Failure / diagnosis
  • Heart Failure / therapy
  • Hospital Departments / standards*
  • Humans
  • Medical Records Systems, Computerized / standards*
  • Missouri
  • Outcome Assessment, Health Care
  • Patient Discharge / standards
  • Pneumonia / diagnosis
  • Pneumonia / therapy
  • Quality Assurance, Health Care*
  • Quality Indicators, Health Care*
  • Sampling Studies
  • Surgical Procedures, Operative / standards