Building the future of ID: A call to action for quality improvement research and measurement

Theresa Madaline, David C Classen, Joshua C Eby
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Abstract

Quality is central to value-based care and measurement is essential for assessing performance and understanding improvement over time. Both value-based care and methods for quality measurement are evolving. Infectious Diseases has been less engaged than other specialties in quality measure development, and Infectious Diseases providers must seize the opportunity to engage with quality measure development and research. Antimicrobial stewardship programs are an ideal starting point for Infectious Diseases-related quality measure development; antimicrobial stewardship program interventions and best practices are Infectious Diseases-specific, measurable, and impactful, yet grossly undercompensated. Herein, we provide a scheme for prioritizing research focused on development of Infectious Diseases-specific quality measures. Maturation of quality measurement research in Infectious Diseases, beginning with an initial focus on stewardship-related conditions then expanding to non-stewardship topics, will allow Infectious Diseases to take control of its future in value-based care, and promote the growth of Infectious Diseases through greater recognition of its value.
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打造 ID 的未来:质量改进研究与测量行动呼吁书
质量是价值导向型医疗的核心,而衡量对于评估绩效和了解随时间推移的改进情况至关重要。基于价值的医疗和质量衡量方法都在不断发展。与其他专科相比,传染病科较少参与质量衡量标准的制定,传染病科医疗服务提供者必须抓住机遇,参与质量衡量标准的制定和研究。抗菌药物管理项目是制定传染病相关质量衡量标准的理想起点;抗菌药物管理项目的干预措施和最佳实践是传染病特有的、可衡量的、有影响力的,但补偿却严重不足。在此,我们提供了一个计划,用于确定以开发传染病专用质量测量方法为重点的研究的优先次序。传染病质量测量研究的成熟,将首先关注与管理相关的病症,然后扩展到非管理主题,这将使传染病在基于价值的医疗中掌握自己的未来,并通过提高对传染病价值的认识来促进传染病的发展。
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