Using Clinical Practice Guidelines: Building and Applying a Guideline-BasedPerformance Measurement System. Volume 1. Benign Prostatic Hyperplasia

摘要

AMRRC evaluated the AHCPR-supported practice guidelines for benign prostatichyperplasia through the development of performance measurement systems for this guideline. The objective of the project were to (1) determine whether the guideline could be translated into quality and utilization review criteria and performance measures; (2) to test the guideline-based measurement systems for use by Medicare peer review organizations in the review of care provided to medicare patients; (3) to identify ways in which the guidelines and guideline development process could be improved. To meet these objectives, AMRRC, with the assistance from five peer review organizations (PROs), developed and tested performance measurement systems for the practice guidelines. The goal was to create guideline performance measurement systems with a high degree of validity, clarity, clinical applicability, clinical flexibility, documentation, and computer compatibility. The system was pilot tested after development. The draft architectural scheme is provided.