Developing Resident Sensitive Quality Measures: Engaging Stakeholders to Inform Next Steps

This study engaged resident and supervisor stakeholders to develop and inform next steps in creating such measures.MethodsTwo separate nominal group techniques (NGT), one with residents and one with faculty and fellow supervisors, were used to generate RSQMs for three specific illnesses (asthma, bronchiolitis, closed head injury) as well as general care for the pediatric emergency department (PED). 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.ResultsIn the NGT and Delphi groups, residents and supervisors placed considerable focus on measures in three 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.DiscussionThis study continues to pave the path forward in developing future RSQMs by exploring specific settings, measures, and stakeholders to consider when undertaking this work.

Source: Academic Pediatrics - October 5, 2018 Category: Pediatrics Source Type: research