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Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings.

Publication ,  Journal Article
Kamal, AH; Bull, J; Ritchie, CS; Kutner, JS; Hanson, LC; Friedman, F; Taylor, DH; AAHPM Research Committee Writing Group,
Published in: J Pain Symptom Manage
March 2016

CONTEXT: Measuring What Matters (MWM) for palliative care has prioritized data collection efforts for evaluating quality in clinical practice. How these measures can be implemented across diverse clinical settings using point-of-care data collection on quality is unknown. OBJECTIVES: To evaluate the implementation of MWM measures by exploring documentation of quality measure adherence across six diverse clinical settings inherent to palliative care practice. METHODS: We deployed a point-of-care quality data collection system, the Quality Data Collection Tool, across five organizations within the Palliative Care Research Cooperative Group. Quality measures were recorded by clinicians or assistants near care delivery. RESULTS: During the study period, 1989 first visits were included for analysis. Our population was mostly white, female, and with moderate performance status. About half of consultations were seen on hospital general floors. We observed a wide range of adherence. The lowest adherence involved comprehensive assessments during the first visit in hospitalized patients in the intensive care unit (2.71%); the highest adherence across all settings, with an implementation of >95%, involved documentation of management of moderate/severe pain. We observed differences in adherence across clinical settings especially with MWM Measure #2 (Screening for Physical Symptoms, range 45.7%-81.8%); MWM Measure #5 (Discussion of Emotional Needs, range 46.1%-96.1%); and MWM Measure #6 (Documentation of Spiritual/Religious Concerns, range 0-69.6%). CONCLUSION: Variations in clinician documentation of adherence to MWM quality measures are seen across clinical settings. Additional studies are needed to better understand benchmarks and acceptable ranges for adherence tailored to various clinical settings.

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Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

March 2016

Volume

51

Issue

3

Start / End Page

497 / 503

Location

United States

Related Subject Headings

  • Quality Assurance, Health Care
  • Prospective Studies
  • Point-of-Care Systems
  • Palliative Care
  • Male
  • Humans
  • Hospice Care
  • Health Plan Implementation
  • Female
  • Data Collection
 

Citation

APA
Chicago
ICMJE
MLA
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Kamal, A. H., Bull, J., Ritchie, C. S., Kutner, J. S., Hanson, L. C., Friedman, F., … AAHPM Research Committee Writing Group, . (2016). Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings. J Pain Symptom Manage, 51(3), 497–503. https://doi.org/10.1016/j.jpainsymman.2015.12.313
Kamal, Arif H., Janet Bull, Christine S. Ritchie, Jean S. Kutner, Laura C. Hanson, Fred Friedman, Donald H. Taylor, and Donald H. AAHPM Research Committee Writing Group. “Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings.J Pain Symptom Manage 51, no. 3 (March 2016): 497–503. https://doi.org/10.1016/j.jpainsymman.2015.12.313.
Kamal AH, Bull J, Ritchie CS, Kutner JS, Hanson LC, Friedman F, et al. Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings. J Pain Symptom Manage. 2016 Mar;51(3):497–503.
Kamal, Arif H., et al. “Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings.J Pain Symptom Manage, vol. 51, no. 3, Mar. 2016, pp. 497–503. Pubmed, doi:10.1016/j.jpainsymman.2015.12.313.
Kamal AH, Bull J, Ritchie CS, Kutner JS, Hanson LC, Friedman F, Taylor DH, AAHPM Research Committee Writing Group. Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings. J Pain Symptom Manage. 2016 Mar;51(3):497–503.
Journal cover image

Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

March 2016

Volume

51

Issue

3

Start / End Page

497 / 503

Location

United States

Related Subject Headings

  • Quality Assurance, Health Care
  • Prospective Studies
  • Point-of-Care Systems
  • Palliative Care
  • Male
  • Humans
  • Hospice Care
  • Health Plan Implementation
  • Female
  • Data Collection