Standardize concepts, not tools for quality improvement.

Journal Article (Journal Article)

Pay for performance has become a new mantra in the ongoing efforts to improve the quality of healthcare and stabilize healthcare costs. In response to complaints of employers and others, numerous organizations have emerged to try and standardize the tools used to measure quality. This article maintains that such an approach will not lead to improvement in quality. Rather, we should be standardizing on specific quality of care concepts, such as hospital satisfaction or bypass graft mortality. In turn, appropriate federal agencies should calibrate (or translate) well-validated tools measuring desired concepts. This would allow consumers to take action on quality reports calibrated to allow comparison of results based on a standardized concept such as hospital satisfaction but which in turn contains results using different, well-validated satisfaction questionnaires. This article provides a road map for the implementation of a process of standardizing on concepts rather than tools.

Full Text

Duke Authors

Cited Authors

  • Goldfield, N; Lamb, V; Manton, K; Vertrees, J

Published Date

  • April 2007

Published In

Volume / Issue

  • 30 / 2

Start / End Page

  • 116 - 119

PubMed ID

  • 17495679

Electronic International Standard Serial Number (EISSN)

  • 1550-3267

International Standard Serial Number (ISSN)

  • 0148-9917

Digital Object Identifier (DOI)

  • 10.1097/01.jac.0000264600.12006.70


  • eng