With so much room for improvement in clinical peer review process, comes a need for better information.
My 2009 national study, sponsored by the ACPE, looked at the utility of the Peer Review Program Self-Evaluation Tool and at relationships between specific peer review program parameters and objectively measured hospital quality and safety.
Thomson Reuters, Premier CareScience, and HealthGrades all graciously contributed their measures, which were used along with the CMS Health Compare dataset.
As important as these measures are, they have limitations. Most critically, they are not timely.
It takes roughly 3 years of mortality and morbidity data to produce stable comparative measures. The initial report from the 2009 ACPE Peer Review Outcomes Study was based on 2005-2007 performance measures. I will be re-iterating the analysis when 2007-2009 data becomes available this spring. The relationships so discovered offer a useful snapshot of where we have been. Nevertheless, such measures will not serve well to iteratively guide ongoing tests of change in peer review processes. Moreover, my research confirms that many programs have not thought it important to track process and outcomes measures from peer review.
In order to take the QI Model to the next level, we'll need timely data on what a variety of programs are actually doing along with the results. Since measurement is integral to process improvement, contribution to this Normative Database creates a win-win. When you measure peer review process and outcomes, you will strengthen your ability to improve the process. Your contribution will return useful benchmarking information and support ongoing research on best practices.
A number of physician leaders have expressed interest in department-level information (e.g., Surgery, Oncology, Anesthesia). We will accept un-stratified organization-wide data and data stratified by department/service. We will also accept isolated department/service data with the understanding that normative reports might not be available until an adequate threshold of comparative data is reached.
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