Project #2337 - measure performmance

AHS 450 Quality Management in Health Care

Project #3


Due: 2/13


Project Objective:  In Unit 3 you learn about measures of performance. The purpose of a measure is to evaluate whether performance is meeting expectations. The National Quality Measures Clearinghouse contains numerous measures of health care performance. In this project you’ll become familiar with the resources available on the measures website and use the resources to identify measures that can be used to evaluate specific aspects of performance.




Imagine you have been hired as quality director, a newly added position in an large family practice/internal medicine outpatient clinic. The office manager asks you to select performance measures that can be used to judge the clinic’s quality. You know that performance should be evaluated in all three categories: structure, process, and outcome. Thus, you’ll want to identify measures from each category. You go to the Measures Clearinghouse website sponsored by the Agency for Healthcare Research and Quality to find measures that would be relevant for use in a family practice/internal medicine clinic.


Since the clinic is just starting to measure performance, you don’t want to overwhelm them with too many different measures. So you decide to select one structure measure, two process measures and two outcome measures. Descriptions of these types of measures and examples are found in your reading assignments.


1.    Go to the National Quality Measures Clearinghouse website ( to find measures of performance for an outpatient or ambulatory care clinic. Use the advanced search functions on this site to find structure, process and outcome performance measures. 


DO NOT search for measures in the HHS Measure Inventory – use the advanced search function on the Measures Clearinghouse website. Only measures found using this search function should be used to complete the assignment. 


2.    In the first column of the answer sheet provided below list the measures you found on the clearinghouse website. Be sure you write the measures in descriptive “measurement” terms. The measure should start with words or phrases such as:

·               “Percent of ....”

·               “Number of ....”

·               “Average .....”


3.    Identify the numerator and denominator that is used to create each measure. Read though the description of the measure on the clearinghouse website and you’ll find this information. If you’ve forgotten how numerators and denominators are used to create a measure, see pages 31-34 in your text. 


Below is an example of how one row on the answer sheet would be completed for an outcome measure that could be used in a dental clinic.  







Percent of root canal procedures that fail within two years (failure = tooth is extracted)


Number of root canal procedures that fail within two years


Number of root canal procedures performed





The advanced search function on the site will help you find measures for a particular care setting. However, don’t "blindly" accept the measures you find. Give some thought as to whether the measure is actually a structure, process or outcome measure as explained your reading material.


Also, be sure the measure is relevant to the clinic where you are working. Some of the measures on the clearinghouse website are used to evaluate larger populations, e.g. all patients in a geographic area or all patients in a health plan. These are not measures that can be used by a single clinic.


Remember the measures you select are to evaluate the performance of what happens in the family practice/internal medicine clinic, not in other settings even though clinic physicians may care for patients in other settings.  



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Due By (Pacific Time) 02/14/2013 10:00 pm
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