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Item AGA Institute Quality Indicator Development and Uses(Elsevier, 2023) Sheth, Sunil G.; Maratt, Jennifer K.; Newberry, Carolyn; Hung, Kenneth W.; Henry, Zachary; Leiman, David A.; Medicine, School of MedicineThe Affordable Care Act, which was signed into law in 2010, established several national priorities for health care delivery, including reinforcing the importance of high-value health care. Cost and quality are fundamental functions of value. Although costs may be clearly definable, quality can be more elusive to calculate and measure. The use of structured quality measures, which are standardized tools to quantify health care processes and outcomes, can reduce variability in quality reporting. One prominent example of a gastroenterology-focused quality measure is the adenoma detection rate, which reflects the percentage of average-risk screening colonoscopies in which at least 1 adenoma is detected. Like adenoma detection rate, all quality measures require discrete specifications for calculating a numerator and denominator to allow widespread standardization and reliable measurement across practices. Ultimately, this reproducibility permits the establishment of benchmark targets, which in turn allow insights into variable measure adherence and opportunity to develop and implement improvement.Item The Implementation of Measuring What Matters in Research and Practice: Series Commentary(Elsevier, 2017) Unroe, Kathleen T.; Ast, Katherine; Chuang, Elizabeth; Schulman-Green, Dena; Gramling, Robert; Department of Medicine, School of MedicineThe joint American Academy of Hospice and Palliative Medicine (AAHPM) and Hospice and Palliative Nurses Association (HPNA) “Measuring What Matters” (MWM) initiative selected and recommended ten quality indicators for hospice and palliative care practice (1) (Table 1). These quality indicators were chosen after a systematic process, relying on the existing evidence base. The intent was identification of a core set of clinically relevant, cross-cutting performance measures for use by palliative care and hospice programs to drive quality improvement efforts.