International Journal for Quality in Health Care 15:79-085 (2003)
© 2003 International Society for Quality in Health Care
Methodology Matters |
Critical appraisal of clinical performance measures in Germany
1Public Health Program, School of Medicine, University of Duesseldorf
2Institute for Medical Information Processing, University of Tuebingen
3German Agency for Quality in Medicine, Cologne, Germany
Background. One of the tasks of the Federal Co-ordinating Committee, as part of the self-governing health care system in Germany, is to develop clinical performance measures (CPMs). As these measures generally exert a strong impact on health care delivery, their methodological quality should meet the highest standards.
Objective. To develop, for use in the German health care system, methodological quality requirements for CPMs and performance assessment programs.
Materials and Methods. We assembled and reviewed internationally available materials on CPMs. From these we prepared lists of requirements for appraising the methodological quality of CPMs and CPM programs.
Products. Lists of criteria for use in appraising the appropriateness of the development, content, format and application of CPMs and their value to the health care system for performance measurement; a checklist for assessing the methodological quality of CPMs/CPM programs.
Conclusion. The methods applied and the products from this project offer a useful framework for prospective CPM/CPM program developers and set a high threshold for the development of methodologically rigorous clinical performance measurement.
Keywords: clinical performance measure, Germany, quality indicator, quality management