Quality indicators of health care should measure endpoints that closely reflect patient
outcomes. Further, they should be feasible to measure accurately in clinical practice
and demonstrate evidence of variable performance. An additional important consideration
is the potential for a candidate quality indicator to distort provider behavior in
ways that could adversely affect patient outcomes or costs of care or that could be
gamed, where the target measure is achieved but without reflecting high-quality care.
“Gaming” in reference to quality indicators refers to behaviors that help satisfy
the target set for the indicator but do not improve and are likely to detract from
optimal or the most cost-effective patient care.
Abbreviations:
ADR (adenoma detection rate), ASA (American Society of Anesthesiology), ASC (ambulatory surgery center), HCUP (Healthcare Cost and Utilization Project), HOPD (hospital outpatient department), RSHVR (risk standardized hospital visit rate), WT (withdrawal time)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 11, 2016
Accepted:
May 4,
2016
Received:
March 14,
2016
Footnotes
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
Identification
Copyright
Copyright © 2016 by the American Society for Gastrointestinal Endoscopy
