title: Translating operational research to the medical community: using "guiding measurements" to improve the quality of healthcare delivery.
abstract: Despite the ubiquity problems with pay-for-performance and other quality improvement initiatives, there is little in the way of objective evidence that these efforts have improved the quality of care. In part, it may be because the measurements selected are used to "grade" instead of guide improvement efforts. We propose using operational research methods that include how to develop "guiding measurements" to improve care. We show that use of this type of guiding measurements can lead to improved patient understanding, throughput, and satisfaction in a pediatric nephrology ambulatory care clinic, and may have wider applications across the continuum of care.
authors.affiliation: Center for Management Science in Health, Department of Pediatrics, University of California, San Diego, 9500 Gilman Drive, #0821, La Jolla, CA, 92093, USA. jfontanesi@ucsd.edu
authors.forename: John
authors.initials: J
authors.lastname: Fontanesi
authors.forename: Stanley
authors.initials: S
authors.lastname: Mendoza
authors.forename: Debra
authors.initials: D
authors.lastname: Bowers
authors.forename: Vivian
authors.initials: V
authors.lastname: Reznik
mesh_terms: D019985:Benchmarking; D002140:California; D019317:Evidence-Based Medicine / Q000592:standards*; D019983:Guideline Adherence / Q000592:standards*; D006302:Health Services Research; D006801:Humans; D010349:Patient Compliance; D017410:Practice Guidelines as Topic / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards*; D014481:United States