title: Performance measurement for people with multiple chronic conditions: conceptual model.
abstract: BACKGROUND
  Improving quality of care for people with multiple chronic conditions (MCCs) requires performance measures reflecting the heterogeneity and scope of their care. Since most existing measures are disease specific, performance measures must be refined and new measures must be developed to address the complexity of care for those with MCCs.
  
  
  OBJECTIVE
  To describe development of the Performance Measurement for People with Multiple Chronic Conditions (PM-MCC) conceptual model.
  
  
  METHODS
  Framework development and a national stakeholder panel.
  
  
  METHODS
  We used reviews of existing conceptual frameworks of performance measurement, review of the literature on MCCs, input from experts in the multistakeholder Steering Committee, and public comment.
  
  
  RESULTS
  The resulting model centers on the patient and family goals and preferences for care in the context of multiple care sites and providers, the type of care they are receiving, and the national priority domains for healthcare quality measurement.
  
  
  CONCLUSIONS
  This model organizes measures into a comprehensive framework and identifies areas where measures are lacking. In this context, performance measures can be prioritized and implemented at different levels, in the context of patients' overall healthcare needs.
authors.affiliation: Research Scientist, National Committee for Quality Assurance, 1100 13th St NW, Ste 1000, Washington, DC 20005. E-mail: giovannetti@ncqa.org.
authors.forename: Erin R
authors.initials: ER
authors.lastname: Giovannetti
authors.forename: Sydney
authors.initials: S
authors.lastname: Dy
authors.forename: Bruce
authors.initials: B
authors.lastname: Leff
authors.forename: Christine
authors.initials: C
authors.lastname: Weston
authors.forename: Karen
authors.initials: K
authors.lastname: Adams
authors.forename: Tom B
authors.initials: TB
authors.lastname: Valuck
authors.forename: Aisha T
authors.initials: AT
authors.lastname: Pittman
authors.forename: Caroline S
authors.initials: CS
authors.lastname: Blaum
authors.forename: Barbara A
authors.initials: BA
authors.lastname: McCann
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Boyd
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D015897:Comorbidity; D006801:Humans; D008962:Models, Theoretical; D019984:Quality Indicators, Health Care / Q000592:standards