Incorporating outcomes measurement, such as hospital-level 30-day mortality, into performance monitoring for heart attacks and heart failure is supported by recent methodological developments.
The authors advocate for incorporating 30-day mortality outcomes into hospital performance monitoring for heart attacks and heart failure to complement existing process measures.
To complement the current process measures for treating patients with heart attacks and with heart failure, which target gaps in quality but do not capture patient outcomes, the Centers for Medicare and Medicaid Services (CMS) has proposed the public reporting of hospital-level thirty-day mortality for these conditions in 2007. We present the case for including measurements of outcomes in the assessment of hospital performance, focusing on the care of patients with heart attacks and with heart failure. Recent developments in the methodology and standards for outcomes measurement have laid the groundwork for incorporating outcomes into performance monitoring efforts for these conditions.
Krumholz et al. (Mon,) conducted a review in Heart attacks and heart failure. Outcomes measurement (hospital-level 30-day mortality) vs. Process measures was evaluated. Incorporating outcomes measurement, such as hospital-level 30-day mortality, into performance monitoring for heart attacks and heart failure is supported by recent methodological developments.
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