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Current Osteoporosis Reports

Erschienen in:

28.11.2019 | Quality of Care in Osteoporosis (S Silverman and J Curtis, Section Editors)

Quality Measures and Quality Improvement Initiatives in Osteoporosis—an Update

verfasst von: S. French, S. Choden, Gabriela Schmajuk

Erschienen in: Current Osteoporosis Reports | Ausgabe 6/2019

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Abstract

Purpose of Review

The aims of this review are to summarize current performance for osteoporosis quality measures used by Centers for Medicare and Medicaid (CMS) for pay-for-performance programs and to describe recent quality improvement strategies around these measures.

Recent Findings

Healthcare Effectiveness Data and Information (HEDIS) quality measures for the managed care population indicate gradual improvement in osteoporosis screening, osteoporosis identification and treatment following fragility fracture, and documentation of fall risk assessment and plan of care between 2006 and 2016. However, population-based studies suggest achievement for these process measures is lower where reporting is not mandated. Performance gaps remain, particularly for post-fracture care. Elderly patients with increased comorbidity are especially vulnerable to fractures, yet underperformance is documented in this population. Gender and racial disparities also exist. As has been shown for other areas of health care, education alone has a limited role as a quality improvement intervention. Multifactorial and systems-based interventions seem to be most successful in leading to measurable change for osteoporosis care and fall prevention.

Summary

Despite increasing recognition of evidence-based quality measures for osteoporosis and incentives to improve upon performance for these measures, persistent gaps in care exist that will require further investigation into sustainable and value-adding quality improvement interventions.

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Titel: Quality Measures and Quality Improvement Initiatives in Osteoporosis—an Update
verfasst von: S. French
S. Choden
Gabriela Schmajuk
Publikationsdatum: 28.11.2019
Verlag: Springer US
Erschienen in: Current Osteoporosis Reports / Ausgabe 6/2019
Print ISSN: 1544-1873
Elektronische ISSN: 1544-2241
DOI: https://doi.org/10.1007/s11914-019-00547-5

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Quality Measures and Quality Improvement Initiatives in Osteoporosis—an Update

Abstract

Purpose of Review

Recent Findings

Summary

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