Development of Quality Measures in Cirrhosis by the Practice Metrics Committee of the American Association for the Study of Liver Diseases

• DOI: 10.1002/hep.30489
• Publication Date: 2018-12-26T15:08:24Z
• Authors: Fasiha Kanwal; Elliot B. Tapper; Chanda Ho; Sumeet K. Asrani; Nadia Ovchinsky; John Poterucha; Avegail Flores; Victor Ankoma‐Sey; Bruce Luxon; Michael Volk
• Keywords: Liver Cirrhosis; 0301 basic medicine; 0303 health sciences; 03 medical and health sciences; Delphi Technique; Internal Medicine and Specialties; Health Sciences; Humans; Patient Reported Outcome Measures; Quality Indicators, Health Care; 3. Good health

Health care delivery is increasingly evaluated according to quality measures, yet such measures are underdeveloped for cirrhosis. The Practice Metrics Committee of the American Association Study Liver Diseases was charged with developing explicit process‐based and outcome‐based adults We identified candidate from comprehensive reviews literature input expert clinicians patient focus groups. conducted an 11‐member clinician panel used a modified Delphi method systematically identify set in Among 119 46 were as important define cirrhosis care, including 26 process 7 clinical outcome 13 patient‐reported measures. final captured processes ascites (n = 5), varices/bleeding 7), hepatic encephalopathy 4), hepatocellular cancer (HCC) screening 1), liver transplantation evaluation 2), other 7). Clinical included survival, variceal bleeding rebleeding, early‐stage HCC, liver‐related hospitalization, rehospitalization within 30 days. Patient‐reported covered physical symptoms, function, mental health, general cognition, social life, satisfaction care. list outcomes validated 79 patients nine institutions United States. Conclusion: developed evidence‐based adult These tool providers evaluate their quality, drive improvement, deliver high‐value intended be applicable any setting which provided.