BackgroundThe International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons.The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services.MethodsA modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group.ResultsThe outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework.ConclusionsThe first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.Electronic supplementary materialThe online version of this article (10.1186/s12877-017-0701-3) contains supplementary material, which is available to authorized users.

Structured data entry--in which information is entered by using predetermined data elements and formats--has the potential to improve the radiology reporting process. The dependence on particular computer hardware and software platforms has posed a barrier to wider use of this approach. The World Wide Web (WWW), a client-server protocol for delivery of multimedia data via the Internet, was used to achieve platform-independent structured entry of radiology reports. A developmental system for structured entry of radiology reports, called SPIDER, incorporates a knowledge base of hierarchically organized concepts, a WWW server, and two specialized programs. The WebForm program transforms the system's knowledge into graphical WWW data-entry forms; the WebReport program converts data entered on these forms into outline-format reports. SPIDER received favorable evaluations from sonographers and physicians who used the system to record the results of several test cases. WWW technology can be used to achieve platform-independent entry of the results of radiologic procedures.

How true outcomes-based commissioning can really 'liberate' healthcare services Healthcare systems all over the world face the challenge of variable care quality, ineffi ciency and increasing costs. A potential solution is value-based healthcare, where the aim is to achieve the best outcomes at the lowest cost. However, the measurement of outcomes that really refl ect what matters most to patients is currently rudimentary. The International Consortium for Health Outcomes Measurement (ICHOM) has been developed to create globally consistent sets of outcomes that refl ect what matters most to patients. Incorporating such sets of outcomes into capitated outcome-based and incentivised contracts will incentivise better outcomes and greater cost effi ciency.