Development of a Model Quality-of-Care Assessment Program for Adult Preventive Care in Rural Medical Practices

Carey, Timothy S.; Levis, D. G.; Pickard, C. Glenn; Bernstein, James D.

doi:10.1016/s0097-5990(16)30425-0

Cited by 14 publications

(7 citation statements)

References 5 publications

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“…Generally, assessment and feedback components of interventions were not described in detail (e.g., content, frequency, method of delivery, or associated characteristics such as benchmarking or incentives). Some studies reported on use of assessment and feedback only; several evaluated assessment and feedback used with financial 230,234 or nonfinancial 235 incentives. One study found that assessment and feedback to individual physicians might have been more effective than assessment and feedback to the chief of service, but alternative explanations for this finding exist.…”

Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

“…Multicomponent interventions also included provider education, 36,182,197 client reminders, 36,42,47 and clinic-based education. 36,42,205 Three qualifying studies 204,230,236 presented data that could not be expressed as a percentage point change in vaccination coverage. Remaining studies provided data regarding eight multicomponent intervention arms and five single-component intervention arms.…”

Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

“…The same body of evidence used to assess effectiveness was used to assess the applicability of these interventions to different settings, populations, and vaccines. Studies have included adults, 36,42,47,58,197,209,223,230,234 adolescents, 204 and children, 182,205,235,236 providers including resident physicians, 197,204,205,209,234 physicians who have completed their training, 36,42,47,58,205,236 and nonphysician vaccination providers. 205 Physician specialties included internal medicine, 36,47,58,197,209,234 family medicine, 36,204,205 and general practice.…”

Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

“…205 Physician specialties included internal medicine, 36,47,58,197,209,234 family medicine, 36,204,205 and general practice. 236 Studies have been conducted in a range of settings including private practice, 36,47,58 managed care, 42 public health, 235 and community health centers, 230 and academic settings. 197,204,205,209,223,234 Studies have assessed the effectiveness of these interventions to improve coverage with MMR, 182,204,205,235,236 DTP, 182,205,235,236 OPV, 182,205,235,236 Hib, 182 influenza, 36,42,47,58,197,209,230,234 pneumococcal, 197,223,234 and Td.…”

Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

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Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults11The names and affiliations of the Task Force members are listed on page v of this supplement and at http://www.thecommunityguide.org22Some of this material was published previously in: Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rates: an evidence-based review of the literature. Epidemiol Rev 1999;20:96–142.

Briss

Rodewald

Hinman

et al. 2000

American Journal of Preventive Medicine

468

103

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Background: This paper presents the results of systematic reviews of the effectiveness, applicability, other effects, economic impact, and barriers to use of selected population-based interventions intended to improve vaccination coverage. The related systematic reviews are linked by a common conceptual approach. These reviews form the basis for recommendations by the Task Force on Community Preventive Services (the Task Force) regarding the use of these selected interventions. The Task Force recommendations are presented on pp. 92-96 of this issue. Medical Subject Headings (MeSH):vaccine-preventable diseases, vaccination coverage, community health services, decision-making, evidence-based medicine, systematic reviews, population-based interventions, practice guidelines, preventive health services, public health practice, task force. Introduction V accine-preventable diseases among children, adolescents, and adults represent major continuing causes of morbidity and mortality in the United States. During the latter half of the twentieth century, the success of childhood vaccination programs in the United States has led to a Ͼ95 % decline in most vaccine-preventable diseases of childhood. However, Ͼ400,000 cases of illness and Ͼ30,000 deaths caused by vaccine-preventable diseases still occur each year 1 (CDC unpublished data).Diphtheria, invasive Haemophilus influenzae type b (Hib) disease, measles, poliomyelitis, rubella, tetanus, mumps, varicella, and pertussis are typically referred to as vaccine-preventable diseases of childhood. Vaccinations primarily indicated for adults include influenza, pneumococcal, and hepatitis B. However, during the 1990s, the distinction between childhood and adult vaccine-preventable diseases became less clear. Many childhood vaccine-preventable infections, including measles and pertussis, are found increasingly among adults, 2,3 and hepatitis B vaccinations are now routinely recommended for infants and adolescents. Table 1 outlines universally recommended (i.e., vaccinations recommended for most or all persons in certain age groups) vaccinations for children, adolescents, and older adults.In children, Ͼ50,000 cases of varicella occur each year, making that disease the most common vaccinepreventable disease among children 4 ; in adults, influenza, pneumococcal disease, and hepatitis B are all still common vaccine-preventable diseases, with hundreds of thousands of cases occurring each year.5 Mortality attributable to vaccine-preventable diseases is still substantial. Each year, approximately 500 persons in the United States die of childhood vaccine-preventable diseases, and Ͼ30,000 adults die of influenza, pneumococcal infections, and hepatitis B.1 Influenza, which accounts for an average of 20,000 deaths/year, is usually the largest killer. 5The effectiveness of universally recommended vaccinations in preventing disease for adults, adolescents, and children is well-established. 6 -14 In addition to protecting individuals from diseases passed from person to person contact, vaccinat...

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Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

Section: Assessment and Feedback For Vaccination Providersmentioning

confidence: 99%

See 2 more Smart Citations

Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults11The names and affiliations of the Task Force members are listed on page v of this supplement and at http://www.thecommunityguide.org22Some of this material was published previously in: Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rates: an evidence-based review of the literature. Epidemiol Rev 1999;20:96–142.

Briss

Rodewald

Hinman

et al. 2000

American Journal of Preventive Medicine

468

103

View full text Add to dashboard Cite

show abstract

“…Despite the recognized importance of capturing preventive services provided by physicians, the unanswered question is, how can such activity best be measured? Chart abstraction has been the method of choice for assessing preventive care and has been relied upon by agencies such as HCFA and NCQA 7–10 . However, chart abstraction is expensive to perform and, importantly, subject to false negative results because of recording bias (physicians may not write down all they do) or incomplete, illegible, or unavailable medical records 5 .…”

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confidence: 99%

Measuring compliance with preventive care guidelines

et al. 2000

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OBJECTIVE:To determine how accurately preventive care reported in the medical record reflects actual physician practice or competence. DESIGN:Scoring criteria based on national guidelines were developed for 7 separate items of preventive care. The preventive care provided by randomly selected physicians was measured prospectively for each of the 7 items. Three measurement methods were used for comparison: (1) the abstracted medical record from a standardized patient (SP) visit; (2) explicit reports of physician practice during those visits from the SPs, who were actors trained to present undetected as patients; and (3) physician responses to written case scenarios (vignettes) identical to the SP presentations. SETTING:The general medicine primary care clinics of two university-affiliated VA medical centers. PARTICIPANTS:Twenty randomly selected physicians (10 at each site) from among eligible second-and third-year general internal medicine residents and attending physicians. MEASUREMENTS AND MAIN RESULTS:Physicians saw 160 SPs (8 cases ϫ 20 physicians). We calculated the percentage of visits in which each prevention item was recorded in the chart, determined the marginal percentage improvement of SP checklists and vignettes over chart abstraction alone, and compared the three methods using an analysis-of-variance model. We found that chart abstraction underestimated overall prevention compliance by 16% ( P Ͻ .01) compared with SP checklists. Chart abstraction scores were lower than SP checklists for all seven items and lower than vignettes for four items. The marginal percentage improvement of SP checklists and vignettes to performance as measured by chart abstraction was significant for all seven prevention items and raised the overall prevention scores from 46% to 72% ( P Ͻ .0001). CONCLUSIONS:These data indicate that physicians perform more preventive care than they report in the medical record. Thus, benchmarks of preventive care by individual physicians and institutions that rely solely on the medical record may be misleading, at best.

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Interventions to increase influenza vaccination rates of those 60 years and older in the community

Russell

Lorenzetti

2010

Cochrane Database of Systematic Reviews

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Development of a Model Quality-of-Care Assessment Program for Adult Preventive Care in Rural Medical Practices

Cited by 14 publications

References 5 publications

Measuring compliance with preventive care guidelines

Interventions to increase influenza vaccination rates of those 60 years and older in the community

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