We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Developing indicators for measuring low-value care: mapping <italic>Choosing Wisely</italic> recommendations to hospital data.
- Authors
Chalmers, Kelsey; Badgery-Parker, Tim; Pearson, Sallie-Anne; Brett, Jonathan; Scott, Ian A.; Elshaug, Adam G.
- Abstract
Objective: Low-value health care refers to interventions where the risk of harm or costs exceeds the likely benefit for a patient. We aimed to develop indicators of low-value care, based on selected <italic>Choosing Wisely</italic> (CW) recommendations, applicable to routinely collected, hospital claims data. Results: We assessed 824 recommendations from the United States, Canada, Australia and the United Kingdom CW lists regarding their capacity to be measured in administrative hospital admissions datasets. We selected recommendations if they met the following criteria: the service occurred in the hospital setting (<italic>observable in setting</italic>); a claim recorded the use of the service (<italic>record of service</italic>); the appropriate/inappropriate use of the service could be mapped to information within the hospital claim (<italic>indication</italic>); and the service is consistently recorded in the claims (<italic>consistent documentation</italic>). We identified 17 recommendations (15 services) as measurable. We then developed low-value care indicators for two hospital datasets based on the selected recommendations, previously published indicators, and clinical input.
- Subjects
AUSTRALIA; MEDICAL quality control; HOSPITAL care; HOSPITAL admission &; discharge; MEDICAL databases; MEDICAL care
- Publication
BMC Research Notes, 2018, Vol 11, p1
- ISSN
1756-0500
- Publication type
Article
- DOI
10.1186/s13104-018-3270-4