Exclusive: ACR Convergence 2024| Focus Rheums

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

Quality Patient Care in Rheumatology a Challenge to Define, Measure

  |  Issue: July 2013  |  

Dr. Desai is associate physician in the department of medicine, divisions of rheumatology, immunology, and allergy at Brigham and Women’s Hospital in Boston. Dr. Coblyn is director of clinical rheumatology at Brigham and Women’s Hospital.

References

  1. Saag KG, Yazdany J, Alexander C, et al. Defining quality of care in rheumatology: The American College of Rheumatology white paper on quality measurement. Arthritis Care Res (Hoboken).2001;63:2-9.
  2. Institute of Medicine. Crossing the quality chasm: A new health system for the 21st century. Washington, DC; 2001.
  3. Porter ME. What is value in healthcare? N Engl J Med. 2011;363:2477-2481.
  4. Davis K, Schoen C, Stremikis K. Mirror, mirror on the wall: How the Performance of the U.S. healthcare system compares internationally, 2010 update. The Commonwealth Fund. June 2010.
  5. Desai SP, Yazdany J. Quality measurement and improvement in rheumatology: Rheumatoid arthritis as a case study. Arthritis Rheum. 2011;63:3649-3660.
  6. Desai SP, Turchin A, Szent-Gyorgyi LE, et al. Routinely measuring and reporting pneumococcal vaccination among immunosuppressed rheumatology outpatients: The first step in improving quality. Rheumatology (Oxford). 2011;50:366-372.
  7. Desai SP, Lu B, Szent-Gyorgyi LE, et al. Increasing pneumococcal vaccination for immunosuppressed patients: A cluster quality improvement trial. Arthritis Rheum. 2013;65:39-47.
  8. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491-499.
  9. Fraenkel L, Peters E, Charpentier P, et al. Decision tool to improve the quality of care in rheumatoid arthritis. Arthritis Care Res (Hoboken). 2012;64:977-985.
  10. Ovretveit J, Keller C, Forsberg HH, Essen A, Lindblad S, Brommels M. Continuous innovation: Developing and using a clinical database with new technology for patient-centred care—The case of the Swedish quality register for arthritis. Int J Qual Health Care. 2013;25:118-124.
  11. Collier DS, Kay J, Estey G, Surrao D, Chueh HC, Grant RW. A rheumatology-specific informatics-based application with a disease activity calculator. Arthritis Rheum. 2009;61:488-494.
  12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1369125/
  13. Smolen JS, Nash P, Durez P, et al. Maintenance, reduction, or withdrawal of etanercept after treatment with etanercept and methotrexate in patients with moderate rheumatoid arthritis (PRESERVE): A randomised controlled trial. Lancet. 2013;381:918-929.
  14. Jha AK. Meaningful use of electronic health records: The road ahead. JAMA. 2010;304:1709-1710.
  15. Deal CL, Hooker R, Harrington T, et al. The United States rheumatology workforce: Supply and demand, 2005–2025. Arthritis Rheum. 2007;56:722-729.
  16. Gartner M, Fabrizii JP, Koban E, et al. Immediate access rheumatology clinic: Efficiency and outcomes. Ann Rheum Dis. 2012;71:363-368.

Related Articles

    Rheumatology Practices Need Sharp Focus on Patient Care Safety, Quality

    “It is not necessary to change. Survival is not mandatory.” —W. Edwards Deming For practices to survive, change is a requirement—not an option—in the rapidly evolving practice of rheumatology care. ad goes here:advert-1ADVERTISEMENTSCROLL TO CONTINUEPharmaceutical therapies are advancing quickly, opening the door for game-changing therapies in the treatment of chronic autoimmune disorders. With these advances…

    A Shot of Wisdom: Vaccinations in Patients with Rheumatic Disease

    PHILADELPHIA—The treatment of rheumatic diseases is often a double-edged sword: immunosuppressive regimens can be very effective in reducing disease activity, but the cost of such treatments may be seen in the form of increased risk of infection. At ACR Convergence 2022, the session titled ACR Guidelines for Vaccination in Patients with Rheumatic and Musculoskeletal Diseases…

    Project Increases Pneumococcal Vaccination Rates in Rheumatology Patients

    NEW YORK (Reuters Health)—A multicomponent intervention can significantly increase pneumococcal vaccination rates in pediatric rheumatology patients, researchers report. “The interventions outlined in our article can easily be implemented in pediatric rheumatology practices or other subspecialty clinics,” Dr. Julia G. Harris from Children’s Mercy Hospital, Kansas City, Mo., told Reuters Health by email. “It takes additional…

    Tips on Vaccinating Patients with Rheumatic Diseases

    CHICAGO—In October of last year, a 52-year-old woman came to see Kevin Winthrop, MD, MPH, associate professor in infectious diseases, public health and preventive medicine at the Oregon Health & Sciences University. She had rheumatoid arthritis and was taking methotrexate and prednisone. She had had little change in her RA disease severity and was considering…