Acute Pancreatitis Task Force on Quality: Development of Quality Indicators for Acute Pancreatitis Management

Elaina Vivian, Leslie Cler, Darwin Conwell, Gregory A. Coté, Richard Dickerman, Martin Freeman, Timothy B. Gardner, Robert H. Hawes, Prashant Kedia, Rajesh Krishnamoorthi, Hellen Oduor, Stephen J. Pandol, Georgios I. Papachristou, Andrew Ross, Amrita Sethi, Shyam Varadarajulu, Santhi Swaroop Vege, Wahid Wassef, C. Mel Wilcox, David C. WhitcombBechien U. Wu, Dhiraj Yadav, Ashton Ellison, Samar Habash, Sheila Rastegari, Rathan Reddy, Timothy Yen, Mary Rachel Brooks, Paul Tarnasky

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

INTRODUCTION: Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, quality indicators (QIs) are required to measure performance in health care. The goal of the Acute Pancreatitis Task Force on Quality was to formally develop QIs for the management of patients with known or suspected AP using a modified version of the RAND/UCLA Appropriateness Methodology. METHODS: A multidisciplinary expert panel composed of physicians (gastroenterologists, hospitalists, and surgeons) who are acknowledged leaders in their specialties and who represent geographic and practice setting diversity was convened. A literature review was conducted, and a list of proposed QIs was developed. In 3 rounds, panelists reviewed literature, modified QIs, and rated them on the basis of scientific evidence, bias, interpretability, validity, necessity, and proposed performance targets. RESULTS: Supporting literature and a list of 71 proposed QIs across 10 AP domains (Diagnosis, Etiology, Initial Assessment and Risk Stratification, etc.) were sent to the expert panel to review and independently rate in round 1 (95% of panelists participated). Based on a round 2 face-to-face discussion of QIs (75% participation), 41 QIs were classified as valid. During round 3 (90% participation), panelists rated the 41 valid QIs for necessity and proposed performance thresholds. The final classification determined that 40 QIs were both valid and necessary. DISCUSSION: Hospitals and providers managing patients with known or suspected AP should ensure that patients receive high-quality care and desired outcomes according to current evidence-based best practices. This physician-led initiative formally developed 40 QIs and performance threshold targets for AP management. Validated QIs provide a dependable quantitative framework for health systems to monitor the quality of care provided to patients with known or suspected AP.

Original languageEnglish (US)
Pages (from-to)1322-1342
Number of pages21
JournalAmerican Journal of Gastroenterology
Volume114
Issue number8
DOIs
StatePublished - Aug 1 2019

Fingerprint

Advisory Committees
Pancreatitis
Quality of Health Care
Hospitalists
Physicians
Evidence-Based Practice
Practice Guidelines
Guidelines
Delivery of Health Care
Health

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Acute Pancreatitis Task Force on Quality : Development of Quality Indicators for Acute Pancreatitis Management. / Vivian, Elaina; Cler, Leslie; Conwell, Darwin; Coté, Gregory A.; Dickerman, Richard; Freeman, Martin; Gardner, Timothy B.; Hawes, Robert H.; Kedia, Prashant; Krishnamoorthi, Rajesh; Oduor, Hellen; Pandol, Stephen J.; Papachristou, Georgios I.; Ross, Andrew; Sethi, Amrita; Varadarajulu, Shyam; Vege, Santhi Swaroop; Wassef, Wahid; Wilcox, C. Mel; Whitcomb, David C.; Wu, Bechien U.; Yadav, Dhiraj; Ellison, Ashton; Habash, Samar; Rastegari, Sheila; Reddy, Rathan; Yen, Timothy; Brooks, Mary Rachel; Tarnasky, Paul.

In: American Journal of Gastroenterology, Vol. 114, No. 8, 01.08.2019, p. 1322-1342.

Research output: Contribution to journalArticle

Vivian, E, Cler, L, Conwell, D, Coté, GA, Dickerman, R, Freeman, M, Gardner, TB, Hawes, RH, Kedia, P, Krishnamoorthi, R, Oduor, H, Pandol, SJ, Papachristou, GI, Ross, A, Sethi, A, Varadarajulu, S, Vege, SS, Wassef, W, Wilcox, CM, Whitcomb, DC, Wu, BU, Yadav, D, Ellison, A, Habash, S, Rastegari, S, Reddy, R, Yen, T, Brooks, MR & Tarnasky, P 2019, 'Acute Pancreatitis Task Force on Quality: Development of Quality Indicators for Acute Pancreatitis Management', American Journal of Gastroenterology, vol. 114, no. 8, pp. 1322-1342. https://doi.org/10.14309/ajg.0000000000000264
Vivian, Elaina ; Cler, Leslie ; Conwell, Darwin ; Coté, Gregory A. ; Dickerman, Richard ; Freeman, Martin ; Gardner, Timothy B. ; Hawes, Robert H. ; Kedia, Prashant ; Krishnamoorthi, Rajesh ; Oduor, Hellen ; Pandol, Stephen J. ; Papachristou, Georgios I. ; Ross, Andrew ; Sethi, Amrita ; Varadarajulu, Shyam ; Vege, Santhi Swaroop ; Wassef, Wahid ; Wilcox, C. Mel ; Whitcomb, David C. ; Wu, Bechien U. ; Yadav, Dhiraj ; Ellison, Ashton ; Habash, Samar ; Rastegari, Sheila ; Reddy, Rathan ; Yen, Timothy ; Brooks, Mary Rachel ; Tarnasky, Paul. / Acute Pancreatitis Task Force on Quality : Development of Quality Indicators for Acute Pancreatitis Management. In: American Journal of Gastroenterology. 2019 ; Vol. 114, No. 8. pp. 1322-1342.
@article{2e7ed8bbeafd4b1f9bc70c3b0c59569c,
title = "Acute Pancreatitis Task Force on Quality: Development of Quality Indicators for Acute Pancreatitis Management",
abstract = "INTRODUCTION: Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, quality indicators (QIs) are required to measure performance in health care. The goal of the Acute Pancreatitis Task Force on Quality was to formally develop QIs for the management of patients with known or suspected AP using a modified version of the RAND/UCLA Appropriateness Methodology. METHODS: A multidisciplinary expert panel composed of physicians (gastroenterologists, hospitalists, and surgeons) who are acknowledged leaders in their specialties and who represent geographic and practice setting diversity was convened. A literature review was conducted, and a list of proposed QIs was developed. In 3 rounds, panelists reviewed literature, modified QIs, and rated them on the basis of scientific evidence, bias, interpretability, validity, necessity, and proposed performance targets. RESULTS: Supporting literature and a list of 71 proposed QIs across 10 AP domains (Diagnosis, Etiology, Initial Assessment and Risk Stratification, etc.) were sent to the expert panel to review and independently rate in round 1 (95{\%} of panelists participated). Based on a round 2 face-to-face discussion of QIs (75{\%} participation), 41 QIs were classified as valid. During round 3 (90{\%} participation), panelists rated the 41 valid QIs for necessity and proposed performance thresholds. The final classification determined that 40 QIs were both valid and necessary. DISCUSSION: Hospitals and providers managing patients with known or suspected AP should ensure that patients receive high-quality care and desired outcomes according to current evidence-based best practices. This physician-led initiative formally developed 40 QIs and performance threshold targets for AP management. Validated QIs provide a dependable quantitative framework for health systems to monitor the quality of care provided to patients with known or suspected AP.",
author = "Elaina Vivian and Leslie Cler and Darwin Conwell and Cot{\'e}, {Gregory A.} and Richard Dickerman and Martin Freeman and Gardner, {Timothy B.} and Hawes, {Robert H.} and Prashant Kedia and Rajesh Krishnamoorthi and Hellen Oduor and Pandol, {Stephen J.} and Papachristou, {Georgios I.} and Andrew Ross and Amrita Sethi and Shyam Varadarajulu and Vege, {Santhi Swaroop} and Wahid Wassef and Wilcox, {C. Mel} and Whitcomb, {David C.} and Wu, {Bechien U.} and Dhiraj Yadav and Ashton Ellison and Samar Habash and Sheila Rastegari and Rathan Reddy and Timothy Yen and Brooks, {Mary Rachel} and Paul Tarnasky",
year = "2019",
month = "8",
day = "1",
doi = "10.14309/ajg.0000000000000264",
language = "English (US)",
volume = "114",
pages = "1322--1342",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Nature Publishing Group",
number = "8",

}

TY - JOUR

T1 - Acute Pancreatitis Task Force on Quality

T2 - Development of Quality Indicators for Acute Pancreatitis Management

AU - Vivian, Elaina

AU - Cler, Leslie

AU - Conwell, Darwin

AU - Coté, Gregory A.

AU - Dickerman, Richard

AU - Freeman, Martin

AU - Gardner, Timothy B.

AU - Hawes, Robert H.

AU - Kedia, Prashant

AU - Krishnamoorthi, Rajesh

AU - Oduor, Hellen

AU - Pandol, Stephen J.

AU - Papachristou, Georgios I.

AU - Ross, Andrew

AU - Sethi, Amrita

AU - Varadarajulu, Shyam

AU - Vege, Santhi Swaroop

AU - Wassef, Wahid

AU - Wilcox, C. Mel

AU - Whitcomb, David C.

AU - Wu, Bechien U.

AU - Yadav, Dhiraj

AU - Ellison, Ashton

AU - Habash, Samar

AU - Rastegari, Sheila

AU - Reddy, Rathan

AU - Yen, Timothy

AU - Brooks, Mary Rachel

AU - Tarnasky, Paul

PY - 2019/8/1

Y1 - 2019/8/1

N2 - INTRODUCTION: Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, quality indicators (QIs) are required to measure performance in health care. The goal of the Acute Pancreatitis Task Force on Quality was to formally develop QIs for the management of patients with known or suspected AP using a modified version of the RAND/UCLA Appropriateness Methodology. METHODS: A multidisciplinary expert panel composed of physicians (gastroenterologists, hospitalists, and surgeons) who are acknowledged leaders in their specialties and who represent geographic and practice setting diversity was convened. A literature review was conducted, and a list of proposed QIs was developed. In 3 rounds, panelists reviewed literature, modified QIs, and rated them on the basis of scientific evidence, bias, interpretability, validity, necessity, and proposed performance targets. RESULTS: Supporting literature and a list of 71 proposed QIs across 10 AP domains (Diagnosis, Etiology, Initial Assessment and Risk Stratification, etc.) were sent to the expert panel to review and independently rate in round 1 (95% of panelists participated). Based on a round 2 face-to-face discussion of QIs (75% participation), 41 QIs were classified as valid. During round 3 (90% participation), panelists rated the 41 valid QIs for necessity and proposed performance thresholds. The final classification determined that 40 QIs were both valid and necessary. DISCUSSION: Hospitals and providers managing patients with known or suspected AP should ensure that patients receive high-quality care and desired outcomes according to current evidence-based best practices. This physician-led initiative formally developed 40 QIs and performance threshold targets for AP management. Validated QIs provide a dependable quantitative framework for health systems to monitor the quality of care provided to patients with known or suspected AP.

AB - INTRODUCTION: Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, quality indicators (QIs) are required to measure performance in health care. The goal of the Acute Pancreatitis Task Force on Quality was to formally develop QIs for the management of patients with known or suspected AP using a modified version of the RAND/UCLA Appropriateness Methodology. METHODS: A multidisciplinary expert panel composed of physicians (gastroenterologists, hospitalists, and surgeons) who are acknowledged leaders in their specialties and who represent geographic and practice setting diversity was convened. A literature review was conducted, and a list of proposed QIs was developed. In 3 rounds, panelists reviewed literature, modified QIs, and rated them on the basis of scientific evidence, bias, interpretability, validity, necessity, and proposed performance targets. RESULTS: Supporting literature and a list of 71 proposed QIs across 10 AP domains (Diagnosis, Etiology, Initial Assessment and Risk Stratification, etc.) were sent to the expert panel to review and independently rate in round 1 (95% of panelists participated). Based on a round 2 face-to-face discussion of QIs (75% participation), 41 QIs were classified as valid. During round 3 (90% participation), panelists rated the 41 valid QIs for necessity and proposed performance thresholds. The final classification determined that 40 QIs were both valid and necessary. DISCUSSION: Hospitals and providers managing patients with known or suspected AP should ensure that patients receive high-quality care and desired outcomes according to current evidence-based best practices. This physician-led initiative formally developed 40 QIs and performance threshold targets for AP management. Validated QIs provide a dependable quantitative framework for health systems to monitor the quality of care provided to patients with known or suspected AP.

UR - http://www.scopus.com/inward/record.url?scp=85069709193&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069709193&partnerID=8YFLogxK

U2 - 10.14309/ajg.0000000000000264

DO - 10.14309/ajg.0000000000000264

M3 - Article

C2 - 31205135

AN - SCOPUS:85069709193

VL - 114

SP - 1322

EP - 1342

JO - American Journal of Gastroenterology

JF - American Journal of Gastroenterology

SN - 0002-9270

IS - 8

ER -