TY - JOUR
T1 - Quality measurement and improvement in liver transplantation
AU - Mathur, Amit K.
AU - Talwalkar, Jayant
N1 - Publisher Copyright:
© 2018 European Association for the Study of the Liver
PY - 2018/6
Y1 - 2018/6
N2 - There is growing interest in the quality of health care delivery in liver transplantation. Multiple stakeholders, including patients, transplant providers and their hospitals, payers, and regulatory bodies have an interest in measuring and monitoring quality in the liver transplant process, and understanding differences in quality across centres. This article aims to provide an overview of quality measurement and regulatory issues in liver transplantation performed within the United States. We review how broader definitions of health care quality should be applied to liver transplant care models. We outline the status quo including the current regulatory agencies, public reporting mechanisms, and requirements around quality assurance and performance improvement (QAPI) activities. Additionally, we further discuss unintended consequences and opportunities for growth in quality measurement. Quality measurement and the integration of quality improvement strategies into liver transplant programmes hold significant promise, but multiple challenges to successful implementation must be addressed to optimise value.
AB - There is growing interest in the quality of health care delivery in liver transplantation. Multiple stakeholders, including patients, transplant providers and their hospitals, payers, and regulatory bodies have an interest in measuring and monitoring quality in the liver transplant process, and understanding differences in quality across centres. This article aims to provide an overview of quality measurement and regulatory issues in liver transplantation performed within the United States. We review how broader definitions of health care quality should be applied to liver transplant care models. We outline the status quo including the current regulatory agencies, public reporting mechanisms, and requirements around quality assurance and performance improvement (QAPI) activities. Additionally, we further discuss unintended consequences and opportunities for growth in quality measurement. Quality measurement and the integration of quality improvement strategies into liver transplant programmes hold significant promise, but multiple challenges to successful implementation must be addressed to optimise value.
KW - Clinical outcomes
KW - Liver transplantation
KW - Measurement
KW - QAPI
KW - Quality
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U2 - 10.1016/j.jhep.2018.02.034
DO - 10.1016/j.jhep.2018.02.034
M3 - Review article
C2 - 29559346
AN - SCOPUS:85045549694
SN - 0168-8278
VL - 68
SP - 1300
EP - 1310
JO - Journal of hepatology
JF - Journal of hepatology
IS - 6
ER -