Helliwell, PS, Favier, G, Gladman, DD et al. (6 more authors) (2019) Best-practice Indicators in Psoriatic Disease Care. The Journal of Rheumatology Supplement, 95. pp. 38-45. ISSN 0380-0903
Abstract
Objective: In 2016, members of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), in collaboration with KPMG LLP (UK), conducted a study to measure care in psoriatic arthritis (PsA). A key finding was that centers do not usually have processes in place to measure the effect of improved quality of care. Our objectives were to identify and select best-practice indicators to enable PsA caregivers to assess and monitor the outcomes of specific initiatives aimed at improving care in 4 focus areas: (1) shortening time to diagnosis; (2) improving multidisciplinary collaboration; (3) optimizing disease management; and (4) improving disease monitoring.
Methods: (1) Structured review of scientific and grey literature to obtain evidence for a long list of 100 potential indicators across the 4 focus areas; (2) survey expert rheumatologists and dermatologists to review the long list and identify the most meaningful and feasible indicators for use in day-to-day practice; (3) consensus discussion to identify a shortlist of indicators based on predefined selection criteria; (4) electronic group discussion to refine definitions of shortlisted indicators and targets; and (5) review of the shortlisted indicators at the annual GRAPPA meeting in July 2018 to ensure the indicators meet the preliminary criteria.
Results: The expert group arrived at a consensus with a shortlist of 8 best-practice indicators across 4 key focus areas aligned with the patient pathway.
Conclusion: There were 8 evidence-based best-practice indicators and respective targets that were identified to enable the monitoring of quality of care and target improvements.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2019. This is a pre-copyediting, author-produced PDF of an article accepted for publication in The Journal of Rheumatology following peer review. The definitive publisher-authenticated version: Philip S. Helliwell, Guillaume Favier, Dafna D. Gladman, Enrique R. Soriano, Bruce W. Kirkham, Laura C. Coates, Luis Puig, Wolf-Henning Boehncke, Diamant Thaçi The Journal of Rheumatology Supplement Jun 2019, 95 38-45 is available online at: https://doi.org/10.3899/jrheum.190120. |
Keywords: | PSORIATIC ARTHRITIS; PSORIASIS; QUALITY OF CARE GRAPPA; QUALITY INDICATORS; DIAGNOSIS |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Inflammatory Arthritis (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 07 Aug 2019 10:47 |
Last Modified: | 01 Jun 2020 00:41 |
Status: | Published |
Publisher: | Journal of Rheumatology |
Identification Number: | 10.3899/jrheum.190120 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:149373 |