An official American thoracic society workshop report: Developing performance measures from clinical practice guidelines

  • Kahn J
  • Gould M
  • Krishnan J
 et al. 
  • 4


    Mendeley users who have this article in their library.
  • N/A


    Citations of this article.


Many health care performance measures are either not based on high-quality clinical evidence or not tightly linked to patientcentered outcomes, limiting their usefulness in quality improvement. In this report we summarize the proceedings of an American Thoracic Society workshop convened to address this problem by reviewing current approaches to performance measure development and creating a framework for developing high-quality performance measures by basing them directly on recommendations from wellconstructed clinical practice guidelines. Workshop participants concluded that ideally performance measures addressing care processes should be linked to clinical practice guidelines that explicitly rate the quality of evidence and the strength of recommendations, such as the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process. Under this framework, process-based performance measures would only be developed from strong recommendations based on high- or moderate-quality evidence. This approach would help ensure that clinical processes specified in performance measures are both of clear benefit to patients and supported by strong evidence. Although this approach may result in fewer performance measures, it would substantially increase the likelihood that quality-improvement programs based on these measures actually improve patient care. Copyright © 2014 by the American Thoracic Society.

Author-supplied keywords

  • article
  • evidence based practice
  • health care
  • health care delivery
  • health care personnel
  • health care policy
  • health care quality
  • human
  • implantable cardioverter defibrillator
  • medical society
  • patient
  • patient care
  • patient preference
  • practice guideline
  • society
  • task performance
  • total quality management
  • workshop

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in


  • J M Kahn

  • M K Gould

  • J A Krishnan

  • K C Wilson

  • D H Au

  • C R Cooke

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free