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Association Between Clinical Practice Group Adherence to Quality Measures and Adverse Outcomes Among Adult Patients With Diabetes

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Key Points Question What are the correlations between types of quality measures in treatment of diabetes, and how might these correlations be associated with quality-based reimbursement for chronic diseases? Findings… Click to show full abstract

Key Points Question What are the correlations between types of quality measures in treatment of diabetes, and how might these correlations be associated with quality-based reimbursement for chronic diseases? Findings In this cross-sectional study of 652 258 adults with diabetes from 2010 to 2014 at the clinical practice group level, correlations among quality measures were weak, and process and disease control performance were not strongly associated with hospitalization rates. Process and disease control performance at the clinical practice group level explained 3.9% of the variation in hospitalization rates at the individual level. Meaning These findings raise concern about the use of utilization-based outcomes (hospitalizations) as a measure of quality in chronic diseases.

Keywords: practice group; quality; quality measures; clinical practice

Journal Title: JAMA Network Open
Year Published: 2019

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