Measuring process of arthritis care: A proposed set of quality measures for the process of care in juvenile idiopathic arthritis

Daniel J. Lovell, Murray H. Passo, Timothy Beukelman, Suzanne L. Bowyer, Beth S. Gottlieb, Michael Henrickson, Norman T. Ilowite, Yukiko Kimura, Esi Morgan Dewitt, Jill Segerman, Leonard D. Stein, Janalee Taylor, Richard K. Vehe, Edward H. Giannini

Research output: Contribution to journalArticlepeer-review

54 Scopus citations


Objective: The ability to assess quality of care is a necessary component of continuous quality improvement. The assessment typically is accomplished by determination of compliance with a defined set of quality measures (QMs). The objective of this effort was to establish a set of QMs for the assessment of the process of care in juvenile idiopathic arthritis (JIA). Methods: 2 A 12-member working group composed of representatives from the American College of Rheumatology,American Academy of Pediatrics, American Board of Pediatrics, and Association of Rheumatology Health Professionals was assembled to guide the project. Delphi questionnaires were sent to 237 health professionals involved in the care of children with JIA. A total of 471 items in 23 domains were identified. The working group met via 4 live e-meetings during which results from the Delphi questionnaires were distilled to a reduced draft set. Each working group member selected a proposed QM to investigate and present evidence from the literature as to its attributes and appropriateness for inclusion into the set. Nominal group technique was used to come to consensus on a proposed set of QMs. Results: The proposed set contains 12 QMs within 4 health care domains. Each QM consists of a statement of 1) the assessment to be completed, 2) when the first assessment should be completed and a suggested frequency of assessment during followup, 3) recommendations of appropriate tools or methods of assessment, and 4) initial performance goals. Conclusion: Implementation of the proposed QM set will improve the process of care, facilitate continuous quality improvement, and eventuate in improved health outcomes of children with JIA.

Original languageEnglish (US)
Pages (from-to)10-16
Number of pages7
JournalArthritis Care and Research
Issue number1
StatePublished - Jan 2011

ASJC Scopus subject areas

  • Rheumatology


Dive into the research topics of 'Measuring process of arthritis care: A proposed set of quality measures for the process of care in juvenile idiopathic arthritis'. Together they form a unique fingerprint.

Cite this