Setting a Fair Performance Standard for Physicians’ Quality of Patient Care - American Board of Medical Specialties

This article describes the process of developing a composite performance measure, intended to serve as an acceptable standard in diabetes care. This is a retrospective study involving a study sample of nearly 1000 physicians certified by the American Board of Internal Medicine (ABIM). Individual clinical and patient experience measures representing evidence based care were adopted from ABIM diabetes PIM and used to develop the composite measure. Physician expert panel spanning the spectrum of the internal medicine practice established acceptable threshold for each measure and evaluated the importance of each measure in contributing to the overall diabetes care. They computed the composite measure and assessed its reliability (reproducibility), as well as classification accuracy subsequently. The study suggests that performance assessment is strengthened, when using a composite (as opposed to individual) performance measures. This study shows the commitment of ABIM to standard setting for physician performance.

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