10 characteristics of better quality measures

Most quality measures are not supported by evidence that they promote outcomes that matter to patients, such as reducing mortality, improving quality of life, or lowering costs. Inappropriate measures can lead to wasteful overtreatment, distract from more meaningful health care interventions, and accelerate physician burnout.

The best quality measures should meet the following criteria:

1. The assessed outcome matters to patients.
2. The patient will experience a net benefit.
3. Implementing the measure improves outcomes.
4. Implementing the measure uses an appropriate amount of resources.
5. The patient retains autonomy in making health care decisions.
6. The measure does not encourage “gaming” or manipulation.
7. The denominator is clearly specified.
8. The numerator is clearly specified.
9. The physician can influence the outcome.
10. Social determinants of health are considered.

Adapted from "Quality Measures: How to Get Them Right."