PMID- 29889227
OWN - NLM
STAT- MEDLINE
DCOM- 20190723
LR  - 20190723
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Linking)
VI  - 31
IP  - 3
DP  - 2019 Apr 1
TI  - Establishing gold standards for System-Level Measures: a modified Delphi 
      consensus process.
PG  - 205-211
LID - 10.1093/intqhc/mzy122 [doi]
AB  - OBJECTIVE: To establish aspirational 'gold standards' for a suite of System-Level 
      Measures (SLMs) being used by Counties Manukau Health (CM Health), a New Zealand 
      (NZ) District Health Board. DESIGN: This study employed a multi-stage, 
      multi-method modified Delphi consensus process. SETTING: The Delphi consensus 
      process involved virtual (email) communication between participants (Round 1) and 
      a structured face-to-face meeting (Round 2) held in Auckland, NZ. PARTICIPANTS: 
      Participants comprised of health professionals, managers, academics and quality 
      improvement experts with an interest in the use of SLMs. INTERVENTIONS: 
      Participants in the first round received a letter requesting their participation 
      in an anonymous Delphi. The second round involved national and international 
      health system experts taking part in a structured, facilitated face-to-face 
      meeting. Participants reviewed 15 SLMs in total. The SLMs all related to the 
      three domains of the Triple Aim: Population Health, e.g. life expectancy at 
      birth; Patient Experience of Care, e.g. rate of adverse events; and Cost and 
      Productivity, e.g. healthcare expenditure per capita. MAIN OUTCOME MEASURES: For 
      a proposed gold standard to be agreed and established for each SLM. RESULTS: 
      Twelve participants took part in Round 1, with 19 participating in Round 2. The 
      process established agreement on a gold standard for each of the 15 reviewed 
      SLMs. CONCLUSION: We demonstrated that the Delphi consensus process can be used 
      to establish gold standards for a suite of SLMs used by a NZ Health Board (CM 
      Health).
CI  - (c) The Author(s) 2018. Published by Oxford University Press in association with 
      the International Society for Quality in Health Care. All rights reserved. For 
      permissions, please e-mail: journals.permissions@oup.com.
FAU - Doolan-Noble, Fiona
AU  - Doolan-Noble F
AD  - Department of General Practice and Rural Health, Dunedin School of Medicine, 
      University of Otago, Dunedin, New Zealand.
FAU - Barson, Stuart
AU  - Barson S
AD  - Dean's Office, Otago Business School, University of Otago, Dunedin, New Zealand.
FAU - Lyndon, M
AU  - Lyndon M
AD  - Ko Awatea, Middlemore Hospital, Counties Manukau Health, Auckland, New Zealand.
FAU - Cullinane, F
AU  - Cullinane F
AD  - Operations Manager ORL/Audiology, Waitemata District Health Board, 15 Shea 
      Terrace, Takapuna, Auckland, New Zealand.
FAU - Gray, J
AU  - Gray J
AD  - Ko Awatea, Middlemore Hospital, Counties Manukau Health, Auckland, New Zealand.
FAU - Stokes, T
AU  - Stokes T
AD  - Department of General Practice and Rural Health, Dunedin School of Medicine, 
      University of Otago, Dunedin, New Zealand.
FAU - Gauld, R
AU  - Gauld R
AD  - Dean's Office, Otago Business School, University of Otago, Dunedin, New Zealand.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
MH  - Consensus
MH  - Delivery of Health Care/*standards
MH  - *Delphi Technique
MH  - Humans
MH  - New Zealand
MH  - Quality Improvement
MH  - Quality Indicators, Health Care/*standards
OTO - NOTNLM
OT  - benchmarking
OT  - health policy
OT  - healthcare system
OT  - measurement of quality
OT  - quality indicators
EDAT- 2018/06/12 06:00
MHDA- 2019/07/25 06:00
CRDT- 2018/06/12 06:00
PHST- 2017/04/04 00:00 [received]
PHST- 2018/02/04 00:00 [revised]
PHST- 2018/05/17 00:00 [accepted]
PHST- 2018/06/12 06:00 [pubmed]
PHST- 2019/07/25 06:00 [medline]
PHST- 2018/06/12 06:00 [entrez]
AID - 5034838 [pii]
AID - 10.1093/intqhc/mzy122 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2019 Apr 1;31(3):205-211. doi: 10.1093/intqhc/mzy122.