Resident Sensitive Quality Measures for General Pediatrics: Alignment with Existing Care Recommendations

Acad Pediatr. 2021 May 26;S1876-2859(21)00229-1. doi: 10.1016/j.acap.2021.04.011. Online ahead of print.

Abstract

Background: Resident sensitive quality measures (RSQMs) are a new patient-focused approach to performance assessment. Their alignment with existing performance constructs is underexplored.

Objective: Develop and prioritize RSQMs for outpatient general pediatrics in the areas of Well visits (0-2 months, 1 and 5 years) and compare to the existing framework of the Bright Futures recommendations.

Methods: Categorical pediatrics residents, general academic pediatric fellows, and general pediatric faculty participated in nominal group technique (NGT) and Delphi processes to generate and prioritize RSQMs for three different well child visits of interest. The author team then compared the content of the final RSQMs to the American Academy of Pediatrics Bright Futures recommendations.

Results: From the list of 143 potential measures from the NGT groups, fifteen RSQMs were prioritized for each well child visit. RSQMs prioritized vaccine administration, documentation of screening, and medication management. Overall, RSQMs mapped well to Bright Futures recommendations.

Conclusions: The alignment of the RSQMs with Bright Futures frameworks supports their contribution as process measures for informing resident performance. RSQMs created from this study should be used for future investigations into resident performance assessment and to drive personal improvement efforts.

Keywords: Abbreviations: Resident-sensitive quality measures (RSQMs), entrustable professional activities (EPAs), quality improvement (QI), graduate medical education (GME), nominal group technique (NGT), Cincinnati Children's Hospital Medical Center (CCHMC), American Academy of Pediatrics (AAP); assessment: resident training; care quality.