Existing diabetes quality metrics do not currently help patients improve their health and diabetes quality measurement must be improved through the adoption of new measures and modernization, according to a June report published in Health Affairs.
Current quality measures do not safeguard against inappropriate treatment or overtreatment and in fact incentivize providers to focus on patients most likely to achieve the measures currently in place, rather than those who would benefit the most clinically, the report said.
The researchers argue quality measures must connect directly to reimbursement, as in value-based payment models such as accountable care organizations with two-sided risk models, putting forward three propositions intended to guide care management changes.
Quality measurement needs to be reimagined to incentivize care that meaningfully improves the health of all people with diabetes while reducing administrative burden, the report stated.
The researchers class the measures across the six domains of quality, including effectiveness, efficacy and value, safety, timeliness, patient-centeredness, and equity.