This is the fifth of a series of best practices studies undertaken by the Performance Measurement Initiative (PMI), the centerpiece of the Institute for Quality Improvement (IQI), a not-for-profit quality improvement subsidiary of the Accreditation Association for Ambulatory Health Care (AAAHC) (Performance Measurement Initiative, 1999a, 1999b, 2000a, 2000b). The IQI was created to offer clinical performance measurement and improvement opportunities to ambulatory health care organizations and others interested in quality patient care. The purpose of the study was to provide opportunities to initiate clinical performance measurement on key processes and outcomes for this procedure and use this information for clinical quality improvement. This article provides performance measurement information on how organizations that have demonstrated and validated differences in clinical practice can have similar outcomes, but at a dramatically lower cost. The intent of the article is to provide organizations with alternatives in practice to provide a better value to their patients.
Director of the AAAHC Institute for Quality Improvement, Wilmette, Illinois
The IQI Board of Directors would like to acknowledge the following people for their valuable assistance in conducting this study: Sam J.W. Romeo, MD, MBA, Chair, Performance Measurement Initiative; Deborah Connah, RN, Chair, Ambulatory Surgery Work Group; and Marilee Ball, SGNA, Diane Burns, SGNA, John Johanson, MD, Nancy Norman, RN, Thomas J. Ustach, MD, Dennis Worthington, MD, who are all members of the PMI Diagnostic Colonoscopy Work Group. All figures courtesy of AAAHC IQI.