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Performance Measures in Dermatologic Surgery

A Review of the Literature and Future Directions

Chow, Conroy, MD*; Yuan, Joyce T., MD; Ruiz, Emily S., MD, MPH; Soon, Seaver L., MD§; Makhzoumi, Zaineb, MD, MPH; Arron, Sarah T., MD, PhD¶,#

doi: 10.1097/DSS.0000000000001938
Review Article

BACKGROUND In recent years, health care reform initiatives have aimed to assess quality of care through the use of performance measures. Multiple specialties, including dermatology, have implemented registries to track and report health care quality.

OBJECTIVE The authors review the history and rationale for assessing quality in dermatologic surgery. The authors also discuss the different types of performance measures and the current efforts to develop clinically relevant dermatologic surgery-specific measures.

MATERIALS AND METHODS An extensive literature review was conducted using OVID, MEDLINE, PubMed, and government and health care-related websites to identify articles related to surgical performance measures.

RESULTS Few performance measures are established to assess quality in dermatologic surgery. The authors propose specific candidate measures and discuss how clinical registries can capture measures that meet federal reporting requirements.

CONCLUSION Assessment of health care quality will become increasingly important in health care reform. Physicians need to take an active role in selecting appropriate, clinically relevant performance measures that will help improve patient care while containing health care costs and meeting government-mandated reporting requirements.

*Department of Dermatology, Loma Linda University, Loma Linda, California;

Department of Dermatology, University of California San Diego, San Diego, California;

Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;

§Scripps Clinic, La Jolla, California;

University of Maryland, Baltimore, Maryland;

Department of Dermatology, University of California San Francisco, San Francisco, California;

#San Francisco Veterans Administration Health System, San Francisco, California

Address correspondence and reprint requests to: Sarah T. Arron, MD, PhD, 1701 Divisadero Street, Box 0316, San Francisco, CA 94143-0316, or e-mail:

C. Chow, E.S.Ruiz, S.L. Soon, Z. Makhzoumi, and S.T. Arron served as members of the American College of Mohs Surgery National Registry and Outcomes Committee, Performance Measures Subcommittee.

C. Chow and J.T. Yuan contributed equally to this article.

© 2019 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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