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Measures Implementation and Evaluation (MIE)

The MIE Charge

Advisory Committees shall be advisory to the Executive Committee and shall report to the Executive Committee on the matters identified below and on other issues as requested by the Executive Committee.

The MIE Advisory Committee shall report, as requested, to the Executive Committee on: measures testing protocols and results, opportunities for and development of guides for measures implementation, and use of the AMA-convened Physician Consortium for Performance Improvement® (PCPI®) methodology for measure development and maintenance in testing and implementation.

MIE Membership

Robert Bonow, MD, MACC, FAHA, Chair

David W. Baker, MD, MPH

Julie Cerese, RN, MSN

Joseph Drozda, Jr, MD, FACC

R. Adams Dudley, MD, MBA

Fred Edwards, MD, MS

Christine M. Goertz, DC, PhD

Cindy P. Helstad, PhD, RN

Jeffrey A. Linder, MD, MPH, FACP

Barbara McNeil MD, PhD

Mark L Metersky, MD

Martha J. Radford MD, FACC, FAHA

David Shahian, MD

Aamir Siddiqui, MD, FACS

Helen Burstin, MD, MPH, NQF Liaison

Accomplishments

A major accomplishment of the MIE under the leadership of Dr. Bonow has been creating and updating the Measure Testing Protocol for PCPI Performance Measures. The PCPI has long viewed measure testing as a critical step in the measure development process.

In 2006, the MIE Advisory Committee was charged with developing a protocol to devise a standardized methodology to test performance measures and to guide measure testing activities.

The MIE developed the first PCPI Measure Testing Protocol, which was approved by the PCPI on Oct. 5, 2007. In 2010 it was updated and the original protocol was replaced. The PCPI, along with a number of collaborators, is carrying out testing of the PCPI performance measures to determine the feasibility, validity and reliability of physician performance measures based on this protocol.

View measure testing protocol

List of key recommendations

Projects Underway

The MIE is focusing on a number of topics during 2011, including the use of measures in electronic health records (EHRs), efficiency measures, overutilization measures, evaluation of patient-reported outcomes measures and composite measures. Two projects are currently underway.

Project 1: Overutilized Measures
Project Lead: David W. Baker
Deliverables:

  1. Potential addition to PCPI Measure Testing Protocol of overutilization measures testing.
  2. Catalog of currently available overutilization measures.

  3. Position paper on the usability and actionability of overutilization measures as well as potential unintended consequences.

  4. Report on the reliability and validity of "overutilization" measures.

Project 2: Evaluation of Patient-Reported Outcomes
Project Lead: R. Adams Dudley and Christine M. Goertz
Deliverables:

  1. Addition to current PCPI Measure Testing Protocol to include patient-reported outcome measures.
  2. Potential position paper on gap between measures developed for research and what aspects are important to clinicians and patients.
  3. Proposed criteria for evaluation.
  4. Report on our expectations for validation and field testing of patient-reported outcomes measures.

Terms and Elections

Current terms for the MIE membership and chair will expire in October of 2012. A call for nominations goes out to the full PCPI membership and will include a nomination form. You may nominate yourself or someone else for a position on the PCPI advisory committees.

MIE Staff Contacts

Keri Christensen, MS
Senior Policy Analyst II, Performance Improvement
American Medical Association—PCPI

Joanne Cuny, RN, MBA
Director of Measure Testing and Quality Improvement, Performance Improvement
American Medical Association—PCPI