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Performance Feedback Improves Compliance With Quality Measures. Am J Med Qual 2016 Mar-Apr;31(2):118-24



Pubmed ID




Scopus ID

2-s2.0-84960077446   4 Citations


Cirrhotic complications portend high morbidity and mortality and burden the health care system. Established quality measures in management of cirrhotics include screening for esophageal varices (EV), screening for hepatocellular carcinoma (HCC), and hepatitis A and B immunization. A retrospective review was conducted to identify adherence to cirrhosis. Baseline rates were shared with providers. Compliance with quality measures was measured prospectively at 1-month, 2-month, 1-year, and 3-year follow-up after provision of performance feedback. Baseline HCC rate was 60%, EV was 68%, and hepatitis A and B immunization was 51% and 47%, respectively. After performance feedback, HCC, EV, and hepatitis A and B vaccination rates improved to rates ranging from 92% to 100% and remained statistically significant after 3 years. Provider feedback, a simple intervention, achieved significant improvement in compliance with quality measures for management of cirrhotics. This improvement in adherence to quality measures was sustainable over a 3-year time period.

Author List

Loy V, Kwiatt J, Dodda A, Martin E, Dua A, Saeian K


Veronica Loy DO Associate Professor in the Medicine department at Medical College of Wisconsin
Kia Saeian MD Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Carcinoma, Hepatocellular
Esophageal and Gastric Varices
Formative Feedback
Guideline Adherence
Hepatitis A Vaccines
Hepatitis B Vaccines
Liver Cirrhosis
Liver Neoplasms
Middle Aged
Practice Guidelines as Topic
Prospective Studies
Quality Improvement
Quality Indicators, Health Care
Retrospective Studies
jenkins-FCD Prod-387 b0ced2662056320369de4e5cd5f21c218c03feb3