Bonow Robert O, Masoudi Frederick A, Rumsfeld John S, Delong Elizabeth, Estes N A Mark, Goff David C, Grady Kathleen, Green Lee A, Loth Ann R, Peterson Eric D, Piña Ileana L, Radford Martha J, Shahian David M
Circulation. 2008 Dec 9;118(24):2662-6. doi: 10.1161/CIRCULATIONAHA.108.191107. Epub 2008 Nov 12.
The American College of Cardiology (ACC) and the American Heart Association (AHA) have provided leadership in enhancing the quality of cardiovascular care, including the development of clinical performance measures and clinical registries that permit the evaluation of quality of care and stimulate quality improvement. Compliance with ACC/AHA performance measures and metrics encourages the provision of the strongest evidence-based quality of care, including therapies that are life-extending or life-enhancing. Among quality metrics, only a subset should be considered performance measures-that is, those measures specifically suitable for public reporting, external comparisons, and possibly pay-for-performance programs, in addition to quality improvement. These performance measures have been developed using ACC/AHA methodology, often in collaboration with other organizations, and include the process of public comment and peer review. Quality metrics are those measures that have been developed to support self assessment and quality improvement at the provider, hospital, and/or health care system level. These metrics represent valuable tools to aid clinicians and hospitals in improving quality of care and enhancing patient outcomes, but may not meet all specifications of formal performance measures. These quality metrics may also be considered "candidate" measures that with further research or field testing would meet the criteria for formal performance measures in the future. This measure classification is intended to aid providers, hospitals, health systems, and payers in identifying those measures that the ACC and AHA formally endorse as performance measures, while at the same time promoting the broader range of clinical metrics that are useful for quality improvement efforts.
美国心脏病学会（ACC）和美国心脏协会（AHA）在提高心血管护理质量方面发挥了领导作用，包括制定临床绩效指标和临床登记系统，以评估护理质量并推动质量改进。遵守ACC/AHA绩效指标和衡量标准有助于提供最有力的循证护理质量，包括延长生命或改善生活质量的治疗方法。在质量指标中，只有一部分应被视为绩效指标，即那些特别适用于公开报告、外部比较以及可能的按绩效付费项目的指标，此外还包括质量改进。这些绩效指标是采用ACC/AHA方法制定的，通常与其他组织合作，并经过公众意见征求和同行评审过程。质量指标是为支持提供者、医院和/或医疗保健系统层面的自我评估和质量改进而制定的措施。这些指标是帮助临床医生和医院提高护理质量和改善患者预后的宝贵工具，但可能不符合正式绩效指标的所有规范。这些质量指标也可被视为“候选”指标，经过进一步研究或实地测试后，未来可能会符合正式绩效指标的标准。这种指标分类旨在帮助提供者、医院、卫生系统和支付方识别ACC和AHA正式认可为绩效指标的那些指标，同时推广对质量改进工作有用的更广泛的临床指标。
