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dc.contributor.authorTorabi, E.
dc.contributor.authorÇayırlı, Tuğba
dc.contributor.authorFroehle, C. M.
dc.contributor.authorKlassen, K. J.
dc.contributor.authorMagazine, M.
dc.contributor.authorWhite, D. L.
dc.contributor.authorWard, M. J.
dc.date.accessioned2020-11-30T07:12:30Z
dc.date.available2020-11-30T07:12:30Z
dc.date.issued2020-06
dc.identifier.issn1088-0224en_US
dc.identifier.urihttp://hdl.handle.net/10679/7150
dc.identifier.urihttps://www.ajmc.com/view/fasstr-a-framework-for-ensuring-highquality-operational-metrics-in-health-care
dc.description.abstractOBJECTIVES: Poorly defined measurement impairs interinstitutional comparison, interpretation of results, and process improvement in health care operations. We sought to develop a unifying framework that could be used by administrators, practitioners, and investigators to help define and document operational performance measures that are comparable and reproducible. STUDY DESIGN: Retrospective analysis. METHODS: Health care operations and clinical investigators used an iterative process consisting of (1) literature review, (2) expert assessment and collaborative design, and (3) end-user feedback. We sampled the literature from the medical, health systems research, and health care operations (business and engineering) disciplines to assemble a representative sample of studies in which outpatient health care performance metrics were used to describe the primary or secondary outcome of the research. RESULTS: We identified 2 primary deficiencies in outpatient performance metric definitions: incompletion and inconsistency. From our review of performance metrics, we propose the FASStR framework for the Focus, Activity, Statistic, Scale type, and Reference dimensions of a performance metric. The FASStR framework is a method by which performance metrics can be developed and examined from a multidimensional perspective to evaluate their comprehensiveness and clarity. The framework was tested and revised in an iterative process with both practitioners and investigators. CONCLUSIONS: The FASStR framework can guide the design, development, and implementation of operational metrics in outpatient health care settings. Further, this framework can assist investigators in the evaluation of the metrics that they are using. Overall, the FASStR framework can result in clearer, more consistent use and evaluation of outpatient performance metrics.en_US
dc.description.sponsorshipCollege of Business at James Madison University - National Heart, Lung, and Blood Institute
dc.language.isoengen_US
dc.publisherManaged Care & Healthcare Communications, LLCen_US
dc.relation.ispartofAmerican Journal of Managed Care
dc.rightsrestrictedAccess
dc.titleFASStR: A framework for ensuring high-quality operational metrics in health careen_US
dc.typeArticleen_US
dc.peerreviewedyesen_US
dc.publicationstatusPublisheden_US
dc.contributor.departmentÖzyeğin University
dc.contributor.authorID(ORCID 0000-0001-7515-8716 & YÖK ID 26584) Çayırlı, Tuğba
dc.contributor.ozuauthorÇayırlı, Tuğba
dc.identifier.volume26en_US
dc.identifier.issue6en_US
dc.identifier.startpageE172en_US
dc.identifier.endpageE178en_US
dc.identifier.wosWOS:000542183200002
dc.identifier.doi10.37765/ajmc.2020.43492en_US
dc.identifier.scopusSCOPUS:2-s2.0-85086685303
dc.contributor.authorFemale1
dc.relation.publicationcategoryArticle - International Refereed Journal - Institutional Academic Staff


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