Performance measures allow us to understand the degree to which a health care system is delivering high quality clinical care. Using these measures, we can track whether evidence-based guidelines are being followed by clinicians, assess the results of care, strengthen accountability and support performance improvement initiatives.
Performance measures play an increasingly important role in health care systems around the world. Many countries design and implement measurement systems to achieve a range of objectives, including payment policies, public reporting and accreditation. Yet, the production of research to inform practice has not kept pace with policy developments.
Our mission is to harness the fields of clinical medicine, statistics, engineering and psychology to improve how we measure the performance of health care systems.
- We work to understand the current landscape of quality and safety measurement within JHM
- We work with health system leaders to help prioritize the usefulness of existing performance measures and understand where they are gaps
- We work to optimize the health system’s performance for external audiences (Maryland’s Health Services Cost Review Commission, Medicare, US News, Leapfrog)
- We serve on national and state bodies that inform conversations about performance measures in health care
- We present to national, state and local audiences on the topic of performance measurement in health care
We develop performance measures to help fill gaps in the quality and safety of care, including patient-reported outcomes, diagnostic error and patient-centered care
Past Center Director
Kelly Gleason, Ph.D., R.N.
Jenna Swann, M.S.
Jordan Derk, M.P.H.
Our team is currently working on several performance measurement-related projects, including:
- Developing measures of the culture of well-being
- Developing and implementing patient reported outcome measures in the electronic health record
- Developing a performance measure that captures how well physicians identify stroke in patients that present to the emergency department with symptoms of dizziness
- Supporting The Leapfrog Group with their performance measurement and public reporting activities, including the Leapfrog Hospital Survey, Leapfrog Ambulatory Surgery Center Survey and Hospital Safety Grade
- Working with the 20 clinical departments of Johns Hopkins Medicine to identify a set of quality and safety measures that informs their QI efforts and supports leadership accountability efforts
Saraswathula A, Merck SJ, Bai G, Weston CM, Skinner EA, Taylor A, Kachalia A, Demski R, Wu AW, Berry SA. The Volume and Cost of Quality Metric Reporting. JAMA. 2023 Jun 6;329(21):1840-1847.
Liberman AL, Wang Z, Zhu Y, Hassoon A, Choi J, Austin JM, Johansen MC, Newman-Toker DE. Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity. Diagnosis (Berl). 2023 Apr 5;10(3):225-234.
Austin JM, Kachalia A. The State of Health Care Quality Measurement in the Era of COVID-19: The Importance of Doing Better. JAMA. 2020 Jul 28;324(4):333-334.