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The Future of Quality Improvement for Cirrhosis
Author(s) -
Tapper Elliot B.,
Parikh Neehar D.
Publication year - 2021
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.26079
Subject(s) - medicine , cirrhosis , quality management , quality (philosophy) , psychological intervention , health care , intensive care medicine , process (computing) , risk analysis (engineering) , hepatocellular carcinoma , population , environmental health , nursing , operations management , computer science , management system , philosophy , epistemology , economics , economic growth , operating system
Cirrhosis has a significant and growing impact on public health and patient‐reported outcomes (PROs). The increasing burden of cirrhosis has led to an emphasis on the quality of care with the goal of improving overall outcomes in this high‐risk population. Existing evidence has shown the significant gaps in quality across process measures (eg, hepatocellular carcinoma screening), highlighting the need for consistent measurement and interventions to address the gaps in quality care. This multistep process forms the quality continuum, and it depends on clearly defined process measures, real‐time quality measurement, and generalizable evaluative methods. Herein we review the current state of quality care in cirrhosis across the continuum with a focus on process measurement methodologies, developments in PRO evaluation on quality assessment, practical examples of quality improvement initiatives, and the recent emphasis placed on the value of primary prevention.