Practice-based learning can improve osteoporosis care.
Publication/Presentation Date
10-1-2013
Abstract
OBJECTIVES: To examine physician engagement in practice-based learning using a self-evaluation module to assess and improve their care of individuals with or at risk of osteoporosis.
DESIGN: Retrospective cohort study.
SETTING: Internal medicine and subspecialty clinics.
PARTICIPANTS: Eight hundred fifty U.S. physicians with time-limited certification in general internal medicine or a subspecialty.
MEASUREMENTS: Performance rates on 23 process measures and seven practice system domain scores were obtained from the American Board of Internal Medicine (ABIM) Osteoporosis Practice Improvement Module (PIM), an Internet-based self-assessment module that physicians use to improve performance on one targeted measure. Physicians remeasured performance on their targeted measures by conducting another medical chart review.
RESULTS: Variability in performance on measures was found, with observed differences between general internists, geriatricians, and rheumatologists. Some practice system elements were modestly associated with measure performance; the largest association was between providing patient-centered self-care support and documentation of calcium intake and vitamin D estimation and counseling (correlation coefficients from 0.20 to 0.28, Ps < .002). For all practice types, the most commonly selected measure targeted for improvement was documentation of vitamin D level (38% of physicians). On average, physicians reported significant and large increases in performance on measures targeted for improvement.
CONCLUSION: Gaps exist in the quality of osteoporosis care, and physicians can apply practice-based learning using the ABIM PIM to take action to improve the quality of care.
Volume
61
Issue
10
First Page
1651
Last Page
1660
ISSN
1532-5415
Published In/Presented At
Hess, B. J., Johnston, M. M., Iobst, W. F., & Lipner, R. S. (2013). Practice-based learning can improve osteoporosis care. Journal of the American Geriatrics Society, 61(10), 1651–1660. https://doi.org/10.1111/jgs.12451
Disciplines
Medicine and Health Sciences
PubMedID
24117284
Department(s)
Department of Medicine
Document Type
Article