Abstract
AbstractThe International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 with the aim to propose consensus-based measurement tools and documentation for different conditions and populations. Variation in outcomes of healthcare is a global challenge and to date there are no comprehensive globally relevant outcome measures for older persons. Measuring and reporting meaningful outcomes matter because they are more likely to identify what is deficient in a care pathway across organisational boundaries and lead to better collaborative care provision. It also provides opportunities for different localities or organisations to compare variations in outcome and learn from each other. There is paucity of standardized clinical outcomes data beyond basic mortality and morbidity measures. There is also a paucity of balancing measures with a systemic inability to measure unanticipated harm. The deficiency in outcome measurements that matter most to patients represents a global barrier to driving health care improvement and means providers have little information on which to judge the effectiveness of interventions. Where available, outcomes are not standardized and therefore hard to compare leading to a slow pace of change and inability to learn from others. More commonly there has been more emphasis placed on process measures with the assumption that changing processes improves outcomes for persons accessing healthcare.ICHOM’s Working Groups (WG) follow a structured consensus-driven modified Delphi technique to recommend a core battery of measures that reflect multiple outcomes that matter to patients. This international standard of health outcomes assessment has the potential to improve clinical decision-making, to enable better commissioning and service integration, to facilitate the exchange of scientific knowledge, and overall to enhance the care of patients internationally across different conditions. ICHOM has to date developed 19 standard sets and by 2017 at least 50% of the global disease burden (as defined by the WHO) will have been covered. A number of national registries and organisations across the world are already utilising ICHOM standard sets as their outcome measures.
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