Introducing BMJ Outcomes Improving outcome measures In healthcare today there are dramatic variations in delivery, process and clinical outcomes across most health systems. For patients this means a real geographical lottery in receiving high quality care. Current interventions - such as anticoagulation, hysterectomy, and cancer screening - and their outcomes not only differ at an international level but can show extreme local variation. Key features proposed Existing measures of clinical outcome are often poorly constructed with no standardised structure making comparisons difficult. Without this the ability to inform and benchmark high quality care is ineffective. • Open access peer-reviewed journal of implementation reports We feel that by harnessing the power of the global healthcare community to ‘crowd source’, consolidate, and improve knowledge in this area we can then help increase the impact of outcome measurement. Moving towards a standardised and best practice set of outcome measures will allow organisations and individuals to benchmark high quality care and identify exemplar provision. By helping providers and commissioners understand where their outcomes can be improved, we hope to help deliver measurable and sustained improvements for patients. • Global directory of user rated outcome measures • Development of an agreed standard structure for measures • Online community to connect, share and improve implementation • Collaborative work areas to enable shared development • Global directory and profiles of individuals and organisations • Learning modules, tools and resources to support development The vision for BMJ Outcomes Working in collaboration with key international organisations and thinkers, BMJ is embarking on a new initiative to provide a journal and community for the publication of outcome measures. The vision is to create an international forum for debate and consolidation of knowledge on how to measure the key outcomes that matter for patients, professionals, providers, payers and the public. We anticipate BMJ Outcomes will contribute to a growing body of best practice in the approach to outcomes measurement at an individual, organisational, regional, national, and international level. We expect that the repository and community will include process and clinical measures across: • Clinical outcomes • Patient reported outcomes • Safety measures • Social care measures A new global community One of the key objectives is to support the global community in working towards an agreed standard for documenting and sharing outcome measures. To support this we will be offering a new open access and peer reviewed journal which we hope will create a more valuable role for outcome measures and their implementation. We have also developed a collaborative platform to allow individuals and groups to work on developing measures independently or collaborate with colleagues from the global community. This will enable teams in different locations to improve the structure of existing measures and test their efficacy and validity in clinical settings. In addition to the virtual communities we will also be recruiting mentors to offer support and advice. Regular, chaired webinar sessions will offer the opportunity to learn, share, and discuss the latest developments and knowledge. To support excellence in the construction of new measures, and the ongoing improvement of existing ones, we will also be curating a suite of tools and learning modules to support best practice. Development will be guided by our user community but also by an international advisory board of key strategic thinkers to ensure it best meets the needs of the outcomes community. Contact us for more information and to join our consultation group BMA House, Tavistock Square, London WC1H 9JR, UK T +44 (0) 20 7383 6470 E [email protected] quality.bmj.com/bmj-outcomes W company.bmj.com
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