Identifying critical quality metrics in Mohs Surgery: A national expert consensus process

Joseph A. Dodson; Sarah A. Ibrahim; Howard Rogers; M. Laurin Council; Kishwer S. Nehal; Rebecca Tung; David J. Leffell; Nathalie C. Zeitouni; Mariam B. Totonchy; Scott W. Fosko; Seaver Lee Soon; Travis W. Blalock; David G. Brodland; Elizabeth M. Billingsley; Jeffrey F. Scott; Brian C. Leach; Desiree Ratner; Carl Washington; C. William Hanke; Clark C. Otley; Nicholas Golda; Rajiv I. Nijhawan; Jerry Brewer; Addison Demer; Frederick S Fish; Christopher B. Harmon; John Zitelli; Thomas Knackstedt; Gaurav Singh; Todd Mollet; David R. Carr; John G. Albertini; Brent R. Moody; Michel McDonald; Jeremy S. Bordeaux; Paul R. Massey; Mollie A. MacCormack; Allison Vidimos; Christopher J. Arpey; Sarah T. Arron; Omar A. Ibrahimi; S. Brian Jiang; Christopher J. Miller; Ian A. Maher; Ashley Wysong; Barry Leshin; Glenn D. Goldman; Nour Kibbi; Hao Feng; Lindsey Collins

doi:10.1016/j.jaad.2023.10.069

Identifying critical quality metrics in Mohs Surgery: A national expert consensus process

Joseph A. Dodson, Sarah A. Ibrahim, Howard Rogers, M. Laurin Council, Kishwer S. Nehal, Rebecca Tung, David J. Leffell, Nathalie C. Zeitouni, Mariam B. Totonchy, Scott W. Fosko, Seaver Lee Soon, Travis W. Blalock, David G. Brodland, Elizabeth M. Billingsley, Jeffrey F. Scott, Brian C. Leach, Desiree Ratner, Carl Washington, C. William Hanke, Clark C. OtleyNicholas Golda, Rajiv I. Nijhawan, Jerry Brewer, Addison Demer, Frederick S Fish, Christopher B. Harmon, John Zitelli, Thomas Knackstedt, Gaurav Singh, Todd Mollet, David R. Carr, John G. Albertini, Brent R. Moody, Michel McDonald, Jeremy S. Bordeaux, Paul R. Massey, Mollie A. MacCormack, Allison Vidimos, Christopher J. Arpey, Sarah T. Arron, Omar A. Ibrahimi, S. Brian Jiang, Christopher J. Miller, Ian A. Maher, Ashley Wysong, Barry Leshin, Glenn D. Goldman, Nour Kibbi, Hao Feng, Lindsey Collins

Dermatology

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Amid a movement toward value-based healthcare, increasing emphasis has been placed on outcomes and cost of medical services. To define and demonstrate the quality of services provided by Mohs surgeons, it is important to identify and understand the key aspects of Mohs micrographic surgery (MMS) that contribute to excellence in patient care. Objective: The purpose of this study is to develop and identify a comprehensive list of metrics in an initial effort to define excellence in MMS. Methods: Mohs surgeons participated in a modified Delphi process to reach a consensus on a list of metrics. Patients were administered surveys to gather patient perspectives. Results: Twenty-four of the original 66 metrics met final inclusion criteria. Broad support for the initiative was obtained through physician feedback. Limitations: Limitations of this study include attrition bias across survey rounds and participation at the consensus meeting. Furthermore, the list of metrics is based on expert consensus instead of quality evidence-based outcomes. Conclusion: With the goal of identifying metrics that demonstrate excellence in performance of MMS, this initial effort has shown that Mohs surgeons and patients have unique perspectives and can be engaged in a data-driven approach to help define excellence in the field of MMS.

Original language	English (US)
Pages (from-to)	798-805
Number of pages	8
Journal	Journal of the American Academy of Dermatology
Volume	90
Issue number	4
DOIs	https://doi.org/10.1016/j.jaad.2023.10.069
State	Published - Apr 2024

Bibliographical note

Publisher Copyright:
© 2023 American Academy of Dermatology, Inc.

Keywords

ACMS
American College of Mohs Surgery
Mohs surgery
quality metrics
value-based healthcare

PubMed: MeSH publication types

Journal Article

Access

10.1016/j.jaad.2023.10.069

OpenUrl availability

Full text

Cite this

Dodson, J. A., Ibrahim, S. A., Rogers, H., Council, M. L., Nehal, K. S., Tung, R., Leffell, D. J., Zeitouni, N. C., Totonchy, M. B., Fosko, S. W., Lee Soon, S., Blalock, T. W., Brodland, D. G., Billingsley, E. M., Scott, J. F., Leach, B. C., Ratner, D., Washington, C., Hanke, C. W., ... Collins, L. (2024). Identifying critical quality metrics in Mohs Surgery: A national expert consensus process. Journal of the American Academy of Dermatology, 90(4), 798-805. https://doi.org/10.1016/j.jaad.2023.10.069

Dodson, JA, Ibrahim, SA, Rogers, H, Council, ML, Nehal, KS, Tung, R, Leffell, DJ, Zeitouni, NC, Totonchy, MB, Fosko, SW, Lee Soon, S, Blalock, TW, Brodland, DG, Billingsley, EM, Scott, JF, Leach, BC, Ratner, D, Washington, C, Hanke, CW, Otley, CC, Golda, N, Nijhawan, RI, Brewer, J, Demer, A, Fish, FS, Harmon, CB, Zitelli, J, Knackstedt, T, Singh, G, Mollet, T, Carr, DR, Albertini, JG, Moody, BR, McDonald, M, Bordeaux, JS, Massey, PR, MacCormack, MA, Vidimos, A, Arpey, CJ, Arron, ST, Ibrahimi, OA, Jiang, SB, Miller, CJ, Maher, IA, Wysong, A, Leshin, B, Goldman, GD, Kibbi, N, Feng, H & Collins, L 2024, 'Identifying critical quality metrics in Mohs Surgery: A national expert consensus process', Journal of the American Academy of Dermatology, vol. 90, no. 4, pp. 798-805. https://doi.org/10.1016/j.jaad.2023.10.069

@article{3d5776045d854bc6b40c3d475caeea7d,

title = "Identifying critical quality metrics in Mohs Surgery: A national expert consensus process",

abstract = "Background: Amid a movement toward value-based healthcare, increasing emphasis has been placed on outcomes and cost of medical services. To define and demonstrate the quality of services provided by Mohs surgeons, it is important to identify and understand the key aspects of Mohs micrographic surgery (MMS) that contribute to excellence in patient care. Objective: The purpose of this study is to develop and identify a comprehensive list of metrics in an initial effort to define excellence in MMS. Methods: Mohs surgeons participated in a modified Delphi process to reach a consensus on a list of metrics. Patients were administered surveys to gather patient perspectives. Results: Twenty-four of the original 66 metrics met final inclusion criteria. Broad support for the initiative was obtained through physician feedback. Limitations: Limitations of this study include attrition bias across survey rounds and participation at the consensus meeting. Furthermore, the list of metrics is based on expert consensus instead of quality evidence-based outcomes. Conclusion: With the goal of identifying metrics that demonstrate excellence in performance of MMS, this initial effort has shown that Mohs surgeons and patients have unique perspectives and can be engaged in a data-driven approach to help define excellence in the field of MMS.",

keywords = "ACMS, American College of Mohs Surgery, Mohs surgery, quality metrics, value-based healthcare",

author = "Dodson, {Joseph A.} and Ibrahim, {Sarah A.} and Howard Rogers and Council, {M. Laurin} and Nehal, {Kishwer S.} and Rebecca Tung and Leffell, {David J.} and Zeitouni, {Nathalie C.} and Totonchy, {Mariam B.} and Fosko, {Scott W.} and {Lee Soon}, Seaver and Blalock, {Travis W.} and Brodland, {David G.} and Billingsley, {Elizabeth M.} and Scott, {Jeffrey F.} and Leach, {Brian C.} and Desiree Ratner and Carl Washington and Hanke, {C. William} and Otley, {Clark C.} and Nicholas Golda and Nijhawan, {Rajiv I.} and Jerry Brewer and Addison Demer and Fish, {Frederick S} and Harmon, {Christopher B.} and John Zitelli and Thomas Knackstedt and Gaurav Singh and Todd Mollet and Carr, {David R.} and Albertini, {John G.} and Moody, {Brent R.} and Michel McDonald and Bordeaux, {Jeremy S.} and Massey, {Paul R.} and MacCormack, {Mollie A.} and Allison Vidimos and Arpey, {Christopher J.} and Arron, {Sarah T.} and Ibrahimi, {Omar A.} and Jiang, {S. Brian} and Miller, {Christopher J.} and Maher, {Ian A.} and Ashley Wysong and Barry Leshin and Goldman, {Glenn D.} and Nour Kibbi and Hao Feng and Lindsey Collins",

note = "Publisher Copyright: {\textcopyright} 2023 American Academy of Dermatology, Inc.",

year = "2024",

month = apr,

doi = "10.1016/j.jaad.2023.10.069",

language = "English (US)",

volume = "90",

pages = "798--805",

journal = "Journal of the American Academy of Dermatology",

issn = "0190-9622",

publisher = "Mosby Inc.",

number = "4",

}

TY - JOUR

T1 - Identifying critical quality metrics in Mohs Surgery

T2 - A national expert consensus process

AU - Dodson, Joseph A.

AU - Ibrahim, Sarah A.

AU - Rogers, Howard

AU - Council, M. Laurin

AU - Nehal, Kishwer S.

AU - Tung, Rebecca

AU - Leffell, David J.

AU - Zeitouni, Nathalie C.

AU - Totonchy, Mariam B.

AU - Fosko, Scott W.

AU - Lee Soon, Seaver

AU - Blalock, Travis W.

AU - Brodland, David G.

AU - Billingsley, Elizabeth M.

AU - Scott, Jeffrey F.

AU - Leach, Brian C.

AU - Ratner, Desiree

AU - Washington, Carl

AU - Hanke, C. William

AU - Otley, Clark C.

AU - Golda, Nicholas

AU - Nijhawan, Rajiv I.

AU - Brewer, Jerry

AU - Demer, Addison

AU - Fish, Frederick S

AU - Harmon, Christopher B.

AU - Zitelli, John

AU - Knackstedt, Thomas

AU - Singh, Gaurav

AU - Mollet, Todd

AU - Carr, David R.

AU - Albertini, John G.

AU - Moody, Brent R.

AU - McDonald, Michel

AU - Bordeaux, Jeremy S.

AU - Massey, Paul R.

AU - MacCormack, Mollie A.

AU - Vidimos, Allison

AU - Arpey, Christopher J.

AU - Arron, Sarah T.

AU - Ibrahimi, Omar A.

AU - Jiang, S. Brian

AU - Miller, Christopher J.

AU - Maher, Ian A.

AU - Wysong, Ashley

AU - Leshin, Barry

AU - Goldman, Glenn D.

AU - Kibbi, Nour

AU - Feng, Hao

AU - Collins, Lindsey

PY - 2024/4

Y1 - 2024/4

N2 - Background: Amid a movement toward value-based healthcare, increasing emphasis has been placed on outcomes and cost of medical services. To define and demonstrate the quality of services provided by Mohs surgeons, it is important to identify and understand the key aspects of Mohs micrographic surgery (MMS) that contribute to excellence in patient care. Objective: The purpose of this study is to develop and identify a comprehensive list of metrics in an initial effort to define excellence in MMS. Methods: Mohs surgeons participated in a modified Delphi process to reach a consensus on a list of metrics. Patients were administered surveys to gather patient perspectives. Results: Twenty-four of the original 66 metrics met final inclusion criteria. Broad support for the initiative was obtained through physician feedback. Limitations: Limitations of this study include attrition bias across survey rounds and participation at the consensus meeting. Furthermore, the list of metrics is based on expert consensus instead of quality evidence-based outcomes. Conclusion: With the goal of identifying metrics that demonstrate excellence in performance of MMS, this initial effort has shown that Mohs surgeons and patients have unique perspectives and can be engaged in a data-driven approach to help define excellence in the field of MMS.

AB - Background: Amid a movement toward value-based healthcare, increasing emphasis has been placed on outcomes and cost of medical services. To define and demonstrate the quality of services provided by Mohs surgeons, it is important to identify and understand the key aspects of Mohs micrographic surgery (MMS) that contribute to excellence in patient care. Objective: The purpose of this study is to develop and identify a comprehensive list of metrics in an initial effort to define excellence in MMS. Methods: Mohs surgeons participated in a modified Delphi process to reach a consensus on a list of metrics. Patients were administered surveys to gather patient perspectives. Results: Twenty-four of the original 66 metrics met final inclusion criteria. Broad support for the initiative was obtained through physician feedback. Limitations: Limitations of this study include attrition bias across survey rounds and participation at the consensus meeting. Furthermore, the list of metrics is based on expert consensus instead of quality evidence-based outcomes. Conclusion: With the goal of identifying metrics that demonstrate excellence in performance of MMS, this initial effort has shown that Mohs surgeons and patients have unique perspectives and can be engaged in a data-driven approach to help define excellence in the field of MMS.

KW - ACMS

KW - American College of Mohs Surgery

KW - Mohs surgery

KW - quality metrics

KW - value-based healthcare

UR - http://www.scopus.com/inward/record.url?scp=85184734329&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85184734329&partnerID=8YFLogxK

U2 - 10.1016/j.jaad.2023.10.069

DO - 10.1016/j.jaad.2023.10.069

M3 - Article

C2 - 38081390

AN - SCOPUS:85184734329

SN - 0190-9622

VL - 90

SP - 798

EP - 805

JO - Journal of the American Academy of Dermatology

JF - Journal of the American Academy of Dermatology

IS - 4

ER -

Identifying critical quality metrics in Mohs Surgery: A national expert consensus process

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

Access

OpenUrl availability

Other files and links

Fingerprint

Cite this