1
|
Fitzgerald ME, Van Beek MJ, Swerlick RA, Kaye T, Aninos A, Daveluy S, Etkin CD, Jacobs JP. DataDerm: Improving trends in performance measurement. J Am Acad Dermatol 2024; 90:1002-1005. [PMID: 38135157 DOI: 10.1016/j.jaad.2023.11.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 11/07/2023] [Accepted: 11/17/2023] [Indexed: 12/24/2023]
Abstract
BACKGROUND Medicare's legacy quality reporting programs were consolidated into the Merit-Based Incentive Payment System (MIPS) in 2015. PURPOSE The DataDerm registry of the American Academy of Dermatology was examined to understand the potential for and subsequent rate of improvement across 23 performance measures. METHODS We examined the level of performance across 23 performance measures with at least 20 clinicians reporting on at least 50 patients' experience. We calculated the following values: the aggregate performance rate for each measure and the overall aggregate performance rate. RESULTS The aggregate performance rate for each measure ranged from 20.4% for AAD 1 (Psoriasis: Assessment of Disease Activity), to 99.9% for measure ACMS 1 (Avoidance of Opioid Prescriptions for Reconstruction After Skin Resection). Three of 23 measures had an aggregate performance over 95%. The overall aggregate performance rate across all 23 measures was 81.2%, indicating an aggregate potential for improvement of 18.8% across the 23 measures. Nine performance measures reported across the first five years of DataDerm's existence were tracked through time to understand trends in performance through time. The performance across the nine performance measures meeting the inclusion criteria consistently improved in the initial years (2016 through 2018) of DataDerm participation and showed some variation in 2019 and 2020. CONCLUSIONS These data provide evidence that the very act of participation in a multi-institutional registry and tracking compliance with performance measures can lead to improvements in compliance with the performance measures and therefore improvements in quality of care.
Collapse
Affiliation(s)
- Matthew E Fitzgerald
- Department of Science and Quality, American Academy of Dermatology [AAD], Rosemont, Illinois
| | | | | | - Toni Kaye
- Department of Science and Quality, American Academy of Dermatology [AAD], Rosemont, Illinois
| | - Arik Aninos
- Department of Science and Quality, American Academy of Dermatology [AAD], Rosemont, Illinois
| | | | - Caryn D Etkin
- Department of Science and Quality, American Academy of Dermatology [AAD], Rosemont, Illinois
| | - Jeffrey P Jacobs
- Department of Science and Quality, American Academy of Dermatology [AAD], Rosemont, Illinois; Division of Cardiothoracic Surgery, Departments of Surgery and Pediatrics, University of Florida, Gainesville, Florida
| |
Collapse
|
2
|
Etaee F, Basiri M, Naguib T, Daveluy S. 145 Erythema multiforme in COVID-19 patients and following COVID-19 vaccination. J Invest Dermatol 2022. [PMCID: PMC9296964 DOI: 10.1016/j.jid.2022.05.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
3
|
O'Leary S, Fotouhi A, Turk D, Sriranga P, Rajabi-Estarabadi A, Nouri K, Daveluy S, Mehregan D, Nasiriavanaki M. OCT image atlas of healthy skin on sun-exposed areas. Skin Res Technol 2018; 24:570-586. [DOI: 10.1111/srt.12468] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/28/2018] [Indexed: 11/27/2022]
Affiliation(s)
- S. O'Leary
- Wayne State University School of Medicine; Detroit MI USA
| | - A. Fotouhi
- Wayne State University School of Medicine; Detroit MI USA
| | - D. Turk
- Wayne State University School of Medicine; Detroit MI USA
| | - P. Sriranga
- Wayne State University School of Medicine; Detroit MI USA
| | - A. Rajabi-Estarabadi
- Department of Dermatology and Cutaneous Surgery; University of Miami Miller School of Medicine; Miami FL USA
| | - K. Nouri
- Department of Dermatology and Cutaneous Surgery; University of Miami Miller School of Medicine; Miami FL USA
| | - S. Daveluy
- Department of Dermatology; Wayne State University School of Medicine; Detroit MI USA
| | - D. Mehregan
- Department of Dermatology; Wayne State University School of Medicine; Detroit MI USA
| | - M. Nasiriavanaki
- Wayne State University School of Medicine; Detroit MI USA
- Department of Dermatology; Wayne State University School of Medicine; Detroit MI USA
- Engineering Faculty; Department of Biomedical Engineering; Wayne State University; Detroit MI USA
| |
Collapse
|
4
|
Adabi S, Fotouhi A, Xu Q, Daveluy S, Mehregan D, Podoleanu A, Nasiriavanaki M. An overview of methods to mitigate artifacts in optical coherence tomography imaging of the skin. Skin Res Technol 2017; 24:265-273. [PMID: 29143429 DOI: 10.1111/srt.12423] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2017] [Indexed: 12/19/2022]
Abstract
BACKGROUND Optical coherence tomography (OCT) of skin delivers three-dimensional images of tissue microstructures. Although OCT imaging offers a promising high-resolution modality, OCT images suffer from some artifacts that lead to misinterpretation of tissue structures. Therefore, an overview of methods to mitigate artifacts in OCT imaging of the skin is of paramount importance. Speckle, intensity decay, and blurring are three major artifacts in OCT images. Speckle is due to the low coherent light source used in the configuration of OCT. Intensity decay is a deterioration of light with respect to depth, and blurring is the consequence of deficiencies of optical components. METHOD Two speckle reduction methods (one based on artificial neural network and one based on spatial compounding), an attenuation compensation algorithm (based on Beer-Lambert law) and a deblurring procedure (using deconvolution), are described. Moreover, optical properties extraction algorithm based on extended Huygens-Fresnel (EHF) principle to obtain some additional information from OCT images are discussed. RESULTS In this short overview, we summarize some of the image enhancement algorithms for OCT images which address the abovementioned artifacts. The results showed a significant improvement in the visibility of the clinically relevant features in the images. The quality improvement was evaluated using several numerical assessment measures. CONCLUSION Clinical dermatologists benefit from using these image enhancement algorithms to improve OCT diagnosis and essentially function as a noninvasive optical biopsy.
Collapse
Affiliation(s)
- Saba Adabi
- Engineering Faculty, Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA.,Engineering Faculty, Department of Applied Electronics, Roma Tre University, Rome, Italy
| | - Audrey Fotouhi
- School of Medicine, Wayne State University, Detroit, MI, USA
| | - Qiuyun Xu
- Engineering Faculty, Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA
| | - Steve Daveluy
- School of Medicine, Department of Dermatology, Wayne State University, Detroit, MI, USA.,Barbara Ann Karmanos Cancer Institute, Detroit, MI, USA
| | - Darius Mehregan
- School of Medicine, Department of Dermatology, Wayne State University, Detroit, MI, USA
| | - Adrian Podoleanu
- School of Physical Sciences, Applied Optics Group, University of Kent, Canterbury, Kent, UK
| | - Mohammadreza Nasiriavanaki
- Engineering Faculty, Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA.,School of Medicine, Department of Dermatology, Wayne State University, Detroit, MI, USA.,Barbara Ann Karmanos Cancer Institute, Detroit, MI, USA
| |
Collapse
|