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Peer Review by Criteria Mapping: Criteria for Diabetes Mellitus
The Use of Decision-Making in Chart Audit
- SHELDON GREENFIELD, M.D.;
- CHARLES E. LEWIS, M.D., SC.D.;
- SHERRIE H. KAPLAN, M.P.H.; and
- MAYER B. DAVIDSON, M.D.
Abstract
The UCLA Experimental Medical Care Review Organization (EMCRO), in an attempt to minimize the problem of applying a general list of criteria to each patient with a specific condition, has developed a method called Criteria Mapping. This method uses sequential judgments based on the specific clinical data for the individual patient to assess the quality of care by medical record audit. The method does not penalize the physician for omitting unnecessary procedures by allowing alternate decisions when appropriate, and provides supporting reference materials to allow nonphysicians to make reliable medical interpretations of the data in medical records. It is expected that this method will more accurately reflect the physicians' intentions, and that process, when measured by this approach, may correlate better with the outcome of medical care.
Article and Author Information
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▸From the Department of Medicine, School of Medicine and School of Public Health, University of California, Los Angeles, California.
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Grant support: grant HSO 1320 from the Bureau of Health Services, Research and Development, U.S. Public Health Service.
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▸Requests for reprints should be addressed to Sheldon Greenfield, M.D., School of Public Health, Room 73-274, Center for the Health Sciences, University of California, Los Angeles, CA 90024.
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- Received April 18, 1975.
- Accepted August 15, 1975.
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