Box 1. Desirable attributes of quality measures
AttributeDefinitionImportance
Content and construct validity


  • The ability of the measure to accurately capture the quality of care being delivered

  • The measure being able to cover important aspects of care that contribute to perceptions of care quality

  • The extent to which performance on a measure correlates (positively or negatively) with other aspects of care that theories suggest it should correlate with

  • To ensure that the quality measures reflect the aspects of care interest to members of the public, providers, and/or regulators

Reliability
  • The accuracy with which a measure can produce similar results under different conditions (including people applying the measure, and the situation in which it is applied)

  • To ensure that differences in performance between providers and over time are a true reflection of differences in care

Feasibility
  • The ability to accurately measure the quality indicator with ease and efficiency

  • To ensure that the information required in order to calculate achievement against the quality measure can be collected easily and efficiently. If measures require too much time, money or effort then they may not be suitable for use