Table 3.

Suggested performance measures for the example of screening for breast cancer

PERFORMANCE MEASUREWHAT TO MEASUREISSUES IN MEASUREMENT
Performance measure from existing frameworks
  • Eligible patients who have received a mammogram

  • Percentage of screen-eligible patients aged 52 to 69 y who had a mammogram within the past 2 y3

  • Methods from existing performance measurement frameworks3

Performance measures that consider SDM
  • Patients who have undertaken SDM on screening with mammography (all age groups)

  • Percentage of patients who received knowledge translation tool on screening with mammography

  • Percentage of patients who have undertaken SDM on screening with mammography

  • Percentage of patients who received mammograms

  • Percentage of patients who declined mammograms

  • Percentage of patients who agreed to mammograms but subsequently did not undertake them

  • Measuring the quality of SDM for weak or conditional recommendations for screening in women aged 50 to 69 y

  • Recommendations against screening in other age groups54

  • Can use modified method from existing performance measurement frameworks to calculate numerators and denominators3

  • Limited availability of good-quality data on SDM in electronic medical records

  • Patients who have been made aware of their eligibility for screening with mammography

  • Patient awareness of their eligibility for screening and the possibility of SDM (decision point)

  • Limitations of tools to measure awareness of the decision point

  • SDM—shared decision making.