# Quality indicators to ensure excellence in glaucoma care: the GlauCCare Spanish consensus

## TL;DR

This paper presents a set of quality indicators for glaucoma care units in Spain to improve patient outcomes and care efficiency.

## Contribution

The study introduces a consensus-based framework of quality indicators for glaucoma care certification in Spain.

## Key findings

- A Delphi survey achieved consensus on 166 out of 182 quality indicators for glaucoma care.
- Consensus was reached across care structure, care process, and outcomes indicators.
- The indicators aim to improve clinical practices and health outcomes for glaucoma patients.

## Abstract

To develop quality indicators to be included for the certification of excellence care in glaucoma units in Spain.

The certificate of excellence in care in glaucoma units is expected to enhance clinical outcomes and patient satisfaction, but also to optimise the use of resources and promote an efficient and effective patient care system.

The Delphi methodology was used to obtain a consensus on quality indicators in glaucoma care. The scientific committee and an advisory group created a 182-item questionnaire classified by indicator type: care structure, care process and outcomes. A two-round Delphi survey was conducted among a panel of expert ophthalmologists in Spain, and a 9-point Likert-type scale was used for data analysis.

After the two rounds, 39 panellists reached consensus on 166 out of 182 items (91.2%). By indicator type, consensus was reached on 38 (88.4%) indicators related to care structure, on 85 (87.6%) indicators related to care process and on all indicators 42 (100%) related to outcomes.

This consensus identified a set of quality indicators that will help to develop the certification of excellence in glaucoma care units. This certification will facilitate best clinical practices and better health outcomes for glaucoma patients. Limitations of the study include the consensus nature of results, potential bias from the lengthy questionnaire and the focus on experts only in Spain, limiting generalisability.