The usability criterion examines whether people or organizations can effectively use a measure, considering any obstacles or aids. According to the National Academy of Medicine's definition of quality, maintaining up-to-date professional knowledge about a measure often involves a governance process, like a Technical Expert Panel (TEP) or a quality committee. Additionally, it's important to clearly identify how certain factors might help or hinder better performance.

Frameworks for Contextual Factors

Measure developers can use various frameworks to describe factors affecting measure usability. These include the four "I's" (individual, interpersonal, institutional, infrastructural) and common Implementation Science frameworks like the Consolidated Framework for Implementation Research (CFIR) and Exploration, Preparation, Implementation, Sustainment (EPIS). These frameworks can be informed by literature, TEP insights, or may require formal testing.

Formal Testing Methods

When formal testing is needed to understand how contextual factors affect measure usability for specific audiences (e.g., consumers, purchasers, entities being measured, policymakers), several methods can be used:

• Focus groups
• Structured interviews
• Surveys of potential users

These methods often explore how regulatory, financial, physical, social, or cultural contexts influence available choices and resources. Learn more about engaging interested parties.

Example

Measure developers should survey potential clinician users to identify barriers like financial, technological, or staffing issues that might hinder performance. Developers should also consider creating a plan to address these barriers for better implementation.