Health care quality assurance: Difference between revisions
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==Improving quality== | ==Improving quality== | ||
More experience, as measured by volume of care, is associated with better quality of care.<ref name="pmid18043982">{{cite journal |author=Lin HC, Xirasagar S, Lin HC, Hwang YT |title=Does physicians' case volume impact inpatient care costs for pneumonia cases? |journal=J Gen Intern Med |volume=23 |issue=3 |pages=304-9 |year=2008 |pmid=18043982 |doi=10.1007/s11606-007-0462-3 |url=http://dx.doi.org/10.1007/s11606-007-0462-3 |issn=}}</ref> | More experience, as measured by volume of care, is associated with better quality of care.<ref name="pmid18043982">{{cite journal |author=Lin HC, Xirasagar S, Lin HC, Hwang YT |title=Does physicians' case volume impact inpatient care costs for pneumonia cases? |journal=J Gen Intern Med |volume=23 |issue=3 |pages=304-9 |year=2008 |pmid=18043982 |doi=10.1007/s11606-007-0462-3 |url=http://dx.doi.org/10.1007/s11606-007-0462-3 |issn=}}</ref> | ||
[[Process control chart]]s can be used to identify specific problems that need improvement.<ref name="isbn0-87389-562-2">{{cite book |author=Larry V. Stake; Carey, Raymond G. |authorlink= |editor= |others= |title=Improving Healthcare with Control Charts: Basic and Advanced SPC Methods and Case Studies |edition= |language= |publisher=ASQ Quality Press |location=Milwaukee, Wis |year=2002 |origyear= |pages= |quote= |isbn=0-87389-562-2 |oclc= |doi= |url= |accessdate=}}</ref> | |||
==Public reporting of quality measures== | ==Public reporting of quality measures== | ||
Revision as of 13:10, 17 May 2008
Health care quality assurance is "activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps."[1]
Creating quality measures
Creating quality measures from clinical practice guidelines can be problematic.[2]
Measuring quality
Chart abstraction may underestimate quality.[3]
Improving quality
More experience, as measured by volume of care, is associated with better quality of care.[4]
Process control charts can be used to identify specific problems that need improvement.[5]
Public reporting of quality measures
A systematic review found that "publicly releasing performance data stimulates quality improvement activity at the hospital level. The effect of public reporting on effectiveness, safety, and patient-centeredness remains uncertain".[6]
References
- ↑ Anonymous (2024), Health care quality assurance (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Walter LC, Davidowitz NP, Heineken PA, Covinsky KE (2004). "Pitfalls of converting practice guidelines into quality measures: lessons learned from a VA performance measure". JAMA 291 (20): 2466–70. DOI:10.1001/jama.291.20.2466. PMID 15161897. Research Blogging.
- ↑ How well does chart abstraction measure quality? A...[Am J Med. 2000 - PubMed Result]. Retrieved on 2008-02-12.
- ↑ Lin HC, Xirasagar S, Lin HC, Hwang YT (2008). "Does physicians' case volume impact inpatient care costs for pneumonia cases?". J Gen Intern Med 23 (3): 304-9. DOI:10.1007/s11606-007-0462-3. PMID 18043982. Research Blogging.
- ↑ Larry V. Stake; Carey, Raymond G. (2002). Improving Healthcare with Control Charts: Basic and Advanced SPC Methods and Case Studies. Milwaukee, Wis: ASQ Quality Press. ISBN 0-87389-562-2.
- ↑ Fung CH, Lim YW, Mattke S, Damberg C, Shekelle PG (2008). "Systematic review: the evidence that publishing patient care performance data improves quality of care". Ann. Intern. Med. 148 (2): 111–23. PMID 18195336. [e]
See also
External links
- Hospital Compare (U.S. Department of Health & Human Services)
- Joint Commission: Current Specification Manual for National Hospital Quality Measures
- Centers for Medicare & Medicaid Services
- National Committee for Quality Assurance(description[1])
- National Quality Measures Clearinghouse
- Centers for Medicare & Medicaid Services/The Joint Commission: National Hospital Quality Measures
- National Committee for Quality Assurance: HEDIS
External links
- Lloyd, Robert M.; Carey, Raymond G. (1995). Measuring quality improvement in healthcare: a guide to statistical process control applications. White Plains, N.Y: Quality Resources. ISBN 0-527-76293-8.
- ↑ Iglehart JK (1996). "The National Committee for Quality Assurance". N. Engl. J. Med. 335 (13): 995-9. PMID 8786789. [e]