Measuring Quality Performance In Health Care
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Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Patient-Reported Outcomes in Performance Measurement
Patient-reported outcomes (PROs) are measures of how patients feel or what they are able to do in the context of their health status; PROs are reports, usually on questionnaires, about a patient's health conditions, health behaviors, or experiences with health care that individuals report directly, without modification of responses by clinicians or others; thus, they directly reflect the voice of the patient. PROs cover domains such as physical health, mental and emotional health, functioning, symptoms and symptom burden, and health behaviors. They are relevant for many activities: helping patients and their clinicians make informed decisions about health care, monitoring the progress of care, setting policies for coverage and reimbursement of health services, improving the quality of health care services, and tracking or reporting on the performance of health care delivery organizations. We address the major methodological issues related to choosing, administering, and using PROs for these purposes, particularly in clinical practice settings. We include a framework for best practices in selecting PROs, focusing on choosing appropriate methods and modes for administering PRO measures to accommodate patients with diverse linguistic, cultural, educational, and functional skills, understanding measures developed through both classic and modern test theory, and addressing complex issues relating to scoring and analyzing PRO data.
Measuring Quality Performance in Health Care
Author: Dia Kamel Hassan
language: en
Publisher: eBook Partnership
Release Date: 2007-01-10
Health cost is escalating. Today health care systems are responsible for a considerable proportion of public expenses. Patient safety became a major concern and evolved as a global problem with the increase in public perception on adverse events. As a result, improving the quality of care and measuring performance using effective measurement tools became major public and political issues challenging health care organizations. In response to this, considerable effort and expenses have been devoted to develop and implement quality initiatives in health care organizations. It is essential that the assessment of quality initiatives use evidence-based measurements to evaluate their outcomes. Joint Commission International (JCI), a wholly-controlled non profit affiliate of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) was established with a goal to continuously improve the level of healthcare organizations by introducing international standards and indicators applicable to different countries around the globe. Anecdotal evidence and numerous testimonials suggest performance improvement, yet no empirical studies have been conducted to demonstrate the overall benefits of applying the JCI standards, in countries outside the US. This book presents a robust methodology to measure quality performance of health care organizations and evaluate the effectiveness of JCI standards in improving the quality of care. The book is based on a study that used a holistic performance measurement model to measure the effect of the newly developed JCI standards on the perceived quality performance and the progress toward organizational excellence of a 400-bed hospital in a developing country. The study used a longitudinal quantitative design over a period of 15 months. Structured questionnaires were used to collect data from 250 staff, 250 patients and families, 200 patients' medical records, and 60 self-assessment surveys based on the accreditation bodies' approach. The results showed a significant perceived improvement in the overall organizational performance index 15 months after the implementation of JCI standards. The results highlighted many areas of strength in the standards, mainly in their impact on organizational excellence, quality improvement and patients' safety, leadership and management performance, patients' satisfaction and delight, organizational learning, organizational ethical performance, and documentation. The results also identified opportunities for improvement in the JCI standards with respect to human resource management and the absence of standards that address issues existing in organizations with corporate structures.