Health care quality assurance: Difference between revisions
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** [http://www.cms.hhs.gov/hospitalqualityinits/15_hospitalqualityalliance.asp Hospital Quality Alliance] (HQA) | ** [http://www.cms.hhs.gov/hospitalqualityinits/15_hospitalqualityalliance.asp Hospital Quality Alliance] (HQA) | ||
** [http://www.cms.hhs.gov/hospitalqualityinits/10_hospitalqualitymeasures.asp Quality measures] | ** [http://www.cms.hhs.gov/hospitalqualityinits/10_hospitalqualitymeasures.asp Quality measures] | ||
* [http://www.ncqa.org/ National Committee for Quality Assurance]([http://content.nejm.org/cgi/content/full/335/13/995 description]<ref name="pmid8786789">{{cite journal |author=Iglehart JK |title=The National Committee for Quality Assurance |journal=N. Engl. J. Med. |volume=335 |issue=13 |pages=995-9 |year=1996 |pmid=8786789 |doi= |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=8786789&promo=ONFLNS19}}</ref>) | |||
* [http://www.qualitymeasures.ahrq.gov/ National Quality Measures Clearinghouse] | * [http://www.qualitymeasures.ahrq.gov/ National Quality Measures Clearinghouse] | ||
** Centers for Medicare & Medicaid Services/The Joint Commission: [http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=6043 National Hospital Quality Measures] | ** Centers for Medicare & Medicaid Services/The Joint Commission: [http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=6043 National Hospital Quality Measures] | ||
** National Committee for Quality Assurance: [http://www.qualitymeasures.ahrq.gov/browse/DisplayOrganization.aspx?org_id=8 HEDIS] | ** National Committee for Quality Assurance: [http://www.qualitymeasures.ahrq.gov/browse/DisplayOrganization.aspx?org_id=8 HEDIS] | ||
Revision as of 23:33, 12 April 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]
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".[5]
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.
- ↑ 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
- ↑ Iglehart JK (1996). "The National Committee for Quality Assurance". N. Engl. J. Med. 335 (13): 995-9. PMID 8786789. [e]