Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
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.
A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.
An iterative questionnaire designed to measure consensus among individual responses. In the classic Delphi approach, there is no interaction between responder and interviewer.
The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.
General agreement or collective opinion; the judgment arrived at by most of those concerned.
Method of measuring performance against established standards of best practice.
The concept concerned with all aspects of providing and distributing health services to a patient population.
A system for verifying and maintaining a desired level of quality in a product or process by careful planning, use of proper equipment, continued inspection, and corrective action as required. (Random House Unabridged Dictionary, 2d ed)
Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
The attainment or process of attaining a new level of performance or quality.
An agency of the PUBLIC HEALTH SERVICE established in 1990 to "provide indexing, abstracting, translating, publishing, and other services leading to a more effective and timely dissemination of information on research, demonstration projects, and evaluations with respect to health care to public and private entities and individuals engaged in the improvement of health care delivery..." It supersedes the National Center for Health Services Research. The United States Agency for Health Care Policy and Research was renamed Agency for Healthcare Research and Quality (AHRQ) under the Healthcare Research and Quality Act of 1999.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
Presentations of summary statements representing the majority agreement of physicians, scientists, and other professionals convening for the purpose of reaching a consensus--often with findings and recommendations--on a subject of interest. The Conference, consisting of participants representing the scientific and lay viewpoints, is a significant means of evaluating current medical thought and reflects the latest advances in research for the respective field being addressed.
Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.
Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
A scheme which provides reimbursement for the health services rendered, generally by an institution, and which provides added financial rewards if certain conditions are met. Such a scheme is intended to promote and reward increased efficiency and cost containment, with better care, or at least without adverse effect on the quality of the care rendered.
The state wherein the person is well adjusted.
Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.
Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
The state of the organism when it functions optimally without evidence of disease.
Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)
The application of industrial management practice to systematically maintain and improve organization-wide performance. Effectiveness and success are determined and assessed by quantitative quality measures.
Institutions with an organized medical staff which provide medical care to patients.
Organized services to provide mental health care.
An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)
Public attitudes toward health, disease, and the medical care system.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
International organizations which provide health-related or other cooperative services.
Planning for needed health and/or welfare services and facilities.
An evaluation procedure that focuses on how care is delivered, based on the premise that there are standards of performance for activities undertaken in delivering patient care, in which the specific actions taken, events occurring, and human interactions are compared with accepted standards.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
The hospital department which is responsible for the organization and administration of nursing activities.
Services for the diagnosis and treatment of disease and the maintenance of health.
Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.
The concept pertaining to the health status of inhabitants of the world.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.
Programs of study which span the traditional boundaries of academic scholarship.
Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.
Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.
Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.
The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Social and economic factors that characterize the individual or group within the social structure.
Compensatory plans designed to motivate physicians in relation to patient referral, physician recruitment, and efficient use of the health facility.
The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.
The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.
Services designed for HEALTH PROMOTION and prevention of disease.
Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.
A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.
Management of public health organizations or agencies.
Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).
A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.
The services rendered by members of the health profession and non-professionals under their supervision.
The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.
Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.
Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.
Countries that have reached a level of economic achievement through an increase of production, per capita income and consumption, and utilization of natural and human resources.
Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information.
The promotion and maintenance of physical and mental health in the work environment.
A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.
Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.
The seeking and acceptance by patients of health service.
Components of a national health care system which administer specific services, e.g., national health insurance.
A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.
Planning for the equitable allocation, apportionment, or distribution of available health resources.
The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)
Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
The activities and endeavors of the public health services in a community on any level.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
The status of health in rural populations.
Economic sector concerned with the provision, distribution, and consumption of health care services and related products.
A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.
A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.
Diagnostic, therapeutic and preventive health services provided for individuals in the community.
Organized services to provide information on any questions an individual might have using databases and other sources. (From Random House Unabridged Dictionary, 2d ed)
The concept covering the physical and mental conditions of women.
A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.
The status of health in urban populations.
Child hospitalized for short term care.
Organized services to provide health care for children.
Elements of limited time intervals, contributing to particular results or situations.
Institutions specializing in the care of cancer patients.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)
Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.
Institutions which provide medical or health-related services.
Directions written for the obtaining and use of DRUGS.
Differences in access to or availability of medical facilities and services.
The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.
Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)
Hospitals providing medical care to veterans of wars.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
The development of systems to prevent accidents, injuries, and other adverse occurrences in an institutional setting. The concept includes prevention or reduction of adverse events or incidents involving employees, patients, or facilities. Examples include plans to reduce injuries from falls or plans for fire safety to promote a safe institutional environment.
Method of charging whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used. (From Discursive Dictionary of Health Care, 1976)
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Planning for health resources at a regional or multi-state level.
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.
A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
A rating of a body of water based on measurable physical, chemical, and biological characteristics.
Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.
Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.
The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.
Recording of pertinent information concerning patient's illness or illnesses.
An infant during the first month after birth.
Facilities which administer the delivery of health care services to people living in a community or neighborhood.
The confinement of a patient in a hospital.
A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Care given to patients by nursing service personnel.
Endoscopic examination, therapy or surgery of the luminal surface of the colon.
Agents that increase uric acid excretion by the kidney (URICOSURIC AGENTS), decrease uric acid production (antihyperuricemics), or alleviate the pain and inflammation of acute attacks of gout.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.
The use of multiple drugs administered to the same patient, most commonly seen in elderly patients. It includes also the administration of excessive medication. Since in the United States most drugs are dispensed as single-agent formulations, polypharmacy, though using many drugs administered to the same patient, must be differentiated from DRUG COMBINATIONS, single preparations containing two or more drugs as a fixed dose, and from DRUG THERAPY, COMBINATION, two or more drugs administered separately for a combined effect. (From Segen, Dictionary of Modern Medicine, 1992)
Organized services to provide health care to expectant and nursing mothers.
Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.
A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.
A province of eastern Canada. Its capital is Quebec. The region belonged to France from 1627 to 1763 when it was lost to the British. The name is from the Algonquian quilibek meaning the place where waters narrow, referring to the gradually narrowing channel of the St. Lawrence or to the narrows of the river at Cape Diamond. (From Webster's New Geographical Dictionary, 1988, p993 & Room, Brewer's Dictionary of Names, 1992, p440)
A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
Inability to reproduce after a specified period of unprotected intercourse. Reproductive sterility is permanent infertility.
Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.
The measurement of the health status for a given population using a variety of indices, including morbidity, mortality, and available health resources.
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.
The physical condition of human reproductive systems.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.
Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.
A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.
Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.
Health care provided to a critically ill patient during a medical emergency or crisis.
The systematic application of information and computer sciences to public health practice, research, and learning.
The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.
Application of statistical procedures to analyze specific observed or assumed facts from a particular study.
Health services for employees, usually provided by the employer at the place of work.
Those actions designed to carry out recommendations pertaining to health plans or programs.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
Individuals participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
A country in western Europe bordered by the Atlantic Ocean, the English Channel, the Mediterranean Sea, and the countries of Belgium, Germany, Italy, Spain, Switzerland, the principalities of Andorra and Monaco, and by the duchy of Luxembourg. Its capital is Paris.
The organization and administration of health services dedicated to the delivery of health care.
A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.
The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.
The period of confinement of a patient to a hospital or other health facility.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
Special hospitals which provide care for ill children.
Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.
A geographic area defined and served by a health program or institution.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.
Activities concerned with governmental policies, functions, etc.
The capability to perform acceptably those duties directly related to patient care.
Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.
Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.
An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)
Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.
Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.
Ratings of the characteristics of food including flavor, appearance, nutritional content, and the amount of microbial and chemical contamination.
The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.
Recommendations for directing health planning functions and policies. These may be mandated by PL93-641 and issued by the Department of Health and Human Services for use by state and local planning agencies.
Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.
The inhabitants of rural areas or of small towns classified as rural.
Any deviation of results or inferences from the truth, or processes leading to such deviation. Bias can result from several sources: one-sided or systematic variations in measurement from the true value (systematic error); flaws in study design; deviation of inferences, interpretations, or analyses based on flawed data or data collection; etc. There is no sense of prejudice or subjectivity implied in the assessment of bias under these conditions.

Raising the bar: the use of performance guarantees by the Pacific Business Group on Health. (1/1748)

In 1996 the Pacific Business Group on Health (PBGH) negotiated more than two dozen performance guarantees with thirteen of California's largest health maintenance organizations (HMOs) on behalf the seventeen large employers in its Negotiating Alliance. The negotiations put more than $8 million at risk for meeting performance targets with the goal of improving the performance of all health plans. Nearly $2 million, or 23 percent of the premium at risk, was refunded to the PBGH by the HMOs for missed targets. The majority of plans met their targets for satisfaction with the health plan and physicians, as well as cesarean section, mammography, Pap smear, and prenatal care rates. However, eight of the thirteen plans missed their targets for childhood immunizations, refunding 86 percent of the premium at risk.  (+info)

Indicators of the appropriateness of long-term prescribing in general practice in the United Kingdom: consensus development, face and content validity, feasibility, and reliability. (2/1748)

OBJECTIVES: To develop valid, reliable indicators of the appropriateness of long-term prescribing in general practice medical records in the United Kingdom. DESIGN: A nominal group was used to identify potential indicators of appropriateness of prescribing. Their face and content validity were subsequently assessed in a two round Delphi exercise. Feasibility and reliability between raters were evaluated for the indicators for which consensus was reached and were suitable for application. PARTICIPANTS: The nominal group comprised a disciplinary mix of nine opinion leaders and prominent academics in the field of prescribing. The Delphi panel was composed of 100 general practitioners and 100 community pharmacists. RESULTS: The nominal group resulted in 20 items which were refined to produce 34 statements for the Delphi exercise. Consensus was reached on 30, from which 13 indicators suitable for application were produced. These were applied by two independent raters to the records of 49 purposively sampled patients in one general practice. Nine indicators showed acceptable reliability between raters. CONCLUSIONS: 9 indicators of prescribing appropriateness were produced suitable for application to the medical record of any patient on long term medication in United Kingdom general practice. Although the use of the medical record has limitations, this is currently the only available method to assess a patient's drug regimen in its entirety.  (+info)

Health authority commissioning for quality in contraception services. (3/1748)

OBJECTIVE: To compare the commissioning of contraception services by London health authorities with accepted models of good practice. DESIGN: Combined interview and postal surveys of all health authorities and National Health Service (NHS) trusts responsible for running family planning clinics in the Greater London area. MAIN OUTCOME MEASURES: Health authority commissioning was assessed on the presence of four key elements of good practice--strategies, coordination, service specifications, and quality standards in contracts--by monitoring activity and quality. RESULTS: Less than half the health authorities surveyed had written strategies or service specifications for contraception services. Arrangements for coordination of services were limited and monitoring was underdeveloped. CONCLUSION: The process of commissioning services for contraception seems to be relatively underdeveloped despite the importance of health problems associated with unplanned pregnancy in London. These findings raise questions about the capacity of health authorities to improve the quality of these services through the commissioning process.  (+info)

Trust in performance indicators? (4/1748)

The 1980s and 90s have seen the proliferation of all forms of performance indicators as part of attempts to command and control health services. The latest area to receive attention is health outcomes. Published league tables of mortality and other health outcomes have been available in the United States for some time and in Scotland since the early 1990s; they have now been developed for England and Wales. Publication of these data has proceeded despite warnings as to their limited meaningfulness and usefulness. The time has come to ask whether the remedy is worse than the malady: are published health outcomes contributing to quality efforts or subverting more constructive approaches? This paper argues that attempts to force improvements through publishing health outcomes can be counterproductive, and outlines an alternative approach which involves fostering greater trust in professionalism as a basis for quality enhancements.  (+info)

Assessment of management in general practice: validation of a practice visit method. (5/1748)

BACKGROUND: Practice management (PM) in general practice is as yet ill-defined; a systematic description of its domain, as well as a valid method to assess it, are necessary for research and assessment. AIM: To develop and validate a method to assess PM of general practitioners (GPs) and practices. METHOD: Relevant and potentially discriminating indicators were selected from a systematic framework of 2410 elements of PM to be used in an assessment method (VIP = visit instrument PM). The method was first tested in a pilot study and, after revision, was evaluated in order to select discriminating indicators and to determine validity of dimensions (factor and reliability analysis, linear regression). RESULTS: One hundred and ten GPs were assessed with the practice visit method using 249 indicators; 208 of these discriminated sufficiently at practice level or at GP level. Factor analysis resulted in 34 dimensions and in a taxonomy of PM. Dimensions and indicators showed marked variation between GPs and practices. Training practices scored higher on five dimensions; single-handed and dispensing practices scored lower on delegated tasks, but higher on accessibility and availability. CONCLUSION: A visit method to assess PM has been developed and its validity studied systematically. The taxonomy and dimensions of PM were in line with other classifications. Selection of a balanced number of useful and relevant indicators was nevertheless difficult. The dimensions could discriminate between groups of GPs and practices, establishing the value of the method for assessment. The VIP method could be an important contribution to the introduction of continuous quality improvement in the profession.  (+info)

Conditional Length of Stay. (6/1748)

OBJECTIVE: To develop and test a new outcome measure, Conditional Length of Stay (CLOS), to assess hospital performance when deaths are rare and complication data are not available. DATA SOURCES: The 1991 and 1992 MedisGroups National Comparative Data Base. STUDY DESIGN: We use engineering reliability theory traditionally applied to estimate mechanical failure rates to construct a CLOS measure. Specifically, we use the Hollander-Proschan statistic to test if LOS distributions display an "extended" pattern of decreasing hazards after a transition point, suggesting that "the longer a patient has stayed in the hospital, the longer a patient will likely stay in the hospital" versus an alternative possibility that "the longer a patient has stayed in the hospital, the faster a patient will likely be discharged from the hospital." DATA COLLECTION/EXTRACTION METHODS: Abstracted records from 7,777 pediatric pneumonia cases and 3,413 pediatric appendectomy cases were available for analysis. PRINCIPAL FINDINGS: For both conditions, the Hollander-Proschan statistic strongly displays an "extended" pattern of LOS by day 3 (p<.0001) associated with declining rates of discharge. This extended pattern coincides with increasing patient complication rates. Worse admission severity and chronic disease contribute to lower rates of discharge after day 3. CONCLUSIONS: Patient stays tend to become prolonged after complications. By studying CLOS, one can determine when the rate of hospital discharge begins to diminish--without the need to directly observe complications. Policymakers looking for an objective outcome measure may find that CLOS aids in the analysis of a hospital's management of complicated patients without requiring complication data, thereby facilitating analyses concerning the management of patients whose care has become complicated.  (+info)

Developing quality measures for adolescent care: validity of adolescents' self-reported receipt of preventive services. (7/1748)

OBJECTIVE: To demonstrate the feasibility of directly surveying adolescents about the content of preventive health services they have received and to assess the validity of adolescent self-reported recall. DATA SOURCES/SETTING: Audiotaped encounters, telephone interviews, and chart reviews with 14-21 year olds being seen for preventive care visits at 15 pediatric and family medicine private practices, teaching hospital clinics, and health centers. DESIGN: 537 adolescents presenting for well visits were approached, 400 (75 percent) consented, 374 (94 percent) were audiotaped, and 354 (89 percent) completed telephone interviews either two to four weeks or five to seven months after their visits. Audiotapes were coded for screening and counseling across 34 preventive service content areas. Intraobserver reliability (Cohen's kappa) ranged from 0.45 for talking about peers to 0.94 for discussing tobacco. The sensitivity and specificity of the adolescent self-reports were assessed using the audiotape coding as the gold standard. RESULTS: Almost all adolescents surveyed (94 percent) remembered having had a preventive care visit, 93 percent identified the site of care, and most (84 percent) identified the clinician they had seen. There was wide variation in the prevalence of screening, based on the tape coding. Adolescent self-report was moderately or highly sensitive and specific at two weeks and six months for 24 of 34 screening and counseling items, including having discussed: weight, diet, body image, exercise, seatbelts, bike helmet use, cigarettes/smoking, smokeless tobacco, alcohol, drugs, steroids, sex, sexual orientation, birth control, condoms, HIV, STDs, school, family, future plans, emotions, suicidality, and abuse. Self-report was least accurate for blood pressure/cholesterol screening, immunizations, or for having discussed fighting, violence, weapon carrying, sleep, dental care, friends, or over-the-counter drug use. CONCLUSION: Adolescents' self-report of the care they have received is a valid method of determining the content of preventive health service delivery. Although recall of screening and counseling is more accurate within two to four weeks after preventive care visits, adolescents can report accurately on the care they had received five to seven months after the preventive health care visits occurred.  (+info)

The development of a quality information system: a case study of Mexico. (8/1748)

One of the primary obstacles in the implementation of continuous quality improvement (CQI) programmes in developing countries is the lack of timely and appropriate information for decentralized decision-making. The integrated quality information system (QIS) described herein demonstrates Mexico's unique effort to package four separate, yet mutually reinforcing, tools for the generation and use of quality-related information at all levels of the Mexican national health care system. The QIS is one element of the continuous quality improvement programme administered by the Secretariat of Health in Mexico. Mexico's QIS was designed to be flexible and capable of adapting to local needs, while at the same time allowing for the standardization of health care quality assurance indicators, and subsequent ability to measure and compare the quality performance of health facilities nationwide. The flexibility of the system extends to permit the optimal use of available data by health care managers at all levels of the health care system, as well as the generation of new information in important areas often neglected in more traditional information systems. Mexico's QIS consists of four integrated components: 1) a set of client and provider surveys, to assess specific issues in the quality of health services delivered; 2) client and provider national satisfaction surveys; 3) a sentinel health events strategy; and 4) a national Comparative Performance Evaluation System, for use by the Secretariate of Health for the quality assessment of state and provincial health care services (internal benchmarking). The QIS represents another step in Mexico's ongoing effort to use data for effective decision-making in the planning, monitoring and evaluation of services delivered by the national health care system. The design and application of Mexico's QIS provides a model for decentralized decision-making that could prove useful for developing countries, where the effective use of quality indicators is often limited. Further, the system could serve as a mechanism for motivating positive change in the way information is collected and used in the process of ensuring high quality health care service delivery.  (+info)

Objective: The aim of this population-based study was to evaluate the impact of quality indicators on the adherence to guidelines for renal cell carcinoma (RCC).. Material and methods: Since 2005, virtually all patients with newly diagnosed RCC in Sweden have been registered in the National Swedish Kidney Cancer Register (NSKCR). The register contains information on histopathology, nuclear grade, clinical stage, preoperative work-up, treatment, recurrence and survival. In addition, a number of quality indicators have been measured in the register aiming to increase the quality of care. The quality indicators are: the coverage of the register, histology reports, preoperative chest computed tomography (CT), partial nephrectomy, laparoscopic surgery, centralization to high-volume hospitals and waiting times.. Results: A total of 8556 patients with diagnosed RCC were registered from 2005 to 2013 (99% coverage). In 2013, 99% of the histopathology reports were standardized. The number of patients with ...
HSE Performance Reports The Performance Report (PR) provides an overall analysis of key performance data from Finance, HR, Hospital and Primary & Community Services. The activity data reported is based on Performance Activity and Key Performance Indicators outlined in the National Service Plan 2012.. The PR is used by the Performance Monitoring & Control committee (PMCC), the CEO and the HSE Board to monitor performance against planned activity, as outlined in the NSP, and to highlight areas for improvement. The PR also provides an update to the DoHon the delivery of the NSP.. A Supplementary Report is also produced each month which provides more detailed data on the metrics covered in the Performance Report.. ...
Primary care serves as an entry point in the Thai health care system. Whilst effective interventions are provided in the primary care setting, the quality of the services have not been measured or tracked. A number of initiatives were undertaken to improve primary health care quality including the use of financial incentives to reward adherence to performance indicators. However, there were concerns that the current quality indicators had not been developed in a systematic, participatory, and evidence-based manner. Therefore, this study aims to develop new quality indicators for use in subsequent iterations of the program. The development of indicators follows a well-designed approach. Reviews of existing documents as well as secondary data analyses were performed and presented to key stakeholders. Disease areas were then prioritised. Recommendations from the Thai clinical practice guidelines on the prioritised areas were then used to formulate statements and templates for each indicator. Finally, the
Performance indicators in the long term care sector are important to evaluate the efficiency and quality of care delivery. We are, however, still far from being able to refer to a common set of indicators at the European level. We therefore demonstrate the calculation of Long Term Care Facility Quality Indicators (LTCFQIs) from data of the European Services and Health for Elderly in Long TERm Care (SHELTER) project. We explain how risk factors are taken into account and show how LTC facilities at facility and country level can be compared on quality of care using thresholds and a Quality Indicator sum measure. The indicators of Long Term Care Facility quality of care are calculated based on methods that have been developed in the US. The values of these Quality Indicators (QIs) are risk adjusted on the basis of covariates resulting from logistic regression analysis on each of the QIs. To enhance the comparison of QIs between facilities and countries we have used the method of percentile thresholds and
Background: The aim of this study is to validate a previously published consensus-based quality indicator set for the management of patients with traumatic brain injury (TBI) at intensive care units (ICUs) in Europe and to study its potential for quality measurement and improvement. Methods: Our analysis was based on 2006 adult patients admitted to 54 ICUs between 2014 and 2018, enrolled in the CENTER-TBI study. Indicator scores were calculated as percentage adherence for structure and process indicators and as event rates or median scores for outcome indicators. Feasibility was quantified by the completeness of the variables. Discriminability was determined by the between-centre variation, estimated with a random effect regression model adjusted for case-mix severity and quantified by the median odds ratio (MOR). Statistical uncertainty of outcome indicators was determined by the median number of events per centre, using a cut-off of 10. Results: A total of 26/42 indicators could be calculated ...
The general aim of this study was to identify strategic and clinical quality indicators in surgical nursing care. The methods used were a literature review, focus group interviews and a survey with a questionnaire.. In the literature the most frequently found definition of a clinical indicator was a quantitative measure that can be used as a guide to monitor and evaluate the quality of important patient care and support activities. To uncover clinical nurses perceptions of important aspects of surgical nursing care, four focus group interviews were undertaken. A tentative model with two dimensions and fifteen categories emerged from the data analysis. This model was used as a base for designing items to be effective as strategic and clinical quality indicators in postoperative pain management. A questionnaire to 233 clinical nurses was compiled to establish the usefulness and relevance of the items designed. Generally, all the items had high scores as being essential, realistic to carry out, ...
Disclaimer: The views expressed in this manuscript are those of the authors and do not necessarily reflect official policy of the Centers for Medicare & Medicaid Services.. Acknowledgments: This report is dedicated to the more than 270 000 patients receiving dialysis in the United States who inspired the authors to improve their understanding of dialysis. The ESRD Clinical Performance Measures Project and the U.S. Renal Data System (USRDS) have supplied the data reported in this study. The authors thank the numerous ESRD facilities and ESRD Network personnel whose diligence and conscientious efforts resulted in the success of the ESRD Clinical Performance Measures Project. They also thank Greg Russell for his expertise with SAS graphics and Laura Furr for her secretarial assistance.. Grant Support: None.. Potential Financial Conflicts of Interest:Honoraria: M.V. Rocco (Amgen, NxStage), W.M. McClellan (Amgen, Ortho Biotech, Roche).. Requests for Single Reprints: Michael V. Rocco, MD, MS, Section ...
This is the clinical quality indicator for the proportion of our clinicians achieving a 90% completion rate (or caecal intubation rate) in colonoscopy. The caecal intubation rate is the proportion of colonoscopies performed by a clinician where the entire colon is visualised up to and beyond the ileo-caecal valve.. ...
In this study of Ontario EDs, we compared the change in performance on quality indicators for patients with AMI, asthma and fracture in EDs that had improved their overall LOS over the study period with those that had not. Performance on quality indicators was similar at baseline among improved and non-improved EDs, but varied considerably depending on the indicator, suggesting there is room to improve performance on these particular indicators. On the other hand, we did not find an association between improvement in overall ED LOS over the study period and change in quality of care, even for measures reflecting timeliness of care. With respect to our secondary hypothesis, we found an association between shift-level ED crowding at the time of patient visit and performance, but only for quality indicators related to the timeliness of care. These findings suggest that strategies to address ED crowding that are aimed at reducing overall ED LOS will not necessarily be associated with improvements in ...
The overall patient mortality rate for the 20 conditions consistently reported in 2002 through 2008 decreased significantly, falling from 5.1% in 2002 to 4.2% in 2008, according to the states annual Hospital Performance Report released today by the Pennsylvania Health Care Cost Containment Council (PHC4).
Background: Quality indicators (QI) have been developed to define appropriate antibiotic use in hospitalized patients. A checklist based on these QIs could be a useful tool to promote appropriate antibiotic use in daily practice. Methods: We developed an antibiotic checklist, which applied to hospitalized adult non-ICU patients with a bacterial infection in whom intravenous (IV) antibiotic therapy was initiated. It was divided into two bundles; the first should be completed at start of treatment, and the second during the first 72 hours of treatment.. The checklist was implemented in nine Dutch hospitals using a stepped wedge study design (SWD) (figure 1). Outcomes before (baseline) and after introduction of the checklist (intervention) were compared with mixed effect models. The number of patients included in the baseline period was determined by a power analysis; in the intervention period all eligible patients were included. The primary endpoint was length of stay (LOS); secondary endpoint ...
Wastewater quality indicators are laboratory test methodologies to assess suitability of wastewater for disposal or re-use. Tests selected and desired test results vary with the intended use or discharge location. Tests measure physical, chemical, and biological characteristics of the waste water. Aquatic organisms cannot survive outside of specific temperature ranges. Irrigation runoff and water cooling of power stations may elevate temperatures above the acceptable range for some species. Elevated temperature can also cause an algae bloom which reduces oxygen levels. (See thermal pollution.) Temperature may be measured with a calibrated thermometer. Solid material in wastewater may be dissolved, suspended, or settled. Total dissolved solids or TDS (sometimes called filterable residue) is measured as the mass of residue remaining when a measured volume of filtered water is evaporated. The mass of dried solids remaining on the filter is called total suspended solids (TSS) or nonfiltrable ...
i Annual Performance Report Wildlife Management in North Carolina W57-37 (F11AF00451) July 1, 2011 - June 30, 2012 Volume LXXXV ANNUAL PERFORMANCE REPOR North Carolina Wildlife Resources Commission Division of Wildlife Management ii WILDLIFE MANAGEMENT IN NORTH CAROLINA GRANT W-57-37 (F11AF00451) JULY 1, 2011- JUNE 30, 2012 TABLE OF CONTENTS I COORDINATION Coordinators Report 1 II SURVEYS AND INVENTORIES 5 Coordinators Report 5 Surveys, Research and Status of Game and Furbearer Populations 6 III TECHNICAL GUIDANCE 20 Coordinators Report 20 Category 1: To provide technical guidance to government agencies 21 Category 2: To provide technical guidance to private landowners 22 Category 3: To provide technical guidance to wildlife problem situations 23 IV OPERATIONS AND MAINTENANCE ON GAMELANDS 24 Coordinators Summary 24 Game Lands Management 25 V OTHER STATEWIDE ACTIVITIES 28 Coordinators Summary 28 Study HD-1 Human Dimensions of Wildlife Management 29 ATTACHMENT GPRA 311 SECTION I - COORDINATION ...
i Annual Performance Report Wildlife Management in North Carolina W57-37 (F11AF00451) July 1, 2011 - June 30, 2012 Volume LXXXV ANNUAL PERFORMANCE REPOR North Carolina Wildlife Resources Commission Division of Wildlife Management ii WILDLIFE MANAGEMENT IN NORTH CAROLINA GRANT W-57-37 (F11AF00451) JULY 1, 2011- JUNE 30, 2012 TABLE OF CONTENTS I COORDINATION Coordinators Report 1 II SURVEYS AND INVENTORIES 5 Coordinators Report 5 Surveys, Research and Status of Game and Furbearer Populations 6 III TECHNICAL GUIDANCE 20 Coordinators Report 20 Category 1: To provide technical guidance to government agencies 21 Category 2: To provide technical guidance to private landowners 22 Category 3: To provide technical guidance to wildlife problem situations 23 IV OPERATIONS AND MAINTENANCE ON GAMELANDS 24 Coordinators Summary 24 Game Lands Management 25 V OTHER STATEWIDE ACTIVITIES 28 Coordinators Summary 28 Study HD-1 Human Dimensions of Wildlife Management 29 ATTACHMENT GPRA 311 SECTION I - COORDINATION ...
Monthly media performance reports covering the top 15 entities in a Trend sector (e.g., Energy Trends) are FREE and do not require a membership subscription. Each report provides media prominence ratings, rankings, sentiment, and advertising value equivalent in easy-to-read tabular and graphical formats for the preceding month of media coverage, providing benchmarks and comparisons across 14 individual media segments, including a 4-year analytic history. Reports include one page of sector highlights, a two-page sector-level summary, and individual two-page reports on the top 15 sector entities by media rating.. To access dashboard-based media analytics for all 3,500+ trends, brands, and influencers, start your 30-day, no obligation free trial today. [Switch to Brand Reports / Switch to Influencer Reports ...
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Pharmaceutical care is understood as a quality concept and working method for the responsible provision of medicine therapy for definite outcomes in the interest of patients quality of life (Hepler and Strands definition - 1990). The main goal of the EDQM Pharmaceutical Care Quality Indicators Project was to develop, test and validate 4 sets of quality indicators. For each indicator set, pilot studies were carried out in different countries in Europe under real-life conditions, and in different healthcare settings. A total of 19 collaborators from 12 countries in Europe were involved in the last phase of the project. In conclusion the project drew up and validated 4 basic sets of quality indicators covering 4 key areas of the pharmaceutical care process. These indicators can be used by health authorities and healthcare professionals to evaluate pharmaceutical care practices and policies, and to promote the efficient and safe use of medicines, leading to the best possible medication outcome for ...
Public reporting has multiple goals. In the first instance, it is intended to enable patients and referring physicians to make a well-informed choice of healthcare providers by facilitating comparison of the quality of care across providers [1, 2]. It is also meant to induce change in the clinical performance of healthcare providers by enhancing quality improvement activities [1, 2]. Furthermore, it intends to establish public accountability [2, 3]. Despite the widespread practice to publicly report healthcare providers performance data, little is known about its actual effects. In 2008, a systematic review by Fung et al. [4] revealed that hospitals public reporting is associated with a stimulation of quality improvement activities. Fung et al. could only find inconsistent associations between public reporting and hospital selection or improved effectiveness, respectively. Evidence on the impact of public reporting on patient safety and patient-centeredness is still scant [4].. The quality ...
Hip fracture is the most common serious injury affecting older people. It is a major cause of mortality, morbidity and loss of independence. Improvements in hip fracture care and reduction of the incidence of further hip fracture by effective secondary prevention are major goals for the NHS and society.. Care that meets the standards of the best practice tariff offers the best outcomes for patients who have suffered a hip fracture.. ...
Indicators can be based on clinical guidelines.55,77-,79 Such indicators for general practice have been developed and disseminated widely in the NHS in the UK for four important clinical conditions (diabetes, coronary heart disease, asthma, and depression),80 using methods proposed by AHCPR.55 Review criteria were derived from at least one clinical guideline which met a set of quality standards, using structured questions and feedback to test the face and content validity-as well as the feasibility-of the criteria with a panel of over 60 general practitioners.. Hadorn and colleagues81 described how 34 recommendations in a guideline on heart failure were translated into eight review criteria. Because review criteria must be specific enough to assure the reliability and validity of retrospective review, they used two selection criteria to guide whether each recommendation based criterion should be retained in the final selection-importance to quality of care and feasibility of monitoring. They ...
AHRQ Quality Indicators, QI, use hospital inpatient administrative data to measure health care quality, identify areas for further study, and track changes over time.
YouTube releases the Google Video Quality Report, a tool that shows how your video-streaming quality compares to your neighbors.The Google Video Quality Report is available to people in the US and Canada, where it launched in January. It compares your streaming video quality to three standards: HD ...
Changing family practice (voluntary disenrollment) without changing address may indicate dissatisfaction with care. We investigate the potential to use voluntary disenrollment as a quality indicator for primary care.
Data and research on labour markets, human capital, inequality, income inequality, social capital and knowledge based capital., France: Indicators on inequality outcomes and policies affecting them
This report summarises information Australia provided in 2013 to the Organisation for Economic Co-operation and [email protected] Health Care Quality Indicators [email protected] data collection and compares...
RNA quantification and QC are critical to successful downstream RT-PCR, microarray and RNAseq analyses, as the results are heavily impacted by the purity and integrity of the input RNA. Conventional methods for assessing RNA integrity such as denaturing gel electrophoresis, have been replaced in recent years by more convenient microfluidics- or capillary-based technologies. These new automated methods are advantageous, requiring less sample input while providing standardized processing with an objective RNA integrity assessment. Different companies have established their own RNA quality indicator numbers, based on proprietary algorithms considering various electrophoretic features of the analyzed samples ...
Which quality indicators reflect the most sensitive changes in the soil properties of the surface horizons affected by the erosion processes? | Petra Bíla, Bořivoj Šarapatka, Ondřej Horňák, Jaroslava Novotná, Martin Brtnický | Agricultural Journals
Background: Pay for performance incentives are becoming increasingly popular, but are typically based on only a single point-in-time measurement as an indicator of chronic condition management. Aims: To determine the association between three time-interval based indicators of suboptimal blood pressure (BP) control and two point-in-time indicators from the UK Quality and Outcomes Framework (QOF): BP5 (the percentage of patients with hypertension in whom the last BP in the previous nine months was ≤150/90) and DM12 (the percentage of patients with diabetes in whom the last BP in the previous 15 months was ≤145/85). Methods: We extracted classification data and BP measurements from four New Zealand general practices with 4260 to 6130 enrolled patients. Data were analysed for three indicators with respect to a nine-month evaluation period for patients with hypertension and a 15-month period for patients with diabetes: (1) two or more consistently high BP measurements spaced over ≥90 days, (2) ...
Two essential components of creating patient value is measurement of cost and quality. In a new article Quantros Lindsey Klein, Vice President of Product, breaks down why Risk-Adjusted Models for Measuring Hospital Quality of Care are essential.. Not all patients are created equal. By Lindsey M. Klein. Publicly available hospital quality and safety information has diversified and proliferated significantly during the past two decades. Consumers, commercial insurance providers, self-insured companies, and hospitals are relying on these measurements more and more to make better cost and quality decisions.. Today, hospitals are increasingly reimbursed based on quality performance data. They also use it to assess performance, set benchmarks, and drive quality improvement initiatives.. A history in healthcare. Quality measurements have a long history in healthcare. However, the past two decades have seen a dramatic increase in measurement initiatives for hospitals quality of care. In 1997, the ...
What are the required clinical areas? I have a foggy interpretation (psych, l&d, peds, med-surg ???) but wondered 1) whats required and 2) how do you gain experience in an area of interest? Do
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The Performance Assurance Report provides analysis of key performance data from Acute, Mental Health, Social Care, Primary Care, Health and Wellbeing
This report provides an assessment of state and territory performance against 4 of the 5 performance benchmarks outlined in the National Partnership on Essential Vaccines, for the assessment period...
Quality of near end-of-life (EOL) care is typically evaluated using six accepted quality indicators (QIs). Research has yet to evaluate the quality of EOL care for liver cancer patients in Taiwan. We evaluated the effect of hospice care on the quality of EOL care for patients with advanced liver cancer. Using claims data obtained from the Taiwan National Health Insurance Research Database, we analyzed the QIs of EOL care for patients who died between 2000 and 2011. Logistic regression was performed to identify predictors for QIs of EOL care. A total of 3092 adult patients died of liver cancer during the study period. The patients were divided into those who received hospice care for a period longer than 1 month (long-H group), shorter than 1 month (short-H group), and not at all (non-H group). There was no significant difference in survival probability among the three groups (p = 0.212). Compared with the non-H group, the long- and short-H groups exhibited a significantly lower risk of being admitted to
TY - JOUR. T1 - To what extent do structural quality indicators of (nutritional) care influence malnutrition prevalence in nursing homes?. AU - van Nie-Visser, N.C.. AU - Meijers, J.M.. AU - Schols, J.M.. AU - Lohrmann, C.. AU - Spreeuwenberg, M.. AU - Halfens, R.J.. PY - 2015/1/1. Y1 - 2015/1/1. N2 - BACKGROUND & AIMS: Many residents in European healthcare institutions are malnourished, with reported malnutrition prevalence rates of up to 60%. Due to the negative effects of malnutrition it is important to optimize the quality of nutritional care. If structural quality indicators of nutritional care might improve resident care and outcome is not yet known. The aim of this study is to explore whether structural quality indicators for nutritional care influence malnutrition prevalence in Dutch, German and Austrian nursing homes. METHODS: This study follows a cross-sectional, multi-center design. Data were collected by using a standardised questionnaire at resident, ward and institution level. ...
TY - JOUR. T1 - The development of quality indicators for systemic lupus erythematosus using electronic health data. T2 - A modified RAND appropriateness method. AU - Yajima, Nobuyuki. AU - Tsujimoto, Yasushi. AU - Fukuma, Shingo. AU - Sada, Ken ei. AU - Shimizu, Sayaka. AU - Niihata, Kakuya. AU - Takahashi, Ryo. AU - Asano, Yoshihide. AU - Azuma, Teruhisa. AU - Kameda, Hideto. AU - Kuwana, Masataka. AU - Kohsaka, Hitoshi. AU - Sugiura-Ogasawara, Mayumi. AU - Suzuki, Katsuya. AU - Takeuchi, Tsutomu. AU - Tanaka, Yoshiya. AU - Tamura, Naoto. AU - Matsui, Toshihiro. AU - Mimori, Tsuneyo. AU - Fukuhara, Shunichi. AU - Atsumi, Tatsuya. PY - 2020/5/3. Y1 - 2020/5/3. N2 - Objective: Quality indicators (QIs) are tools that standardize evaluations in terms of the minimum acceptable quality of care, presumably contributing for the better management of patients with systemic lupus erythematosus (SLE). This study aimed to develop QIs for SLE using electronic health data. Methods: The modified RAND/UCLA ...
Background: There is a wide practice gap between optimal and actual care for patients with acute myocardial infarction in hospitals around the world. We undertook this initiative to develop an updated set of evidence-based indicators to measure and improve the quality of care for this patient population.. Methods: A 12-member expert panel was convened in 2007 to develop an updated set of quality indicators for acute myocardial infarction. The panel identified a list of potential indicators after reviewing the scientific literature, clinical practice guidelines and other published quality indicators. To develop the new list of indicators, the panel rated each potential indicator on 4 dimensions (reliability, validity, feasibility and usefulness in improving patient outcomes) and discussed the top-ranked quality indicators at a consensus meeting.. Results: Consensus was reached on 38 quality indicators: 17 that would be measurable using chart-abstracted data and 21 that would be measurable using ...
A method of determining a quantitative statement concerning the quality of a medical measurement signal in pulsoximetry includes the steps of determining factors relevant to the measurement signal and interlinking the factors by means of an uncertain logic into a quality indicator. The factors relate to combinations selected from the group consisting of signal recording, signal processing, and signal evaluation. The uncertain logic includes fuzzy logic. The quality indicator quantitatively describes a quality of a determined measurement value of the measurement signal.
Facts and indicators on palliative care development in 52 countries of the WHO European region: results of an EAPC task force . Facts and indicators on palliative care development in 52 countries of the WHO European region: results of an EAPC task force
Message from the Chair and Chief Executive Officer I am pleased to present the Canadian Transportation Agencys 2011-2012 Departmental Performance Report. The Agency has worked hard to continue to strengthen its reputation as a trusted, respected tribunal and economic regulator. This Report highlights the Agencys performance against the goals set out in its 2011-2012 Report on Plans and Priorities and our role in helping to achieve an efficient, effective and accessible federal transportation network.
Monitoring the quality of health care by means of performance indicator scores is part and parcel of national health care systems. Performance indicators (PIs) are used to monitor and improve quality and patient safety and to stimulate accountability and market processes in countries worldwide (e.g. USA (, UK (, and Denmark ( To play this role effectively, performance indicators need to be reliable and valid measures of health care quality [1-3] particularly when hospitals performances are ranked and published in the lay press [4] and/or used to link reimbursement to indicator results [4, 5].. National hospital performance indicator programs commonly use PIs that are selected on basis of expert judgment (e.g. medical doctors, patient organizations) and existing scientific evidence [6] about valid relations between health care processes and outcome indicator (e.g. [7]). These PIs have often been successfully implemented in other ...
Newborn screening is a public health program facilitated by state public health departments with the goal of improving the health of affected newborns throughout the country. Experts in the newborn screening community established a panel of eight quality indicators (QIs) to track quality practices within and across the United States newborn screening system. The indicators were developed following iterative refinement, consensus building, and evaluation. The Newborn Screening Technical assistance and Evaluation Program (NewSTEPs) implemented a national data repository in 2013 that captures the quality improvement metrics from each state. The QIs span the newborn screening process from collection of a dried blood spot through medical intervention for a screened condition. These data are collected and analyzed to support data-driven outcome assessments and tracking performance to improve the quality of the newborn screening system.
TY - JOUR. T1 - Differences in primary palliative care between people with organ failure and people with cancer: An international mortality follow-back study using quality indicators. AU - Penders, Yolanda W. H.. AU - Onwuteaka-Philipsen, Bregje. AU - Moreels, Sarah. AU - Donker, G. A.. AU - Miccinesi, Guido. AU - Alonso, Tomás Vega. AU - Deliens, Luc. AU - van den Block, Lieve. PY - 2018. Y1 - 2018. N2 - Background: Measuring the quality of palliative care in a systematic way using quality indicators can illuminate differences between patient groups. Aim: To investigate differences in the quality of palliative care in primary care between people who died of cancer and people who died of organ failure. Design: Mortality follow-back survey among general practitioners in Belgium, the Netherlands, and Spain (2013-2014), and Italy (2013-2015). A standardized registration form was used to construct quality indicators regarding regular pain measurement, acceptance of the approaching end of life, ...
BackgroundThe Flemish government identifies a need for quality monitoring and quality improvement in advance care planning, palliative care and end-of-life care in Flemish nursing homes. This research project was started to address this need, supporting quality assessment and quality improvement by developing quality indicators for palliative care, advance care planning and
In 2013, the Canadian Cardiovascular Society (CCS) Cardiac Surgery Quality Indicator Working Group selected five cardiac surgery quality indicators - 30-day mortality rates following isolated CABG, 30-day mortality rates following isolated AVR, 30-day mortality rates following combined CABG/AVR, 30-day rates of readmission following isolated CABG, and 365-day rates of cardiac readmission following isolated CABG. In order to operationalize these quality indicators, the CCS partnered with the Canadian Institute for Health Information (CIHI) to produce the Cardiac Care Quality Indicator (CCQI) report, a report which publicly disseminates crude and risk-adjusted rates of the aforementioned quality indictors by centre and over time ...
TY - JOUR. T1 - Validation of Four Clinical Indicators of Preventable Drug-Related Morbidity. AU - Flanagan, Priti S.. AU - MacKinnon, Neil J.. AU - Bowles, Susan K.. AU - Kirkland, Susan A.. N1 - Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2004/1. Y1 - 2004/1. N2 - BACKGROUND: Clinical indicators are tools that assess quality issues related to the use of medicines. At this time, validated clinical indicators for preventable drug-related morbidity (PDRM) are lacking. OBJECTIVE: To assess the validity and reliability of using population administrative claims data to identify the extent of PDRM in older adults in Canada. METHODS: Four indicators of PDRM related to cerebrovascular and cardiovascular care were chosen for validation. A random sample of cases that represented the indicators and fit the criteria (hits) for PDRM from the retrospective operationalization of the study database and those that did not fit the criteria (near hits) were selected for chart review. ...
The Pennsylvania Health Care Cost Containment Council (PHC4) is an independent state agency responsible for addressing the problem of escalating health costs, ensuring the quality of health care, and increasing access for all citizens regardless of ability to pay.
Performance measurement is an essential element of every total quality management system. Responsibility for implementing a performance measurement program rests with your organizations managers and ...
Actions Taken if Noncompliance Found in FFY 2010 Is Not Corrected:. All findings from FFY 2010 have been corrected to date.. Verification of Correction of FFY 2010 Noncompliance (either timely or subsequent):. The State verified that each LEA with noncompliance identified in FFY 2010 for this indicator: (1) is correctly implementing 34 CFR §§300.320(b) and 300.321(b) (i.e., achieved 100 percent compliance) based on a review of updated data such as data subsequently collected through on-site monitoring or a State data system; and (2) has corrected each individual case of noncompliance, unless the child is no longer within the jurisdiction of the LEA, consistent with OSEP Memo 09-02.. Specifically, the State verified correction of noncompliance by reviewing individual student records, including records of individual students whose IEPs were identified as noncompliant, The State also verified the correction of noncompliance for NYC by requiring annual monitoring for compliance with this ...
Although the underlying rates of the outcome indicators vary substantially by measure, by subpopulation, and by State-up to a 17-fold difference by State-we find evidence of systematic patterns across outcome indicators. These patterns tend to hold across measures even though each measure has a different average rate.. The rates of outcome indicators vary dramatically by population subgroup. Rates among dual eligibles tend to be much higher than among other subgroups. Rates generally are lowest in the I/DD population. These findings are consistent with expectations based on age differences and the likely underlying health condition.. The findings may be explained by the choice of measures, because the outcome indicators tend to relate to problems with frail physical health, rather than to conditions that may affect people with generally good physical health but other disabilities (I/DD, mental health conditions). Other outcome indicators than those we consider here may exhibit different ...
May 2, 2016 - Six new quality measures have been added to the Nursing Home Compare website and three are the first to be based on Medicare-claims data from hospitals, rather than data self-reported by nursing homes. With these updates, it now reports information on 24 quality measures for 15,655 nursing home providers.
The original version was signed by The Honourable Gerry Ritz, PC, MP Minister of Agriculture and Agri-Food, For the period ending March 31, 2012
Monthly Bacteriological Reports are updated weekly and provide test results for the previous 4 weeks. ** Year-To-Date (YTD) Reports are updated shortly after the end of each month and provide a summary of the previous 12 months of data along with summary statistics for each sampling location. Note 1. Bacteriological samples may not be collected each week from each location (in accordance with the sampling program). This means that some weeks may not have test results for a given parameter. In general, there is a two-week lag period before bacteriological results appear in the reports (time required to analyze and transfer the bacteriological data into the database). Note 2. Explanation of Table Headings for Water Quality Reports.. ...
University Performance Indicators are included in the Strategic Plan 2015-2020 publication and are used to guide and measure performance.. University Performance Targets are specific statements about the level of performance or a milestone that is to be achieved. The University Performance Targets are included within a supplementary document and are reviewed annually to reflect the changing internal and external environment.. The high level University Performance Indicators and Targets do not measure all of the Universitys activities. Further breakdowns and/or additional measures are identified within the Portfolio Programs, Organisational Unit Plans and Individual Performance Plans.. The Universitys progress against the Strategic Goals and Key Result Areas is monitored through the biannual Traffic Light Report. The Report provides an update on key project milestones and an analysis of the high-level University Performance Indicators and Targets. ...
Quality Improvement Reports (submitted as article type Original Article) Abstract length: 250 words or fewer Article length: 3,000 words or fewer. Figures/tables: 5 or fewer. Quality reports pertaining to inpatient care will be considered. Authors are expected to generally follow the Standard for Quality Improvement Reporting Excellence (SQUIRE) Guidelines for reporting their quality improvement projects. These guidelines are described in detail on the SQUIRE website at Authors should note that the basic structure of a quality report will mirror the rest of the journal, using the IMRaD (Introduction, Methods, Results, Discussion) format. The following is a brief description of the sections of a quality report:. Introduction: Why did you start? Summarizes background, local problem/setting, and specific aim(s) of project.. Methods: What did you do? Describes contextual issues, the intervention itself, implementation and evaluation/measurement plan.. Results: What did ...
This Future of Healthcare Quality Open Forum answered your questions from our February 9 webinar and continued the discussion on health equity, future of digital measurement, modernizing patient experience measurement, and value based payment models. The speakers were NCQAs Peggy OKane, President, Michael Barr, MD, Executive Vice President, Quality Measurement and Research Group, Brad Ryan, MD, Chief Product Officer, Mary Barton, MD, Vice President, Performance Measurement, Rick Moore, PhD, Chief Information Officer and Sarah Scholle, Vice President of Research & Analysis. ...
Upstate University Hospital is built around a Patients First Philosophy that puts patients and their families at the center of the care experience.. Quality is closely monitored through regular hospital reviews and benchmark data with peer hospitals across the country, and by listening to patients and their families. This information is used to develop positive change in the delivery of care.. University Hospital is committed to sharing its quality measures with the community. The Key Performance Indicators are a roll up of the information used to generate hospital quality report cards. Please see Quality of Care for more detailed reports. ...
Have learners prepare a presentation of the chart audit findings across the three time periods or the practice. Have them include run charts and other graphic displays of the performance data in the presentation. Learners may use the Performance Report Generator (available at: or another method of their choosing to generate displays ...
Objective Ambiguous definitions of quality measures in natural language impede their automated computability and also the reproducibility, validity, timeliness, traceability, comparability, and interpretability of computed results. Therefore, quality measures should be formalized before their release. We have previously developed and successfully applied a method for clinical indicator formalization (CLIF). The objective of our present study is to test whether CLIF is generalizablethat is, applicable to a large set of heterogeneous measures of different types and from various domains. Materials and methods We formalized the entire set of 159 Dutch quality measures for general practice, which contains structure, process, and outcome measures and covers seven domains. We relied on a web-based tool to facilitate the application of our method. Subsequently, we computed the measures on the basis of a large database of real patient data. Results Our CLIF method enabled us to fully formalize 100% of ...
venta de ebook - Here is a chapter from Portfolio Performance Measurement and Benchmarking, which will help you create a system you can use to accuratel
articles, news, reports and publications on quality of healthcare, quality assurance, quality improvement, quality indicators, quality measures, health services research, patient safety, medical errors, hospital performance, health information technology and more from The New England Journal of Medicine, The Lancet, JAMA, BMJ, CMAJ, MJA, Medical Care, Health Affairs and other leading medical journals and from AHRQ, CMWF, CMS, RAND, NHS and other international health Agency. ...
articles, news, reports and publications on quality of healthcare, quality assurance, quality improvement, quality indicators, quality measures, health services research, patient safety, medical errors, hospital performance, health information technology and more from The New England Journal of Medicine, The Lancet, JAMA, BMJ, CMAJ, MJA, Medical Care, Health Affairs and other leading medical journals and from AHRQ, CMWF, CMS, RAND, NHS and other international health Agency. ...
f) Evaluate, in consultation with the districts and other interested parties, air quality-related indicators that may be used to measure or estimate progress in the attainment of state standards and establish a list of approved indicators. On or before July 1, 1993, the state board shall identify one or more air quality indicators to be used by districts in assessing progress as required by subdivision (b) of Section 40924. The state board shall continue to evaluate the prospective application of air quality indicators and, upon a finding that adequate air quality modeling capability exists, shall identify one or more indicators that may be used by districts in lieu of the annual emission reductions mandated by subdivision (a) of Section 40914. In no case shall any indicator be less stringent or less protective, on the basis of overall health protection, than the annual emission reduction requirement in subdivision (a) of Section 40914 ...
When physicians are unwell, the performance of health-care systems can be suboptimum. Physician wellness might not only benefit the individual physician, it could also be vital to the delivery of high-quality health care. We review the work stresses faced by physicians, the barriers to attending to …
This is the accessible text file for GAO report number GAO-04-49 entitled Information Technology Management: Governmentwide Strategic Planning, Performance Measurement, and Investment Management Can Be Further Improved which was released on February 11, 2004. This text file was formatted by the U.S. General Accounting Office (GAO) to be accessible to users with visual impairments, as part of a longer term project to improve GAO products accessibility. Every attempt has been made to maintain the structural and data integrity of the original printed product. Accessibility features, such as text descriptions of tables, consecutively numbered footnotes placed at the end of the file, and the text of agency comment letters, are provided but may not exactly duplicate the presentation or format of the printed version. The portable document format (PDF) file is an exact electronic replica of the printed version. We welcome your feedback. Please E-mail your comments regarding the contents or ...
Quality Measures 101 Quality measures are used to evaluate the performance of health systems and providers with a goal of improving health care quality. Quality measures are becoming an integral component of healthcare as the health care system moves to value-based payment models that focus on quality and cost.
OBJECTIVE: To develop a valid quality measure that captures clinical inertia, the failure to initiate or intensify therapy in response to medical need, in diabetes care and to link this process measure with outcomes of glycemic control. DATA SOURCES: Existing databases from 13 Department of Veterans Affairs hospitals between 1997 and 1999. STUDY DESIGN: Laboratory results, medications, and diagnoses were collected on 23,291 patients with diabetes. We modeled the decision to increase antiglycemic medications at individual visits. We then aggregated all visits for individual patients and calculated a treatment intensity score by comparing the observed number of increases to that expected based on our model. The association between treatment intensity and two measures of glycemic control, change in HbA1c during the observation period, and whether the outcome glycosylated hemoglobin (HbA1c) was greater than 8 percent, was then examined. PRINCIPAL FINDINGS: Increases in antiglycemic medications occurred at
OBJECTIVE/RESEARCH QUESTION Optimising glycaemic control during hospital stay reduces rate of infections, length of stay and mortality,in particular in surgical patients. In guidelines and literature recommendations on optimal perioperative diabetes care are described. Nevertheless, in daily practice, perioperative glycaemic control is very often not achieved. This study aims at developing an implementation strategy that is tested on feasibility to improve perioperative diabetes care in terms of effectiveness, experiences and costs.. DESIGN/OUTCOME MEASURES/IMPLEMENTATION STRATEGY A step-wise implementation model is applied: 1) recommendations on optimal perioperative diabetes care (e.g. the administration of intravenous insulin, encouragement of diabetes self-management) are systematically translated into quality indicators; 2a) using these quality indicators, current care is measured by performing a medical record search among 400 patients in 6 hospitals; 2b) barriers and facilitators for ...
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Older adults are more likely to be afflicted with a variety of age-related diseases and functional impairments that interfere with nutritional status.
Since most RNA-binding proteins fulfil their function in the context of RNA-protein complexes, knowledge of RNAs associated with specific RBPs is essential to elucidate their functions. In order to identify these transcripts, new methods must be developed or existing successful protocols for the identification of protein-protein interactions must be adapted. Although several recent publications have identified RNA partners from RNP-complexes [9, 16], there are so far no reports on the quality of the RNAs purified from these complexes. Here we demonstrate that the method used for cell lysis of yeast cells is of great importance for isolation of intact complexes. Whereas standard lysis methods like disruption by French Press or glass bead mill lead to massive RNA degradation (Figures 1, 2, 3), grinding yeast cells at ultra-low temperatures leaves cellular RNA intact (Figures 4, 5).. The major difference between the lysis methods compared in this study is the timing between addition of the RNase ...
Upon prosperous completion with the class, learners should be able to: assess how various perspectives influence societys definition of getting old; Examine world-wide populace traits among the older Older people, taking into consideration gender, racial, ethnic, and site differences; discover various concerns linked to gerontological investigation, such this link as unique investigate equipment, measurements, and methodologies, in addition to distinctive hazards and Unique considerations for analysis with elderly populations; summarize the effects of Organic ageing on health and fitness, wellness, and susceptibility to unique Long-term illnesses; Look at various types of temperament among aging Older people, which includes Havinghurts product, the five-factor model, as well as Neo-Freudian standpoint; assess how memory, cognition, intelligence, and creativity adjust with age; demonstrate the challenges of mental ailment and material abuse for older Grown ups; describe and Examine other ways ...
The article reports chaos in a large health care company. After the creation of the accurate physician database, the decision was made to begin physician performance reports. Both the office of the chief medical officer and the physician council developed the format. The choice of what clinical indicators to rate physicians on was greatly eased by the nephrology community agreeing on certain national measures, such as dialysis adequacy, nutritional measures and anemia management. Medical directors of individual facilities were accountable for the performance of attending physicians in their facilities ...
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And finally, some disorders that modify the two the risk of coronary heart failure and chance of existing NSAID use might not are fully accounted for On this study. To shield against this possibility, we adjusted all our estimates for concomitant (that is certainly, in the current period of time) utilization of distinct prescription drugs (eg, nitrates, diuretics, or other drugs for cardiovascular illnesses) to be a proxy of patients present-day wellness position. Continue to, residual confounding cannot be excluded. For example, gout is likely an uncontrolled confounder of your association between current utilization of NSAIDs and heart failure threat With this study. This is due to gout is surely an independent risk element for coronary heart failure,47 and NSAIDs are the main pharmacological option for dealing with acute gout episodes ...
Why do Americans keep on to pay the best prices for drugs on the globe? Lawmakers have sculpted distinct policies, often not found in all kinds of other nations, that Strengthen pharmaceutical field earnings. Meanwhile, the drug marketplace has spent $61 million on point out elections and almost $67 million on federal elections considering that 2010. The two parties have designed pivotal selections ... which have stored drug selling prices higher. Coverage businesses and pharmacy gain administrators, or PBMs, over the U.S., encounter a click here minimum of 9 course-action lawsuits alleging they connected arbitrary premiums to the costs of frequently fewer-high-priced, generic prescription medication. The plaintiffs also accuse the PBMs and insurers of imposing so-referred to as gag clauses on pharmacies to help keep pharmacists from telling individuals that they could save cash by having to pay away from pocket ...
Due to the fact neither of these aspects automatically indicates a defective larger study or maybe more reputable more compact experiments, the re-distribution of weights under this model will not bear a connection to what these scientific studies in fact could offer. Indeed, its been demonstrated that redistribution of weights is solely in a single course from more substantial to scaled-down studies as heterogeneity improves until eventually sooner or later all scientific studies have equivalent pounds and no more redistribution is possible.[36] One more challenge Together with the random outcomes model would be that the mostly utilised assurance intervals commonly tend not to keep their coverage chance above the required nominal degree and thus substantially undervalue the statistical error and therefore are most likely overconfident of their conclusions ...
Coupled with apples, pears are Section of the rose relatives, and like apples, lots of the wellness great things about pears are available in the fruits pores and skin-this means for optimum overall health Added benefits, take in pears Along with the pores and skin remaining on! Dogs can take in pear pores and skin so long as its been cleaned out with lukewarm drinking water to be certain there wont be any chemical compounds or toxins from your garden or farm it arrived from ...
Yao, Grace; Cheng, Yen-Pi; Cheng, Chiao-Pi (5 November 2008). "The Quality of Life in Taiwan". Social Indicators Research. 92 ( ... It is ranked highly in terms of political and civil liberties, education, health care and human development. The political ... The current healthcare system in Taiwan, known as National Health Insurance (NHI, Chinese: 全民健康保險), was instituted in 1995. NHI ... Most health providers operate in the private sector and form a competitive market on the health delivery side. However, many ...
Tuality Healthcare and OHSU announce clinical affiliation Oregon Hospital Quality Indicators U.S. News & World Report: Tuality ... community healthcare organization that operates one other hospital, a health foundation, medical plazas, urgent care centers, ... Quality indicators for 2005 include: average heart attack death rate, average balloon angioplasty death rate, average heart ... Oregon Hospital Quality Indicators: Hospital Specific Reports. Archived 2007-09-26 at the Wayback Machine Oregon Department of ...
Department of Health and Human Services Agency for Healthcare Research and Quality reported that VBAC is a reasonable and safe ... maternity care providers, health care and professional liability insurers, consumers, and policymakers collaborate on the ... Int J Gyn Obs; 1999; vol 66, p. 197 "Cesarean births, repeat (percent)". Health Indicators Warehouse. Archived from the ... maternity care providers, health care and professional liability insurers, consumers, and policymakers collaborate on the ...
"Health Care Resources". Retrieved 17 October 2017. Health at a Glance 2019: OECD Indicators, 9. Health care ... Hospital bed Mechanical ventilation List of countries by life expectancy List of countries by quality of healthcare " ... Oecd (2019). Health at a Glance 2019: OECD Indicators, 9. Health care activities : Hospital beds and discharges rates. Health ... The number of beds per people is an important indicator of the health care system of a country. The basic measure focus on all ...
"Standards and Indicators". National Institute for Health and Care Excellence. Retrieved 3 December 2020. "How to use quality ... National Institute for Health and Care Excellence. Retrieved 3 December 2020. "Social Care". National Institute for Health and ... guideline development in social care, and the NICE programmes of indicators and quality standards. Leng was appointed a CBE in ... She is the Chief Executive of the National Institute for Health and Care Excellence (NICE), chair of the Guidelines ...
Dolor, R.J., Smith, P.C., Neale, A.V. & Agency for Health Care Research and Quality Practice-Based Research Network (2008). ... The National Database of Nursing Quality Indicators (NDNQI). Washington, DC: ANA. Berwick DM. (2008). The science of ... ACE STAR Model of Knowledge Transformation Agency for Healthcare Research and Quality (AHRQ)(2006). Fact Sheet: AHRQ support ... 04-0041). Rockville, MD: Agency for Healthcare Research and Quality. Stevens, K.R. & Ovretveit, J. (2013). Improvement research ...
Taiwan is ranked highly in terms of freedom of the press, health care, public education, economic freedom, and human ... "The Quality of Life in Taiwan". Social Indicators Research. 92 (2): 377-404. doi:10.1007/s11205-008-9353-1. a second place ... ranking in the 2000 Economist's world healthcare ranking 人類發展指數(HDI) [Human Development Index (HDI)]. National Statistics, ...
Health care is offered by both public and private practitioners and research has found that trust in health providers is a key ... factor in improving the uptake of health care services in rural Cambodia. The government plans to increase the quality of ... In the province with worst health indicators, Ratanakiri, 22.9% of children die before age five. Cambodia was once one of the ... "Comparison Of Trust In Public Vs Private Health Care Providers In Rural Cambodia". Health Policy Plan. 26 (Suppl 1): i20-i29. ...
Goal is to develop indicators which can be used to measure quality in health care provision. Furthermore, Scherer is working on ... and Research in Healthcare Member of the scientific advisory board of the Journal for Evidence and Quality in Health Care (ZEFQ ... Quality Improvement and Research in Healthcare Versorgungsatlas of the Central Research Institute of Ambulatory Health Care ... Furthermore, he is working on a guideline which aims to contribute to avoidance of over-, under provision in health care. ...
The only indicator that Zimbabwe was ranked more highly for was quality of social life. Many Zimbabwean Canadians believe that ... as well as national health care and social welfare to immigrants, which helps them settle into the new country. Many Zimbabwean ... Additionally, Zimbabweans were asked to rate 15 quality-of-life indicators for Zimbabwe and Canada, and Canada was ranked ... better than Zimbabwe for almost all indicators; these included healthcare, safety, future of children, professional advancement ...
... from policymakers to health care providers. This initiative included funds for research on "social indicators", a collection of ... concerned principally with the causes and consequences of changes in the quality of low-wage work in the United States and ... The Foundation was also responsible for early reforms in health care, city planning, consumer credit, labor law, the training ... "Social indicators" on the Russell Sage Foundation website Wolfe, Alan (1968). "The Withering Away of the American Labor Party ...
"Quality care must become the primary influence on patient experience... and the primary indicator of performance." "Aberdeen ... "Learning from serious failings in care" in July 2015. The investigation was launched after recent scandals in the health ... This was the first time that the Foresterhill campus had hosted emergency and urgent care facilities in the same building, and ... ARI is a teaching hospital with around 900 inpatient beds, offering tertiary care for a population of over 600,000 across the ...
... as well as better health care, education quality, environment protection, income equality, and happiness results. These trends ... Members of the World Bank Group also use Index of Economic Freedom as the indicator of investment climate, because it covers ... For example, the treatment of a large informal sector (common in poor countries) as an indicator of restrictive government ... Cebula, R. (2013). Effects of Economic Freedom, Regulatory Quality, and Taxation on Real Income, MPRA Paper 55421, University ...
... health care, social security, quality and basic services in the household, income and social cohesion as defined by social ... Development The following table shows the main economic indicators in 1980-2018. Inflation under 5% is in green. Poverty in ... "Mexico achieves universal health coverage, enrolls 52.6 million people in less than a decade". Harvard School of Public Health ... The central bank also monitors the evolution of several economic indicators, such as the exchange rate, differences between ...
The health care professional/health care body and the primary care trust (PCT) enter a local contract. The main use of this ... 146 indicators) to earn points (varying amounts per indicator) which translate into greater income. The money for the QOF was ... found the introduction of the alternative contract had not led to improvements in quality and may have resulted in worse care. ... Alternative Provider Medical Services (APMS) are primary care services provided by outside contractors (like US health ...
... children's subsequent health and development by helping parents provide competent care; and 3) women's own health and self- ... Other Health and Social Indicators for Low-Income, First-Time Mothers and Their Children". Agency for Healthcare Research and ... Further, it is the child-caregiver relationship that shapes a child's development, making the quality of parental care in early ... design of a randomised controlled trial of the nurse family partnership in Dutch preventive health care. BMC Public Health, 11( ...
These policies have contributed to a steady increase in quality of healthcare and improvement in key indicators during Kagame's ... launching programmes which have led to development on key indicators, including health care, education and economic growth. ... Despite the country having a relatively underdeveloped health care system, Rwanda has one of the lowest infection and mortality ... It also set up training institutes, including the Kigali Health Institute (KHI), and in 2008 effected laws making health ...
... websites or apps which provide more information on health care quality and price to help patients choose their providers have ... Barclay, Matthew; Dixon-Woods, Mary; Lyratzopoulos, Georgios (1 April 2019). "The problem with composite indicators". BMJ ... Patient Protection and Affordable Care Act (ACA) also known as Obamacare and health information technology health care is ... It gave the department of health and human services the authority to improve healthcare quality and efficiency through the ...
The Euro Health Consumer Index is a comparison of European health care systems based on waiting times, results, and generosity ... The 2014 ranking included 37 countries measured by 48 indicators. The Euro Health Consumer Index measurements started in 2005. ... Part of the motivation of the HCP in 2004 was to stimulate the European Union to take action on transparency and quality ... Health Consumer Powerhouse is a Swedish health policy think tank which specialises in comparing healthcare systems throughout ...
The quality of health in Rwanda has historically been very low, both before and immediately after the 1994 genocide. In 1998, ... Rosenberg, Tina (3 July 2012). "In Rwanda, Health Care Coverage That Eludes the U.S." The New York Times. New York, N.Y. ... But in recent years Rwanda has seen improvement on a number of key health indicators. Between 2005 and 2013, life expectancy ... The Atlantic devoted an article to "Rwanda's Historic Health Recovery". Partners In Health described the health gains "among ...
Whitman-Walker also ended 2012 with high patient satisfaction rates and high quality of care indicators. Mautner Project, the ... In March 2007, the Bureau of Primary Health Care, part of the federal Health Resources and Services Administration (HRSA), gave ... Those changes included: Making Whitman-Walker a community health center that would provide health care to the entire community ... WWH provides a number of health care services to the D.C. metro area. They include primary medical and dental care; mental ...
"Life expectancy-care quality indicators". QualityWatch. Nuffield Trust & Health Foundation. Retrieved April 16, 2015. " ... Department of Health-Tackling health inequalities: Status report on the Programme for Action "Social factors key to ill health ... "Health, history and hard choices: Funding dilemmas in a fast-changing world" (PDF). World Health Organization: Global Health ... and health care. To assess the quality of these additional years of life, 'healthy life expectancy' has been calculated for the ...
... hospital quality health plan quality physician quality MERHS healthcare treatment quality for other health professionals of ... "Health at a Glance 2013 - OECD Indicators" (PDF). OECD. 2013-11-21. pp. 5, 39, 46, 48. (link). Archived (PDF) from the original ... Health care ratings are ratings or evaluations of health care used to evaluate the process of care and health care structures ... Health care, health-care, or healthcare is the maintenance or improvement of health via the prevention, diagnosis, treatment, ...
according to WHO, Iraq: Quality of Care 2018 Analysis, infection measure control increased 14-15% Healthcare in Iraq HIV/AIDS ... Health indicators deteriorated during the 1990s. In the late 1990s, Iraq's infant mortality rates more than doubled. Because ... Alsamarai, Abdulghani Alsamarai; Bashir, Alaa (2018-04-20). "Quality improvement of health care in Iraq". International Journal ... Health in Iraq refers to the country's public healthcare system and the overall health of the country's population. Iraq ...
Capture standardized quality indicators and measures. Capture and measure the impact of care on outcomes. Determine and measure ... The CCC Model depicts the documentation of patient care by nurses and allied health providers in any health care setting as an ... Used for documenting the plan of care; following the nursing process in all health care settings. The Clinical Care ... Caring. 10 (3): 50-57. Spradley, B. W., & Dorsey, B. (1985). Home health care. In B. W. Spradley (Ed.), Community health ...
A dog's coat is an outward indicator of internal well-being. For this reason, coat health is an important aspect of pet care to ... The nature and quality of a purebred dog's coat is important to the dog fancy in the judging of the dog at conformation shows. ... The specific role of vitamins A and E for coat health are explored elsewhere in this article, as they pertain to immune ... Aside from omega fatty acids, lipid content in the canine diet is an important aspect of coat health. The fat soluble vitamins ...
... and public health 645.3-645.37.................................Home health care services 645.5-645.9 ... Evaluation and quality control of medical care. Medical audit 405................................................Death ... Health status indicators. Medical statistics and surveys 410-410.9......................................Medical economics. ... Critical care. Intensive care. First aid 91-103.....................................Disease due to physical and chemical agents ...
... development and assessment that is aligned with other professional expectations and requirements within health care. The ... Despite some variation in the activities, they are all built upon evidence-based guidelines, national clinical and quality ... Board Certification and the ABMS Program for Maintenance of Certification (ABMS MOC®) are highly-visible indicators that ... The MOC program provides physicians a structured approach for enhancing patient care and improving patient outcomes through ...
Qual Saf Health Care. 14 (6): 422-7. doi:10.1136/qshc.2004.013573. PMC 1744098. PMID 16326788. Pediatric Quality Indicators ... These two indicators of pediatric nursing care quality are sensitive measures of nursing care. Professional nurses play a key ... Throughout health care providing safe and high quality patient care continues to provide significant challenges. Efforts to ... AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality. February 2006. Archived from the original ...
... Retrieved on March 31, 2008. Oregon Hospital Quality Indicators: Tuality Healthcare. ... breast health care, and urgent and emergency care. Additionally, Tuality operates the Tuality Healthcare Foundation, Tuality ... Tuality Health Alliance, and the Tuality Health Education Center. The Health Alliance is a healthcare provider network with ... Tuality Healthcare is a non-profit, community health care organization based in Hillsboro, Oregon, United States. Founded in ...
"Complementary alternative health care in Israel and the western world". Israel Journal of Health Policy Research. 1 (1): 8. doi ... "Science and Engineering Indicators. Arlington, Virginia: Division of Science Resources Statistics, National Science Foundation ... for granted the necessity of placing patient values and lifestyle habits at the core of any design and delivery of quality care ... National Center for Complementary and Integrative Health (NCCIH), National Institutes of Health (NIH), US Dept. of Health and ...
PubMed Health. Cologne: Institute for Quality and Efficiency in Health Care. July 2016. Archived from the original on 6 ... "Acne: risk indicator for increased body mass index and insulin resistance". Acta Dermato-Venereologica (Review). 93 (6): 644-9 ... U.S. Department of Health and Human Services, Office of Public Health and Science, Office on Women's Health. July 2009. ... U.S. Department of Health & Human Services.. *^ a b c Kaplan YC, Ozsarfati J, Etwel F, Nickel C, Nulman I, Koren G (November ...
Health care facilities, hygiene, nutrition, and sanitation in Nepal are of poor quality, particularly in the rural areas. ... Despite of other indicator related to maternal health, the health indicator of contraceptive prevalence rate is showing its ... The demand for health services is further lowered by the lack of health education. Reproductive health care is neglected, ... Typically, a history of conflict negatively affects health indicators. However, Nepal made progress in most health indicators ...
... services through a system of universal health care that aims to guarantee care for all through a single-payer health care ... General appearance of the patient and specific indicators of disease (nutritional status, presence of jaundice, pallor or ... Access to information on conditions, treatments, quality, and pricing greatly affects the choice by patients/consumers and, ... Community health or public health is an aspect of health services concerned with threats to the overall health of a community ...
Image quality[edit]. Image quality will depend on resolution and density. Resolution is the ability an image to show closely ... "Journal of Health Economics. 58 (March 2018): 1-9. doi:10.1016/j.jhealeco.2017.12.005. PMID 29408150.. ... marker within the field of the x-ray beam as an indicator of which hand has been imaged. If a physical marker is not included, ... "World Health Organisation: Global Initiative on Radiation Safety in Healthcare Settings: Technical Meeting Report" (PDF). Who. ...
He is a guest editor and peer-reviewer for a number of medical journals including Endocrine, is the current AOL Health Expert ... Holtorf states that the standard thyroid tests which are typically relied upon by primary care and specialist physicians to ... Balas, E A. (2001). "Information Systems Can Prevent Errors and Improve Quality". Journal of the American Medical Informatics ... diagnosis hypothyroidism (low thyroid) and determine dosage are insufficient because they focus on TSH levels as an indicator ...
Who Should Pay for Obese Health Care?. ABC News. 2009-07-02 [2012-08-06]. (原始内容存档于2013-02-21).. ... physical exercise and macronutrient intakes are predictors of anthropometric indicators in the Women's Health Trial: ... ADverse outcomes with Early implementation of the American College of Cardiology/American Heart Association Guidelines Quality ... Breslow L. Public Health Aspects of Weight Control. Am J Public Health Nations Health. 1952-09, 42 (9): 1116-20. PMC 1526346. ...
Economic analysis can be applied throughout society, in real estate,[6] business,[7] finance, health care[8], engineering[9] ... Customers without knowledge of whether a car is a "lemon" depress its price below what a quality second-hand car would be.[97] ... and health care.[98] Applied subjects include market and legal remedies to spread or reduce risk, such as warranties, ... Tarricone, Rosanna (2006). "Cost-of-illness analysis". Health Policy. 77 (1): 51-63. doi:10.1016/j.healthpol.2005.07.016. PMID ...
Crash Course General Medicine - E-Book (în engleză). Elsevier Health Sciences. p. 362. ISBN 9780723437895.. ... Relația dintre dietă și acnee este neclară, deoarece nu există dovezi de înaltă calitate care să afirme în mod definitiv o ... Barnes LE, Levender MM, Fleischer AB Jr, Feldman SR (aprilie 2012). „Quality of life measures for acne patients". Dermatologic ... Melnik BC, John SM, Plewig G (noiembrie 2013). „Acne: risk indicator for increased body mass index and insulin resistance". ...
Guynup, S., & Safina, B. C. (2012). Mercury: Sources in the environment, health effects, and politics. Blue Oceans Institute, 1 ... Jensen, S., Johnels, A. G., Olsson, M. & Westermark, T. (1972). The avifauna of Sweden as indicators of environmental ... Simmons, R. (1988). Offspring quality and the evolution of cainism. Ibis, 130(4), 339-357. ... Direct human contact, which the naturally wild young eagles tended to shun anyway, is minimal short of veterinary care. ...
Community Health Care in Cuba: An Enduring Model; Health, Politics, and Revolution in Cuba Since 1898; Primary Health Care in ... Pan American Health Organization, Health situation in the Americas: Basic Indicators 2008 [2] page 9, "resources, access & ... The aim is to maintain quality health service free for the Cuban people, increase exchange among experts and boost research- ... "Cuban infant mortality and longevity: health care or repression?". Health Policy and Planning. doi:10.1093/heapol/czy033.. ...
Light, Donald W. (2002). "A Conservative Call For Universal Access To Health Care" Penn Bioethics Vol.9 (No.4) p. 4-6 ... Cope, K., Crabtree, C., & Fariss, C. (2020). Patterns of disagreement in indicators of state repression. Political Science ... described as a destructive influence on the human rights movement because they deny people's innately similar human qualities.[ ... health and housing. For example, in the United States there is no universal access to healthcare free at the point of use.[69] ...
Acidity indicators[edit]. The Moroccan professor Henri Chapot discovered that the acidity in the more common citrons or lemons ... "American Indian Health and Diet Project. Archived from the original on 2010-08-18.. ... Compared to many of the usual "green shrubs", citrus trees better tolerate poor container care. For cooler winter areas, limes ... A few hardy hybrids can withstand temperatures well below freezing, but do not produce quality fruit. Lemons can be ...
The element of taste is an important indicator of aged pu'erh quality, the texture should be rich and thick and should have ... Health[edit]. See also: Potential effects of tea on health. One study showed pu'er tea suppresses fat production in rats.[39] ... It is important to check the status of ageing for your teacakes to know when they have peaked so that proper care can be given ... Although not concrete and sometimes dependent on preference, there are several general indicators of quality: *Dried tea: There ...
... health care, and retirement), and working conditions through the increased bargaining power wielded by the creation of a ... In case of Estonia this indicator is lower than in Latvia and Lithuania but stays stable average 7 percent from total number of ... are examples of how the use of government benefits are not being applied to improve the quality in the investigation of the use ...
Committee on Lesbian Health Research Priorities; Neuroscience and Behavioral Health Program; Health Sciences Policy Program, ... a b c d Mravack, Sally A. (July 2006). "Primary Care for Lesbians and Bisexual Women", American Family Physician 74 (2) pp. 279 ... The same indicator is not necessary to identify a woman as heterosexual, however. McCormick states that emotional, mental, and ... Most people in western culture are taught that heterosexuality is an innate quality in all people. When a woman realizes her ...
... which provides free health care, optical care, limited dental care, aural care and subsidised prescription drugs carrying a € ... This statistic, because it is published weekly, is depended on as a current indicator of the labor market and the economy ... Nekoei, Arash (2017). "Does Extending Unemployment Benefits Improve Job Quality?". American Economic Review. 107 (2): 527-561. ... In 2004, it allowed workers to take EI for compassionate care leave while caring for a dying relative, although the strict ...
There are numerous causes of maternal death that require a variety of health care interventions to be made widely accessible. ... Clean Air Initiative (CAI) is a World Bank initiative to advance innovative ways to improve air quality in cities through ... rule-based with objective indicators, and transparent among other things. Now, developing countries have an increased voice in ... Together with the World Health Organization, the World Bank administers the International Health Partnership (IHP+). IHP+ is a ...
Muse indicated that "I believe that when we finish all these projects our people will benefit by getting good health services, ... Puntland is doing better in various important indicators of well-being. For instance, the literacy rate in Puntland is 64% ... program designed to reach parents and care-givers in their homes as well as in the ECD centers for 0- to 5-year-old children,[ ... quality of educational provisions, responsiveness of school curricula, educational standards and controls, management and ...
"Oman Guide: Introduction, An introduction to health care in Oman: Oman offers high quality health care equal". ... Core Health Indicators". Retrieved November 14, 2011.. *^ World Health Organization, "World Health Statistics 2007: ... G20 Health Care: "Health Care Systems and Health Market Reform in the G20 Countries." Prepared for the World Economic Forum by ... Main article: Patient Protection and Affordable Care Act. See also: Health care reform in the United States and Health care in ...
Comprehensive school students enjoy a number of social entitlements, such as school health care and a free lunch every day, ... Only music of the highest quality is good enough for children.. *Music education must begin nine months before the birth of the ... Information on education in Finland, OECD - Contains indicators and information about Finland and how it compares to other OECD ... Tuition is free, and vocational and academic students are entitled to school health care and a free lunch. However, they ...
"International Drug Price Indicator Guide. Vitamin C: Supplier Prices". Management Sciences for Health, Arlington, VA. 2016. ... James Lind, a British Royal Navy surgeon who, in 1747, identified that a quality in fruit prevented scurvy in one of the first ... Diabetes Care. 27 (10): 2491-2. doi:10.2337/diacare.27.10.2491. PMID 15451922.. ... "Natural Health Product Monograph. Health Canada. Archived from the original on April 3, 2013.. ...
Health. Studies have found that strong social supports improve a person's prospects for good health and longevity. Conversely, ... However, no similar effect was observed for males.[36][37] Having few or no friends is a major indicator in the diagnosis of a ... a b Berndt, T.J. (2002). Friendship Quality and Social Development. American Psychological Society. Purdue University. ... ", "Caring and Sharing", and "Friends Through Thick and Thin."[12]. Adolescence ...
Wikipedia's health care articles can be viewed offline with the Medical Wikipedia app. ... Poor quality of toilet: Sometimes people have access to a toilet, but the toilet might be broken, or of poor quality - Outdoor ... Ending open defecation is an indicator being used to measure progress towards the Sustainable Development Goal Number 6. ... Public healthEdit. Further information: Sanitation § Health_aspects. The negative public health impacts of open defecation are ...
... is an important tool in creating data required for examining the health of the public and of the health care ... Record linkage is also used to create health indicators. For example, fetal and infant mortality is a general indicator of a ... As this example demonstrates, even a small decrease in data quality or small increase in the complexity of the data can result ... American Journal of Public Health. 36 (12): pp. 1412-1416. doi:10.2105/AJPH.36.12.1412. Retrieved 2008-05-31.. .mw-parser- ...
... but caloric restriction affects many other health indicators, and it is still undecided whether insulin is the main concern.[28 ... Current Opinion in Clinical Nutrition and Metabolic Care. 13 (1): 40-5. doi:10.1097/MCO.0b013e3283331384. PMID 19851100.. ... "the quality of the diets consumed by the low-body mass index individuals are difficult to assess, and may lack nutrients ... Health effects[edit]. Risks of malnutrition[edit]. The term "calorie restriction" as used in the study of aging refers to ...
2006). Vulnerable Older Adults: Health Care Needs and Interventions. Springer Pub. ISBN 9780826103604. .. ... Participation in organized religion is not a good indicator of religiosity because transportation and health problems often ... Rockville, MD: Agency for Healthcare Research and Quality.. *^ a b c d e f Burbank, Patricia M., ed. ( ... Other issues that can arise from an increasing population are growing demands for health care and an increase in demand for ...
... and Health Care? Proceedings of a symposium, Boston, Massachusetts, USA, 10-11 marec 2004 and Anaheim, California, USA, 2 ... physical exercise and macronutrient intakes are predictors of anthropometric indicators in the Women's Health Trial: ... ADverse outcomes with Early implementation of the American College of Cardiology/American Heart Association Guidelines Quality ... Breslow L (september 1952). "Public Health Aspects of Weight Control". Am J Public Health Nations Health. Vol. 42 no. 9. str. ...
Access to and Quality of Health Care *^ Association of Schools of Public Health. Impact of Public Health. Retrieved 2010-6-24. ... the conceptualization of health as an ability opened the door for self-assessments to become the main indicators to judge the ... Environmental health, community health, behavioral health, and occupational health are also important areas of public health. ... Mental health. Main article: Mental health. The World Health Organization describes mental health as "a state of well-being in ...
... health care utilization, and cost of care". Psychosomatic Medicine. 66 (5): 749-56. CiteSeerX doi:10.1097/01. ... Agency for Healthcare Research and Quality (US). PMID 23658936.. *^ Feldner MT, Monson CM, Friedman MJ (January 2007). "A ... Several biological indicators have been identified that are related to later PTSD development. Heightened startle responses and ... Wounded Warrior Project partnered with the US Department of Veterans Affairs to create Warrior Care Network, a national health ...
... health care providers, researchers and policy makers continue to seek further improvements in the delivery of acute care. As ... many countries have developed indicators to measure and monitor acute care performance. ... Health Care Quality Indicators Project (Health Working Paper No. 22). *Health Care Quality Indicators Project 2006 Data ... Labour and Social AffairsHealth policies and dataHealth Care Quality Indicators - Acute Care Health policies and data. ...
Quality indicators for breast cancer care. Quality can and should be measured. Through the accreditation process, quality is ... Health services : For Adults A-Z : Legacy Cancer Institute : All Cancer Services : Breast Cancer : Quality indicators for ... The most recent ACoS CoC quality indicators, showing how Legacy ranks against our peers. Table shows the proportion of breast ... Health Library * Browse topics. Watch videos. Get recipes. Take quizzes. Read articles. ...
... Conceptual Framework Paper This paper represents an attempt to set out a conceptual ... country experts and delegates to the Group on Health reiterated the need for a framework for the OECDs health care quality ... Two main issues are tackled: what concepts, or dimensions, of quality of health care should be measured and how, in principle, ... framework for the OECDs Health Care Quality Indicator (HCQI) Project. ...
Janet C Long, Helena M Williams, Shefali Jani, Gaston Arnolda, Hsuen P Ting, Charlotte J Molloy, Peter D Hibbert, Kate Churruca, Louise A Ellis, Jeffrey Braithwaite ...
Indicators for monitoring primary health care  World Health Organization. Regional Office for Europe (‎Copenhagen : WHO ... Comparative evaluation of indicators for gender equity and health  WHO Centre for Health Development (‎‎‎Kobe, Japan)‎‎‎ (‎ ... Catalogue of key eye health indicators in the African Region  World Health Organization. Regional Office for Africa (‎WHO ... Adjustment factors to per capita health-care indicators in countries with expatriate male-majority populations  ...
... users of the healthcare system and patients to develop health care quality and safety indicators (QSI). The indicators assess ... the process or the outcome of care. They are set up to be used by healthcare organisations as quality improvement tools. ... users of the healthcare system and patients to develop health care quality and safety indicators (QSI). The indicators assess ... Healthcare Quality and Safety Indicators. Mission. HAS works in conjunction with health professionals, ...
... users of the healthcare system and patients to develop health care quality and safety indicators (QSI). The indicators assess ... the process or the outcome of care. They are set up to be used by healthcare organisations as quality improvement tools. ... users of the healthcare system and patients to develop health care quality and safety indicators (QSI). The indicators assess ... Health Care User Website: Scope Santé. Intended for health care users, Scope Santé is a French website with official, updated ...
This paper presents the methodology used to develop a comprehensive set of performance indicators in a national evaluation of ... the mental healthcare delivered by the Veterans Health Administration. ... Health Care Quality Measurement, *Mental Health Treatment, *Military Health and Health Care, ... Of the 57 hybrid indicators, 13 indicators are supported by Agency for Healthcare Research and Quality grade I evidence, 5 ...
Learn what the quality indicators are and how the program works. ... Find out more about the National Aged Care Mandatory Quality ... Quality indicators measure important aspects of quality of care that can affect a care recipients health and wellbeing. ... National Aged Care Mandatory Quality Indicator Program Find out more about the National Aged Care Mandatory Quality Indicator ... For GPs - Quality Indicators in Residential Aged Care. *For Clinical and Care Teams - Quality Indicators in Residential Aged ...
... 0-9. A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. ... Health system performance assessment in the WHO European region: which domains and indicators have been used by Member States ... This review summarizes HSPA domains and indicators used by Member States in their HSPA or health system-related reports. Thirty ... Fekri, O; Macarayan, E; Klazinga, N (‎World Health Organization. Regional Office for Europe, 2018)‎ ...
Valid indicators of mental health care are important in assessing and improving quality of care as they can show variations in ... Extent to which the indicator related to an aspect of care which is important for providing high quality care for mental health ... Valid quality indicators can show variations in the quality of care and can act as catalysts for facilitating quality ... The quality indicators represent consensus among key stakeholder groups in defining quality of care within primary care mental ...
Quality indicators for general practice: a practical guide to clinical quality indicators for primary care health professionals ... Quality of care for women: a review of selected clinical conditions and quality indicators. Santa Monica, CA: RAND Health, 2000 ... Managing quality in primary health care: the need for valid information about performance. Qual Health Care2000;9:83. ... Researchers in the United States have led the way in the development and use of quality indicators for health care. In ...
... s Health at a glance 2015 report, and compares data supplied by Australia in 2015... ... Health at a glance 2015 report for a common set of indicators about the quality of health care delivered across OECD member ... Consulting on building the evidence on primary health care The AIHW is developing a National Primary Health Care Data Asset to ... The OECD HCQIs provide a common set of data about the quality of health care delivered across participating OECD member ...
Quality indicators of diabetes care: an example of remote-area Aboriginal primary health care over 10 years. ... Previously reported data on care quality indicators and clinical outcome measures relating to diabetes care in other Australian ... Quality indicators of diabetes care. The occurrence of activities relating to diabetes management was assessed over the 10 ... Assessing quality of diabetes care and its variation in Aboriginal community health centres in Australia. Diabetes Metab Res ...
Health care-associated Staphylococcus aureus bloodstream infections: a clinical quality indicator for all hospitals. ... That SAB episodes be grouped into one of three categories: "health care associated (inpatient)", "health care associated (non- ... There were 37 health care-associated SAB episodes. Thus, the rates for health care-associated SAB infection were 0.7 per 1000 ... The incidence of health care-associated SAB infections in Australian hospitals should be a very useful clinical indicator of ...
... s Health Care Quality Indicators [email protected] data collection and compares... ... Australian Institute of Health and Welfare 2014. OECD health-care quality indicators for Australia 2011-12. Cat. no. PHE 174. ... Australian Institute of Health and Welfare. (2014). OECD health-care quality indicators for Australia 2011-12. Canberra: AIHW. ... Australian Institute of Health and Welfare 2014, OECD health-care quality indicators for Australia 2011-12, AIHW, Canberra. ...
... hospital-based outcome indicators by States, Territories and private hospital ownership groups. ... The core hospital-based outcome indicators (CHBOIs) contain a range of indicators which have been developed to enhance safety ... The purpose of this document is to support the generation of core, hospital-based outcome indicators by States, Territories and ...
... and effective is vital for ensuring and improving health care quality. In quality measurement of mental healthcare, structural ... this dissertation aims to define a set of mental health quality indicators (MHQIs), effectiveness quality indicators (EQIs), ... Development of Quality Indicators for Inpatient Mental Healthcare: Strategy for Risk Adjustment. ... Christopher Perlman (2009). Development of Quality Indicators for Inpatient Mental Healthcare: Strategy for Risk Adjustment. ...
All results for evidence-based information in Quality Indicators from 4 sources for health and social care. ... Publisher: Healthcare Improvement Scotland These indicators apply to all palliative and end of life care services in Scotland ... HPB Cancer Quality Performance Indicators Remove: Healthcare Improvement Scotland source Scottish Cancer Taskforce National ... Lung Cancer Quality Performance Indicators Remove: Healthcare Improvement Scotland source Scottish Cancer Taskforce National ...
Lower mortality rates associated with hospitals that rank highest on quality of care indicators , Spirit India ... Healthcare :: Lower mortality rates associated with hospitals that rank highest on quality of care indicators. by Sub-editor ( ... Healthcare :: Lower mortality rates associated with hospitals that rank highest on quality of care indicators. A new study from ... Heart Failure :: Limitations in publicly reported quality-of-care indicators for heart-failure patients ...
The indicators of Long Term Care Facility quality of care are calculated based on methods that have been developed in the US. ... With quality indicators based on assessments with the interRAI LTCF instrument quality of care between LTC facilities in and ... We therefore demonstrate the calculation of Long Term Care Facility Quality Indicators (LTCFQIs) from data of the European ... how LTC facilities at facility and country level can be compared on quality of care using thresholds and a Quality Indicator ...
This paper reports the study protocol for the development of aged care quality indicators for acute care hospitals. The study ... however to date there has been no routine use of such indicators in acute care settings. A barrier to using quality indicators ... including two anonymous voting rounds for quality indicator inclusion by the expert panel. The approach to quality indicators ... Analysis and compilation of a definitive quality indicator set, including two anonymous voting rounds for quality indicator ...
OECD health care quality indicator project. The expert panel on primary care prevention and health promotion. Int J Qual Health ... Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 ... Evidence-Based indicators for the measurement of quality of primary care using health insurance claims data in Switzerland: ... Dissemination and implementation of patient-centered indicators of pain care quality and outcomes. Med Care 2019;57:159-66.doi: ...
A selection of important health indicators  World Health Organization. Regional Office for the Western Pacific (Manila : WHO ... Browsing by Subject "Quality Indicators, Health Care". 0-9. A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. S. T. U. V. W ...
... collecting data for quality indicators at scale in low- and middle-income countries is possible. ... Methods to measure quality of care and quality indicators through health facility surveys in low- and middle-income countries. ... Methods to measure quality of care and quality indicators through health facility surveys in low- and middle-income countries. ... Indicators show variations of quality of care between and within countries. Routine interventions, such as quality antenatal ...
Identifying indicators for quality abortion care: a systematic literature review. Journal of Family Planning and Reproductive ... Amanda Dennis Ibis Reproductive Health, Cambridge, Massachusetts, USA PubMed articlesGoogle scholar articles ... Kelly Blanchard Ibis Reproductive Health, Cambridge, Massachusetts, USA PubMed articlesGoogle scholar articles ... Tshego Bessenaar Ibis Reproductive Health, Johannesburg, South Africa PubMed articlesGoogle scholar articles ...
health care quality articles, news, reports and publications on quality of healthcare, quality assurance, quality improvement, ... quality indicators, quality measures, health services research, patient safety, medical errors, hospital performance, health ... Health Affairs and other leading medical journals and from AHRQ, CMWF, CMS, RAND, NHS and other international health Agency ... information technology and more from The New England Journal of Medicine, The Lancet, JAMA, BMJ, CMAJ, MJA, Medical Care, ...
Read chapter 3 Optimizing the Patient Journey by Leveraging Advances in Health Care: In 2015, building on the advances of the ... These are all critical elements of high-quality care, but in addition, indicators are needed that can be used to assess whether ... 4 The Current State of Global Health Care Quality 129-168 * 5 High-Quality Care for Everyone: Making Informal Care Visible and ... Given that health care quality will depend on the quality of the health care workforce and its pipeline, crucial changes in ...
... communications and actions while caring for ten unique patients spread across five levels. ...
Information about assessment to the NSQHS Standards Implementing the Colonoscopy Clinical Care Standard is a requirement for ... all health service organisations assessed against the National Safety and Quality Health Service Standards. ... Indicators. A set of indicators has been developed to assist with local implementation of the Colonoscopy Clinical Care ... National Safety and Quality Primary Healthcare (NSQPH) Standards * The National Safety and Quality Health Service (NSQHS) ...
  • They are set up to be used by healthcare organisations as quality improvement tools. (
  • as financial incentives for quality improvement programmes. (
  • Impact and results of quality improvement and patient safety. (
  • Recent attention has focused on validity and feasibility of different approaches to developing performance indicators for the purposes of quality improvement and value-based purchasing. (
  • To identify a generic set of face valid quality indicators for primary care mental health services which reflect a multi-stakeholder perspective and can be used for facilitating quality improvement. (
  • These indicators could provide a guide for primary care organisations embarking on quality improvement initiatives in mental health care when addressing national targets and standards relating to primary care set out in the National Service Framework for Mental Health for England. (
  • The aim of this study was to develop a set of quality indicators for UK general practice, aimed primarily at clinicians for quality assessment and improvement purposes. (
  • 1 , 2 While there are several long-term randomised controlled trials aimed at improving intermediate outcomes in people with diabetes, 3 , 4 there is only one published study on the long-term evaluation of a continuous quality improvement (CQI) program in real-world settings of primary health care. (
  • 11,12 Data from 14 South Australian hospitals, 13 the Canberra Hospital 14 and the Austin Hospital 15 show that the number of SAB episodes has fallen after interventions that use rates of SAB infection (or MRSA bacteraemia, at the Austin hospital) as a measure of quality improvement. (
  • Tackling these problems by quality improvement interventions can then prevent many SAB episodes. (
  • As each SAB event is costly, any quality improvement effort will almost certainly be cost-effective. (
  • The MHQIs/EQIs can be linked to care planning and funding using the RAI-MH to promote quality improvement and accountability for recipients, providers, managers, governors, and funders of mental health services. (
  • Healthcare Improvement. (
  • The aim of quality indicators use is therefore to identify the clinical areas that can benefit from improvement of the care process and to define performance of individual care providers [ 1 ]. (
  • Measuring and monitoring healthcare quality is a necessary precondition to draw healthcare providers' attention to the patients' need and to determine potential areas for improvement. (
  • Standards for quality HIV care : a tool for quality assessment, improvement, and accreditation / [report of a WHO Consultation Meeting on the Accreditation of Health Service Facilities for HIV Care, 10-11 May, 2004, Geneva, Switzerland]. (
  • Funded programs can play a role in health care practice redesign by partnering with state community health center organizations or medical associations to implement these models and promote quality improvement, use of evidence-based guidelines, and data collection. (
  • It also may be helpful for program improvement purposes to choose one or more indicators related to policy, systems, or environmental changes for Health Care Providers as well. (
  • Ways to improve the quality of care include expanding public funding for proven treatments, investing in primary care and embedding tools of improvement into practice. (
  • The Assessment of Chronic Illness Care (ACIC) is based on six areas of system change suggested by the CCM and was developed to help disease management teams identify areas for improvement in chronic illness care and evaluate the level and nature of improvements made in their system. (
  • Fourteen case reports of quality improvement projects -These chapters detail principles and techniques that can be replicated or tailored to fulfill the requirements of a variety of clinical settings, ranging from the national health service in Great Britain to a small geriatric unit in a large hospital. (
  • Process indicators are essential to monitor the effectiveness of quality improvement strategies. (
  • In the teaching hospital, the quality of the physical space, the educational level and training of health care personnel and monitoring and evaluation of care quality needed improvement. (
  • Nuance provides a full range of quality management solutions and services to help you measure, monitor, and improve quality, including hospital and physician quality measures reporting, performance analytics and improvement services, risk management, and patient safety organization reporting. (
  • Equip staff to answer all questions related to a core measure (rather than just the minimum required) to track and monitor performance improvement activities and help achieve higher quality outcomes. (
  • To help inform specific outpatient interventions to achieve quality improvement and cost containment for child HRUs, answers are needed to questions such as, "How does primary care use for child HRUs compare with that of children with lower resource use? (
  • Audit and feedback are widely used in quality improvement. (
  • 3 It is a widely used foundational component of quality improvement, included in around 60 national clinical audit programmes in the United Kingdom. (
  • Several national audits have been successful in driving improvement and reducing variations in care, such as for stroke and lung cancer, but progress is also slower than hoped for in other aspects of care ( table 1 ). (
  • Dysfunctional clinical and managerial relationships undermine effective responses to feedback, particularly when it is not clearly part of an integrated approach to quality assurance and improvement. (
  • A Cochrane review of 140 randomised trials found that they produced a median 4.3% absolute improvement (interquartile range 0.5% to 16%) in healthcare professionals' compliance with desired practice, such as recommended investigations or prescribing. (
  • Study - Uniform quality assurance and improvement program - Reports to legislature - Limitation on rule making. (
  • 3 , 4 To drive quality improvement efforts through benchmarking hospital performance, however, these metrics must accurately identify the patient population (eg, case ascertainment) in which the care improvement efforts are to be implemented. (
  • The improvement in the median composite score of 13 selected major indicators (out of 22) over four years was significant. (
  • The HCQI indicators are published within Health at a Glance 2017: Chapter 6 on Quality and Outcomes of Care . (
  • This report presents the findings of the 2017 independent review of aged care regulatory processes. (
  • Nuance Quality Management Solutions has been recognized as Best in KLAS in 2020, 2018, 2017, 2015/2016 & 2014. (
  • This 2017 report looks at the quality of home care and community services for patients during their last month of life. (
  • The ability to transport patients rapidly to the hospital with advanced life support en route, improved surgical and medical interventions and modern intensive care medicine have greatly reduced the risk of death and disability. (
  • Routine interventions, such as quality antenatal care (ANC), immediate neonatal care, and postpartum contraception, had low levels of compliance. (
  • The first level of contact for primary care is the community, and health systems can use community health workers to deliver lifesaving interventions and preventive care where people live. (
  • Research shows that the ACIC appears sensitive to interventions across chronic illnesses and helps teams focus their efforts on adopting evidence-based chronic care changes. (
  • Ongoing review and update of care plans includes documentation of behavioural symptoms and the person's responses to interventions. (
  • People living with dementia and symptoms of agitation or aggression receive nonpharmacological interventions that are tailored to their specific needs, symptoms, and preferences, as specified in their individualized care plan. (
  • The work showcased here was done by clinicians or administrators who, concerned about the quality of care in their own settings, used data to test for themselves whether their interventions resulted in improved care. (
  • 3. Health Economics applied to evaluate treatment of mental disorders - This section presents a review of cost-effectiveness of pharmacological treatments and other interventions applied for treating the most burdensome mental disorders such as depressive and anxiety disorders, bipolar disorders, psychosis, alcohol and drug disorders, dementia, and hyper attention deficit disorders. (
  • This has yielded a list 23 useful quality indicators concerning good practice, such as availability of palliative care teams and special palliative care facilities for patients and their relatives, educational interventions for professionals, documentation of pain and other symptoms, communication with patients / relatives and end-of-life decisions. (
  • The interquartile range in the Cochrane review indicates that a quarter of audit and feedback interventions had a relatively large, positive effect of up to 16% on patient care, whereas a quarter had a negative or null effect. (
  • The metadata include the indicator name and description, references, selected evidence-based interventions, and the methods used to gather and process the data. (
  • Health systems performance assessment (‎‎‎‎HSPA)‎‎‎‎ varies across the WHO European Region. (
  • In the past, whether and how mental health care should be subjected to quality assessment was interpreted and implemented by those working in different localities. (
  • Using data from the RAI - Mental Health (RAI-MH), a comprehensive assessment system mandated for use in Ontario, this dissertation aims to define a set of mental health quality indicators (MHQIs), effectiveness quality indicators (EQIs), and risk adjustment strategy that can be used to evaluate and compare quality at the facility- and regional-levels. (
  • Using large datasets gathered from routine practice, focus groups discussed which assessment items or combination of items might indicate dimensions of quality of care (face validity). (
  • The interRAI Acute Care (AC) assessment system supports comprehensive geriatric assessment of older people within routine daily practice in hospital and includes process and outcome data pertaining to geriatric syndromes. (
  • The quality indicators will have international relevance as they will be built on the interRAI assessment instrument, an internationally recognised clinical system. (
  • The Commission has developed information about assessment to the NSQHS Standards and resources to support implementation of the Colonoscopy Clinical Care Standard. (
  • Advisory AS18/12: Implementing the Colonoscopy Clinical Care Standard describes the assessment requirements for Actions 1.23 , 1.24 , 1.27b , and 1.28a of the National Safety and Quality Health Service (NSQHS) Standards (second edition) for health service organisations implementing the Colonoscopy Clinical Care Standard. (
  • This purpose of this advisory is to describe assessment requirements for Actions 1.23, 1.24, 1.27b, and 1.28a of the National Safety and Quality Health Service (NSQHS) Standards (second edition) for health service organisations implementing the Colonoscopy Clinical Care Standard. (
  • The Primary Care Assessment Survey: Tests of data quality and measurement performance. (
  • The social impact of applied health research : towards a quality assessment system / Koninklijke Nederlandse Akademie van Wetenschappen. (
  • The data sources for TREC include direct reports from frontline caregivers and their managers, facility and unit demographic data, and clinical outcome data generated as part of the regular care process using the interRAI Resident Assessment Instrument system. (
  • The Assessment of Chronic Illness Care Short version (ACIC-S) consists of 21 items covering the six areas of the chronic care model: healthcare organization ( n = 3), community linkages ( n = 3), self-management support ( n = 3), delivery system design ( n = 3), decision support ( n = 3), and clinical information systems ( n = 3). (
  • Responses to Assessment of Chronic Illness Care Short version items (e.g., "evidence-based guidelines are available and supported by provider education") fall within four descriptive levels of implementation ranging from "little or none" to "fully implemented intervention. (
  • People living with dementia and symptoms of agitation or aggression receive a comprehensive interprofessional assessment when symptoms are first identified and after each transition in care. (
  • People living with dementia and symptoms of agitation or aggression receive care from providers with training and education in the assessment and management of dementia and its behavioural symptoms. (
  • Screening is conducted by a trained health care professional during the initial comprehensive assessment and at regular intervals (at least every 12 months) thereafter. (
  • People with a venous leg ulcer undergo a comprehensive assessment conducted by a health care professional trained in leg ulcer assessment and treatment, to determine the healing potential of the wound. (
  • This assessment informs the individualized care plan. (
  • People who have developed or are at risk of developing a venous leg ulcer are offered compression therapy that is applied by a trained individual based on the results of the assessment and patient-centred goals of care. (
  • People with a venous leg ulcer and a suspected deep/surrounding tissue infection or systemic infection receive urgent assessment (within 24 hours of initiation of care) and systemic antimicrobial treatment. (
  • People who have developed or are at risk of developing a venous leg ulcer receive care from health care providers with training and education in the assessment and treatment of venous leg ulcers. (
  • People who have developed or are at risk of developing venous leg ulcers benefit from individualized care by health care professionals who have specific, comprehensive training and education in the appropriate assessment and management of these types of wounds. (
  • Nine papers assessed the relationship between indicators and six of them described some significant associations-in the NHs that have a policy related to nutritional risk assessment or a suitable scale to weigh the residents, the prevalence or risk of malnutrition is lower. (
  • In 2011 the Help Ethiopia Address the Low TB Performance (HEAL TB) Project used WHO or national TB indicators as standards of care (SOC) for baseline assessment, progress monitoring, gap identification, assessment of health workers' capacity-building needs, and data quality assurance. (
  • The Health of India's Elderly: A comparative assessment across subjective and objective health outcomes. (
  • One hundred and fifteen panellists representing 11 different stakeholder groups within primary care mental health services (clinical psychologist, health and social care commissioner, community psychiatric nurse, counsellor, general practitioner, practice nurse/district nurse/health visitor, psychiatrist, social worker, carer, patient and voluntary organisations). (
  • The US indicators for the selected conditions were used as a starting point, but the literature reviews were updated and panels of UK primary care practitioners were convened to develop quality indicators applicable to British general practice. (
  • Some of the differences may have related to differences in the process of developing the indicators, but many appeared to relate to differences in clinical practice or norms of professional behaviour in the two countries. (
  • However, indicators cannot simply be transferred directly between countries without an intermediate process to allow for variation in professional culture or clinical practice. (
  • The incidence of health care-associated SAB infections in Australian hospitals should be a very useful clinical indicator of the standard of infection control practice, as many of these infections are potentially preventable. (
  • Results from this large practical test on real-life data show the feasibility of these QIs and are beneficial in selecting the appropriate QIs for healthcare implementation in general practice. (
  • They utilise up to date evidence-based research from the Health Services Management Centre (HSMC), and experiential knowledge from clinical innovation in practice. (
  • Understanding the relationship between organizational context and research utilization is key to reducing the research-practice gap in health care. (
  • Bridging the research-practice gap is an important research focus in continuing care facilities, because the population of older adults (aged 65 years and over) requiring continuing care services is the fastes. (
  • There is emerging evidence that context is important for successful transfer of research knowledge into health care practice. (
  • Background for Health care practice redesign initiatives, such as the Patient-Centered Medical Home model or the Planned Care Model, are emerging approaches to improve the quality of Health Care primary health care delivery. (
  • Practice Redesign to provide high-quality care and continuity while involving patients, communities, health care teams, and policy makers. (
  • Purpose of the The purpose of this document is to give funded programs working in health care practice redesign a list of potential indicators to explore for evaluation purposes. (
  • For 1 comprehensive health care practice redesign initiatives, all indicators related to policy, systems, or environmental changes for Health Care Systems listed on the next page should be monitored for blood pressure and/or cholesterol. (
  • This practice standard aims to ensure clients, providers and other parties are not exposed to hazardous healthcare waste during the provision of care, minimising the risk of harm (NDIS 2019). (
  • Clinicians today face the challenge of providing optimal care in an environment where costs drive clinical practice. (
  • Health care professionals licensed in another state or United States territory or the District of Columbia - In-state practice on a limited basis - Requirements - Limitations. (
  • In practice this will mean that whatever our urgent or emergency care need, whatever our location, we get the best care from the best person, in the best place and at the best time. (
  • This month's article "Treatment of unaccompanied minors in primary care clinics- Caregivers practice and knowledge" beg. (
  • Even among those with health insurance coverage, wide variations exist within the United States concerning cost, utilization, quality, and access to health care services (7, 8) . (
  • The National Aged Care Mandatory Quality Indicator Program (QI Program) started on 1 July 2019. (
  • As part of the 2019-20 Budget Measure More Choices for a Longer Life - Mandatory National Quality Indicators and Reducing the Misuse of Medicines in Residential Aged Care , we have developed new quality indicators relating to medication management and falls and major injury, as well as updated the pressure injuries, physical restraint and unplanned weight loss quality indicators. (
  • This report summarises changes made to the My Aged Care system on 25 March 2019. (
  • In order to minimise the risk of harm from hazardous healthcare waste, it is crucial to have policies and procedures in place to ensure waste is handled, stored, packaged, labelled and transported correctly (QLD Government 2019). (
  • The core hospital-based outcome indicators (CHBOIs) contain a range of indicators which have been developed to enhance safety and quality reporting and feedback. (
  • The purpose of this document is to support the generation of core, hospital-based outcome indicators by States, Territories and private hospital ownership groups. (
  • In quality measurement of mental healthcare, structural indicators are common with fewer process and outcome indicators available. (
  • Clinical quality outcome indicators provide a mechanism for identifying variation in performance over time and between hospitals, however to date there has been no routine use of such indicators in acute care settings. (
  • The aim of this systematic review is to describe the use of structural, process, and outcome indicators of nutritional care in NHs and the relationship among them. (
  • They generally assessed the quality of nutritional care using several indicators, usually including a mixture of many different structural, process, and outcome indicators. (
  • Establishing the relationship between structural, process, and outcome indicators is a challenge. (
  • Outcome indicators overcome these limitations and are considered to be more closely related to quality. (
  • Additional indicators are also available in the OECD Health Statistics database in the Health Care Quality Indicators dataset in OECD.Stat in the query on Acute care . (
  • This series is designed to make available to a wider readership health studies prepared for use within the OECD. (
  • In interviews by the OECD Secretariat with member countries in April and May 2005, country experts and delegates to the Group on Health reiterated the need for a framework for the OECD's health care quality work. (
  • Countries stated that the framework should be: a) based on country experience and b) could be used to guide both current and future work by the OECD in health care quality measurement and monitoring. (
  • This report summarises information Australia provided to the Organisation for Economic Co-operation and Development's Health at a glance 2015 report, and compares data supplied by Australia in 2015 with data it supplied for previous years and with data reported by other OECD countries. (
  • The OECD HCQIs provide a common set of data about the quality of health care delivered across participating OECD member countries. (
  • This report summarises information provided by Australia to the Organisation for Economic Co-operation and Development's (OECD's) Health at a glance 2015 report for a common set of indicators about the quality of health care delivered across OECD member countries. (
  • The graphic on the next page represents Australia's performance compared with the OECD average for each indicator. (
  • Australia performed about the same as the OECD average for indicators in the middle of the graphic. (
  • 2014). OECD health-care quality indicators for Australia 2011-12 . (
  • Australian Institute of Health and Welfare 2014, OECD health-care quality indicators for Australia 2011-12 , AIHW, Canberra. (
  • This report summarises information Australia provided in 2013 to the Organisation for Economic Co-operation and Development's Health Care Quality Indicators 2012-13 data collection and compares data supplied by Australia in 2013 to data Australia supplied in previous years, and to data reported by other OECD countries in the OECD's Health at a glance 2013: OECD indicators. (
  • In assessing the quality of health care provided to Canadians compared with that in other high-income countries, we rely primarily on two data sources: comparative data collated by the Organisation for Economic Co-operation and Development (OECD) 7 and annual surveys conducted by the Commonwealth Fund. (
  • Health at a Glance compares key indicators for population health and health system performance across OECD members, candidate and partner countries. (
  • However, process indicators should be validated by demonstrating their ability to predict desirable outcomes. (
  • Even though this study was conducted in a complex population of patients, a set of 5 process indicators were found to have good predictive validity based on the hybrid method. (
  • The use of structural and process indicators for quality management offers several advantages - they are generally easy to measure and interpret and the collected data are often routinely available. (
  • structural and process indicators indicate the attributes of the NH and what is being done (or is supposed to be done), but they do not automatically translate into a higher quality of care or better outcomes. (
  • Hospitalizations, monthly Medicare expenditures, patient-reported and care process indicators. (
  • By comparing the outcomes of the two parallel processes, we draw conclusions on the extent to which quality indicators and their associated technologies can be transferred between countries. (
  • 5 , 6 In many studies of common inpatient conditions, investigators have revealed variability across hospital systems, which has raised concern for quality of care, but these conclusions were based on ICD-9 case definitions. (
  • Frail older people admitted to acute care hospitals are at risk of a range of adverse outcomes, including geriatric syndromes, although targeted care strategies can improve health outcomes for these patients. (
  • This paper reports the study protocol for the development of aged care quality indicators for acute care hospitals. (
  • Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. (
  • Table shows the proportion of breast cancer patients treated according to nationally recognized standards of care. (
  • HAS works in conjunction with health professionals, users of the healthcare system and patients to develop health care quality and safety indicators (QSI). (
  • To describe service characteristics of Derby Aboriginal Health Service (DAHS) and document diabetes management activities and intermediate clinical outcomes for Aboriginal patients with type 2 diabetes. (
  • Retrospective audit of records for patients ≥ 15 years old who had a confirmed diagnosis of type 2 diabetes, received primary health care from DAHS for at least 6 continuous months between 1 July 1999 and 30 June 2009, resided in the Derby area and were not on renal replacement therapy. (
  • Over the 10 years, the proportion of clinical care activities undertaken according to regional protocols increased significantly, with very high levels recorded in the last 3 years (at least 70% of patients had each activity recorded). (
  • It includes Aboriginal and Torres Strait Islander patients seen at DAHS who had type 2 diabetes mellitus, were ≥ 15 years old, received primary care from DAHS for at least 6 continuous months, lived in or near Derby, and were not on renal replacement therapy. (
  • A new study from the Harvard School of Public Health (HSPH) shows that patients who go to hospitals ranked higher according to specific quality measures have a lower chance of dying than patients treated at lower-ranked hospitals. (
  • By adjusting for risk, the researchers made sure that hospitals that took care of sicker patients weren?t penalized. (
  • This program should also motivate hospitals to improve the care they provide to their patients. (
  • Claims data did not provide information about quality as reflected in patients' satisfaction, communication or decision-making. (
  • Accordingly, the balance of power in health care will need to shift to include patients as part of the decision-making team. (
  • Human-centered design approaches can shed light on the needs and perspectives of people using health technologies, thereby removing unnecessary barriers to high-quality care for patients and making workload more manageable for health care workers. (
  • Strong associations are demonstrated between PCAS scales and outcomes such as patients' adherence to physicians' advice, patients' understanding of and ability to manage a chronic health condition, patients' satisfaction with their primary physicians, and patients' self-reported health improvements. (
  • This guide will support NHS AHP services to measure the time that patients wait to access patient NHS AHP services, which includes mental health and learning disabilities. (
  • Patients in the intensive care unit (ICU) at Beth Israel Hospital in Boston always have access to. (
  • Today's patients want to know that the care they receive is safe, effective, and accessible. (
  • As the initial step in what must be an evolving effort by clinicians to define, measure, report, and improve the care that patients and their families receive, this monograph is essential reading for those who provide and receive care, accredit and regulate care, and purchase and administer clinical services. (
  • Improving care is more likely with the involvement of both front-line clinicians and patients. (
  • The supporting report also clearly acknowledges that the quality of care provided to patients is the responsibility of not just individual clinicians but also other actors in the health care system. (
  • By arming themselves with measurable results, clinicians can improve the processes of delivering mental health care and translate those improvements into better outcomes for patients and their families. (
  • Usually, sicker patients are known to be less satisfied with their medical care. (
  • What is unique about the FNXEI is that it is not affected by a patient's overall health, giving clinicians an accurate account of their interactions with patients. (
  • Considering this, the FNXEI becomes a useful tool for improving care because it has face validity and specificity about the type of care clinicians are providing for their older adult patients. (
  • Patients, staff, physicians, and your bottom line all benefit from Nuance's Quality Management Solutions-because less time spent managing data means more time for improving patient care. (
  • Nuance has given us tools to help improve the care we provide to our patients. (
  • Among children, the top 1% most expensive patients account for one-third of pediatric health care spending. (
  • Quality indicators have been developed concerning palliative care for patients with cancer and / or dementia in different settings in various European countries. (
  • However, they are influenced by the risk level of elderly patients-primarily due to their health status-as well as by the quality of the care process. (
  • The Pediatric Quality Indicators (PDIs) focus on potentially preventable complications and iatrogenic events for pediatric patients treated in hospitals and on preventable hospitalizations among pediatric patients, taking into account the special characteristics of the pediatric population. (
  • 1 Unwarranted variability in the management, treatment, and outcomes of children hospitalized with UTI (eg, hospitalization rates, hospital-acquired UTIs, use of imaging) contributes to unnecessary risks for patients and costs for the health care system. (
  • Evaluating post-diagnostic behavior changes may be helpful for improving the quality of care for bone health in osteoporotic patients. (
  • The awareness group had higher odds ratios of vitamin/mineral replacement and healthy supplementary food but no other differences were observed, indicating the patients' beliefs in bone health care do not follow the recommended clinical guidelines (e.g. higher physical activity, lower alcohol consumption). (
  • To improve the quality of care for bone health in osteoporotic patients, an initial step should be the development of post-diagnostic procedures such as patient counseling and education through a multi-team care approach. (
  • Understanding which bone health behaviors are well performed or not may be helpful in the implementation of education or intervention programs to improve the bone health status of osteoporosis patients. (
  • Therefore, we analyzed the quality of care for bone health in relation to patients' awareness of their disease using data from the Fourth Korean National Health and Nutrition Examination Survey 2008-2009 (KNHANES IV). (
  • Medicare expenditures of patients with chronic illnesses might be reduced through improvements in care, patient adherence, and communication. (
  • Eligible fee-for-service Medicare patients (primarily with congestive heart failure, coronary artery disease, and diabetes) who volunteered to participate between April 2002 and June 2005 in 15 care coordination programs (each received a negotiated monthly fee per patient from Medicare) were randomly assigned to treatment or control (usual care) status. (
  • Hospitalizations, costs, and some quality-of-care outcomes were measured with claims data for 18 309 patients (n = 178 to 2657 per program) from patients' enrollment through June 2006. (
  • Programs with substantial in-person contact that target moderate to severe patients can be cost-neutral and improve some aspects of care. (
  • Care coordination for patients with chronic conditions did not reduce hospitalizations or Medicare costs. (
  • This is the percentage of publicly funded home care patients, of all ages, who had an unplanned visit to the emergency department in the last 30 days of life. (
  • Unplanned visits in the last month of life, which can be an extremely difficult experience for patients, could indicate they did not receive the care they needed in the community. (
  • Patients, families and the public are central to improving health quality. (
  • Upstate University Hospital is built around a Patients First Philosophy that puts patients and their families at the center of the care experience. (
  • Quality is closely monitored through regular hospital reviews and benchmark data with peer hospitals across the country, and by listening to patients and their families. (
  • The study cohort included adults with dementia (excluding patients with chronic psychotic illnesses) living in long-term care and aged 66 years and older. (
  • Our success in caring for patients can be attributed to our mission, our not-for-profit structure, and our people. (
  • This position is responsible for setting a strategic vision and overseeing the day-to-day operations of a new integrated care delivery model providing comprehensive care management for high needs patients. (
  • The importance of older patients' experiences with care delivery for their quality of life after hospitalization. (
  • Indicators were reviewed iteratively for meaningfulness, utility, feasibility, and supporting evidence until a final set of measures of acceptable validity and feasibility was produced with technical specifications. (
  • There are considerable benefits in using work from other settings in developing measures of quality of care. (
  • 13 This process involves the development of a draft set of indicators following a comprehensive review of the literature and then the rating of these indicators by experts for their validity as measures of quality. (
  • The Hospital Quality Alliance (HQA), a public-private collaboration that includes the Centers for Medicare & Medicaid Services and the American Hospital Association, aims to improve the quality of care at the nation?s hospitals by reporting how hospitals perform on detailed quality measures. (
  • This study really provides an important validation of the HQA efforts and suggests that paying attention to the quality measures matters. (
  • Multiple indicators can be chosen as outcomes for logic models and measures for companion evaluation plans. (
  • The AHRQ Patient Safety Indicators (PSIs) represent quality measures that make use of a hospital's available administrative data. (
  • Nuance Quality Measures offers rich, reliable data on core measures and quality performance required by key regulatory agencies for both manually abstracted and electronic clinical quality measures (eCQMs). (
  • Physician Quality Payment Program (QPP) and Merit-based Incentive Payment System (MIPS) measures are optional and available through our partnership with the Alpha II Registry. (
  • See how Nuance Quality Measures and Performance Analytics helps Shore pull timely data and customize reports in ways that are meaningful to the C‑suite, physicians, nurses and health information management to continually improve patient care. (
  • Quality Measures at the Interface of Behavioral Health and Primary Care. (
  • Hospital billing data are frequently used for quality measures and research, but the accuracy of the use of discharge codes to identify urinary tract infections (UTIs) is unknown. (
  • Hospital billing data are frequently used for quality measures and research, but the accuracy of identification of urinary tract infections on the basis of International Classification of Diseases, 9th revision, discharge codes is unknown. (
  • 2 , - , 6 Validated health care measures that identify hospital or provider factors that contribute to variability or underperformance can improve the quality of care for hospitalized children. (
  • A patient survey 7 to 12 months after enrollment provided additional quality-of-care measures. (
  • These programs had favorable effects on none of the adherence measures and only a few of many quality of care indicators examined. (
  • This study will investigate the influence of increased sedentary time on long-term measures of muscle protein synthesis and metabolic health. (
  • Effectiveness and success are determined and assessed by quantitative quality measures. (
  • Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care. (
  • Researchers looked at the impact of additional measures put in place in the early days of the pandemic to try and ease the pressure on the health service. (
  • University Hospital is committed to sharing its quality measures with the community. (
  • World Health Organization. (
  • World Health Organization, Regional Office for the Eastern Mediterranean (‎ World Health Organization. (
  • Regional Committee for Africa, 37 (‎ World Health Organization. (
  • Klazinga, N (‎ World Health Organization. (
  • We retrospectively evaluated pharmaceutical drug prescribing practices in 21 primary health care facilities in Irbid governorate, northern Jordan using World Health Organization-recommended core indicators.The mean number of drugs prescribed was 2.3 overall, ranging from 1.9 to 3.0. (
  • 3,4 In Australia, there are an estimated 7000 episodes of SAB infection a year, most of which are health care associated: about half of all episodes are acquired in hospitals, and about a third of community-acquired infections are related to health care procedures or devices such as dialysis, intravenous catheters or urinary catheters. (
  • Examining health care-associated SAB episodes will focus attention on associated system problems in hospitals. (
  • Methodology: The MHQIs were developed using a retrospective analysis of two data sets: A pilot sample of 1,056 RAI-MH admission and discharge assessments collected from 7 inpatient mental health units in Ontario and a sample of 30,046 RAI-MH admission and discharge assessments collected from 70 Ontario hospitals as part of the Canadian Institute for Health Information Ontario Mental Health Reporting System. (
  • The MHQIs were chosen based on clinically meaningful domains identified by mental health and quality stakeholders, MHQI rates that were consistently above 5% or below 95% among hospitals, and appropriate variation in rates among hospitals in both sets of data. (
  • Examples of performance indicators included whether hospitals gave aspirin and beta-blockers at arrival and discharge for AMI and, for pneumonia, how quickly antibiotics were administered. (
  • Because care varies from hospital to hospital, Jha says consumers should use publicly available data such as the HQA?s when choosing a hospital, since getting treated at higher-performing hospitals can increase their odds of surviving the hospitalization. (
  • Of these, 40,300 (59%) were in hospitals run by the Ministry of Health (MoH). (
  • Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. (
  • This study found no association between the number of information technology applications available in hospitals and improved risk-adjusted Patient Safety Indicator outcomes. (
  • Besides,the quality of breast cancer care for both hospitals and sur-geons was evaluated by the method . (
  • surgeons and hospitals who provided superior quality of breast cancer diagnosis and operative procedure were obtained. (
  • They can help hospitals identify problems in pediatric hospital care that may need further study and evaluate preventive care for children in outpatient settings. (
  • Definition of a patient population for comparison can be especially challenging for hospitals that provide care for populations with disparate levels of comorbidities and medical complexity. (
  • The indicators assess the process or the outcome of care. (
  • Read our manual and guides so you understand how to assess and record quality indicator data. (
  • To assess the performance of primary care physicians from the patient perspective. (
  • The objective of this study is to identify an effective method for building prediction models and to assess the predictive validity of the TRANSIT indicators. (
  • This study's objectives were to assess health care and spending among children with Medicaid insurance by their resource use. (
  • Future studies should assess whether more spending on primary care leads to better quality and cost containment for high resource users. (
  • Consensus on quality indicators to assess the organisation of palliative cancer and dementia care applicable across national healthcare systems and selected by international experts. (
  • The quality of care in NHs is a multidimensional construct that is difficult to define and assess. (
  • The objective was to assess the current state of the art in the presentation of online comparative health care information and to compare how the integration of different information types is dealt with on websites. (
  • The websites were systematically examined to assess how three different types of information (provider characteristics and services, performance indicators, and health care user experience) were presented to consumers. (
  • This project was Phase II of a multi-year effort to assess and pilot different approaches to communicate the Leading Health Indicators (LHIs) to diverse organizations and segments of the public. (
  • Phase I involved the development of the communication plan that identified the strategies, audiences and methods to make health professionals, the media and the American public aware of and attuned to the concept of Leading Health Indicators as a way to assess healthy practices. (
  • The CKCC program design will assess the patient's and caregiver's needs, develop tailored care plan for each individual, organize and adjust care processes accordingly, monitor quality of care and maintain contact with the patient and caregiver. (
  • We outline the methods used to develop a set of indicators in the US and describe a demonstration project that used the same methods to develop indicators for use in the UK. (
  • The indicators of Long Term Care Facility quality of care are calculated based on methods that have been developed in the US. (
  • Present methods to measure standardized, replicable, and comparable metrics to measure quality of medical care in low- and middle-income countries. (
  • The indicators and methods described are highly transferable and could be used to measure quality of care in other countries. (
  • These chapters review quality measurement methods and describe support by the federal government to improve these methods. (
  • 1. Introduction to Health Economics applied to Mental Health - this section is an overview of basic principles, concepts and methods used in Economics and Health Economics to enable students to make critical appraisal of Health Economics texts and also to design research studies in this topic. (
  • 2. Health Economics applied to the evaluation of quality and costs of Mental Health Services - this section presents results of Brazilian studies on the costs of mental health care (hospital, outpatient care, residential care, informal care), methods on the measurement of costs and it discusses issues related with public policies decisions and quality of mental health car in the low and middle income countries context. (
  • Methods Based on the literature reviews and expert opinion (through Delphi surveys), a taskforce of 23 members (12 experts in ultrasound in RMDs, 9 in methodology and biostatistics together with a patient research partner and a health professional in rheumatology) developed a checklist of items to be reported in every RMD study using ultrasound. (
  • While the second indicator is preferred, not all countries have the capacity to report these data. (
  • In short, healthcare organisations submit requested data via a secure platform. (
  • Fifty-seven mental health performance indicators that use information from both the medical record and administrative data (hybrid indicators) and 31 administrative-data only indicators are presented. (
  • The program collects quality indicator data from residential aged care services every 3 months. (
  • Over time, this data will provide an evidence base that can be used to improve the quality of services provided to care recipients. (
  • The Australian Institute of Health and Welfare (AIHW) publish quarterly quality indicator data, de-identified by provider, at a national, state and territory level on the GEN Aged Care Data website. (
  • Who must report quality indicator data? (
  • Approved providers of government-subsidised residential aged care services must submit quality indicator data. (
  • You must submit data for each residential aged care service , even if you're part of a larger provider group. (
  • It includes the definitions for each quality indicator and describes how to collect and submit your quality indicator data. (
  • Submit your data through the My Aged Care provider portal . (
  • A commercial benchmarking company can submit quality indicator data on your behalf. (
  • First quarter QI Program data collection for the new quality indicators starts from 1 July 2021. (
  • It provides a summary of data elements for each QI Program quality indicator from 1 July 2021. (
  • International comparisons of this kind are complex due to the diverse nature of health-care systems, and differences in data sources and quality across countries, but such comparisons nevertheless provide a tool to inform priorities and policies for health services and to monitor progress in achieving health objectives. (
  • The OECD's Health at a glance 2015 report provides information about the quality of the data provided by countries and note that, in particular, postoperative deep vein thrombosis, postoperative pulmonary embolism, and the obstetric trauma indicators may be affected by data quality limitations, and should be interpreted with caution. (
  • The prospective collection of data on bloodstream infections caused by susceptible and resistant strains of S. aureus will allow clinicians to better identify and address the many different factors surrounding serious health care-associated infections and their causes. (
  • Collecting data on community-onset infections is also important, as many of these are also health care associated. (
  • Background and Purpose: Quality measurement is an essential, yet, complex component of mental health services that is often limited by a lack of clinically meaningful data across service providers. (
  • Since the data is available provincially, the MHQIs and EQIs can be used for hospital based, regional, and public reports on quality of inpatient mental health services. (
  • We therefore demonstrate the calculation of Long Term Care Facility Quality Indicators (LTCFQIs) from data of the European S ervices and H ealth for E lderly in L ong TER m Care (SHELTER) project. (
  • In SHELTER data have been collected with the interRAI Long Term Care Facility instrument (interRAI-LTCF). (
  • A barrier to using quality indicators is lack of access to routinely collected clinical data. (
  • Setting Inpatient and outpatient claims data of a large health insurance in Switzerland covering all regions and population strata. (
  • Our study underscores that, with adequate resources and technical expertise, collecting data for quality indicators at scale in low- and middle-income countries is possible. (
  • Although digital health technologies offer great promise, caution is needed in the areas of ethics and regulation, including data protection, bias, and equity. (
  • The User Guide explains how health services can work with their clinicians and use data to improve the appropriateness of clinical care. (
  • Health information technology and patient safety: evidence from panel data. (
  • Analysis is based on the latest comparable data across 80 indicators, with data coming from official national statistics, unless otherwise stated.Alongside indicator-by-indicator analysis, an overview chapter summarises the comparative performance of countries and major trends, including how much health spending is associated with staffing, access, quality and health outcomes. (
  • This turnkey, cloud‑based solution helps achieve full annual payment updates and positive, value‑based payment by capturing and delivering reliable data on quality performance, as required by accreditation agencies. (
  • Retrospective cross-sectional analysis of 2012 Medicaid health administrative data from 10 states of children ages 11 months to 18 years. (
  • this was a descriptive study using secondary data of prescriptions with regard to quality indicators in a health facility that has three health care models Outpatient Medical Care (OMC), Primary Health Care Unit (PHU) and Family Health Strategy (FHS) in Vila Nova Jaguaré OMC/PHU in São Paulo-SP, Brazil , from July to October 2011. (
  • Tables of nationwide comparative rates for PDIs including observed rate, numerator, and denominator data for each indicator overall and stratified by sex, age group, and insurance status. (
  • We examined the impact of school-based delivery on vaccination rates and healthcare use of the entire population over seven influenza seasons (2000-2007) using population-based survey and health administrative data. (
  • Collection, use, and accessibility of health-related data. (
  • Hospital financial and patient discharge data - Financial reports - Data retrieval - American Indian health data - Patient discharge data - Confidentiality and protection. (
  • Health care data standards - Submittal of standards to legislature. (
  • Health care-associated infections - Data collection and reporting - Advisory committee - Rules. (
  • Hospital emergency room patient care information - Data collection, maintenance, analysis, and dissemination - Rules. (
  • Data were obtained from the pediatric health information system database and medical record review. (
  • Data source: Discharge Abstract Database (DAD), National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB), Home Care Database (HCD), provided by the Institute for Clinical Evaluative Sciences (ICES). (
  • Health care and health outcomes data about, and real-life experiences of, people living in Ontario. (
  • We used the California Patient Discharge Data Set, an administrative database developed by the Office of Statewide Health Planning and Development, to review hospitalization data for 2000-2011 ( 19 ). (
  • Each indicator has descriptive metadata and data. (
  • These valuable metadata are paired with the indicator data, which are the actual values of the measured characteristic. (
  • The data also includes specifics about the years of data represented, the source and supplier of the data, response rate and sample size information, and other important details helpful to evaluate and use the indicators. (
  • During a recent code-a-thon held by Health 2.0, one developer team combined data on food deserts with health outcomes data, raising awareness of needs and empowering users to improve available food choices . (
  • Presentations of these and other apps using various data sources are available from the Health 2.0 Developer Challenge . (
  • Data were obtained from routinely collected, linked health administrative databases in Ontario, Canada. (
  • Data Analyst - Integrated Quality Services (Full Time - Days. (
  • While the number of hospital and community health staff increased by 7% nationally in the year to June 2020, the workforce of remote trusts grew by only 5% over the same period. (
  • The Healthy People 2020 evidence-based resources identified have been selected by subject matter experts at the U.S. Department of Health and Human Resources. (
  • These indicators apply to all palliative and end of life care services in Scotland whether directly provided by an NHS board or secured on behalf of an NHS board. (
  • This article presents the efforts of a multidisciplinary international panel of experts to compile a set of palliative care quality indicators based on these pre-existing sets of indicators. (
  • The 23 quality indicators for palliative care focus mainly on cancer and dementia palliative care, but are generalisable to other conditions. (
  • AHRQ Quality Indicators. (
  • This report summarizes the work of the PDI Composite Measure Workgroup, which assisted AHRQ in developing a composite measure based on the Pediatric Quality Indicators. (
  • Visit the AHRQ QI Software Page for more information on the Quality Indicators SAS QI and WinQI software. (
  • Improving Patient Care is a special section within Annals supported in part by the U.S. Department of Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ). (
  • Many organizations such as the Agency for Healthcare Research and Quality (AHRQ) have programs to develop meaningful, reliable, and actionable metrics. (
  • Moves towards establishing a standardised and generic system of quality measurement in mental health care in England began in the 1990s when the Clinical Standards Advisory Group focused on both the management of schizophrenia 2 and depression 3 and, with the latter, moved towards examining the quality of provision in primary as well as secondary care. (
  • Delivering excellence in health and social care : quality, excellence, and performance measurement / Max Moullin. (
  • The past decade has witnessed remarkable growth in the field of quality measurement in health care. (
  • This compelling monograph combines-for the first time-the reports from two American Psychiatric Association task forces on quality in psychiatric care (March 1999, which focused on adults, and October 2001, which focused on children and adolescents), offering a clinical framework for quality measurement that provides sample indicators of quality for health plans, facilities, and systems of care. (
  • Proven techniques for quality measurement -Measuring quality of care presents significant conceptual and methodological problems. (
  • Also addressed are how consumers are joining the quality of care measurement movement and how one large urban county mental health program is advancing quality measurement. (
  • A method of determining a quantitative statement concerning the quality of a medical measurement signal in pulsoximetry includes the steps of determining factors relevant to the measurement signal and interlinking the factors by means of an uncertain logic into a quality indicator. (
  • The quality indicator quantitatively describes a quality of a determined measurement value of the measurement signal. (
  • b) interlinking the factors by means of an uncertain logic, including fuzzy logic, into a quality indicator wherein the quality indicator quantitatively describes a quality of a determined measurement value of the measurement signal. (
  • controlling an alarm function in dependence on the quality indicator in response to the measurement signal deviating from at least one of a given limit value and a range. (
  • In Israel, as in other Organization for Economic Co-operation and Development countries, performance measurement is a key public health strategy in monitoring and improving population health outcomes. (
  • Evaluation report of the Regional Director on the implementation of strategies for health for All by the year 2000. (
  • This paper presents the methodology used to develop a comprehensive set of performance indicators that will be used for a national evaluation of the mental healthcare provided by the Veterans Health Administration. (
  • A related evaluation assesses the future potential of Healthy Eating Research and its sister program, Active Living Research , as they influence health promotion and policy-making on children's environments. (
  • Evaluation of drug prescription quality indicators in a primary health care facility with different models of health care. (
  • The purpose of this evaluation was to determine how effective NWHIC's toll-free service is in meeting its goal to provide all women no-cost access to a wide range of health information, including referrals and publications. (
  • The Transforming Community Services multi-professional Leadership Challenges are open to all clinicians within the NHS who have a local innovative idea which could improve primary or community care services or pathways within their local area. (
  • Even if managed care disappeared, we would still need to question, examine, and improve the quality of patient care-with clinicians taking the lead, because only they can appreciate the subtle nuances that maintain or improve quality standards, and only they can make substantive changes in their clinical settings. (
  • The issue of how primary care clinicians manage unaccompanied minors is not well studied. (
  • 15% of healthcare waste is classified as hazardous (WHO 2018). (
  • Healthcare waste that poses a risk of injury, infection or harm to human health is classified as hazardous (NSW DoH 2018). (
  • 3. Quality Assurance, Health Care-standards-United States. (
  • Quality assurance - Interagency cooperation. (
  • In the laboratory area, where there was previously no external quality assurance (EQA) for sputum microscopy, 1,165 health facilities now have quarterly EQA, and 96.1% of the facilities achieved a ≥ 95% concordance rate in blinded rechecking. (
  • provide older people with more information about the quality of aged care services when making choices about their care. (
  • The quality indicators represent consensus among key stakeholder groups in defining quality of care within primary care mental health services. (
  • 1 However, ensuring the quality of primary mental health care remains a challenge in both developed and developing nations and, even in countries such as the UK with well established primary care and mental health services, there is considerable geographical variation in the quality of care delivered. (
  • The implied development of protocols within primary care as part of Standard 2 of the National Service Framework indicates the very low baseline from which issues of quality within primary care mental health services start. (
  • Understanding how services are organized, delivered, and effective is vital for ensuring and improving health care quality. (
  • The US Institute of Medicine defines quality of care as "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes which are consistent with current professional knowledge" ( ). (
  • Community services provide essential care to many people, families and communities, from health promotion to end of life care. (
  • The Translating Research in Elder Care (TREC) program is an observational multi-method health services research project underway in the prairie provinces of Canada (funded by the Canadian Institutes of Health Research). (
  • People living with dementia and symptoms of agitation or aggression have access to services from an interprofessional team that provides specialized care for the behavioural and psychological symptoms of dementia. (
  • There is also an overview of quality indicators of mental health care and instruments to evaluate mental health services and costs. (
  • Denise Razzouk is psychiatrist (Universidade de São Paulo - USP, Brazil), with Master in Sciences and PhD in Medicine (Universidade Federal de São Paulo - Unifesp, Brazil), Post-doctoral fellowship in Economics and Mental Health in the Centre of Economic Mental Health (Health Services and Population Research, King´s College, UK), MBA in Health Services Management (Fundação Getulio Vargas, Brazil) and Affiliate Professor in Department of Psychiatry, Unifesp. (
  • This collection of articles in Preventing Chronic Disease (PCD), "Oral Health Behaviors and Availability of Dental Services Among Children and Adults," features 8 articles that discuss contemporary dental public health challenges and opportunities. (
  • As resource use increases in children with Medicaid, spending rises unevenly across health services: Spending on primary care rises modestly compared with other health services. (
  • Little is known about how types of health services experienced by these children compare with children who have lower resource use. (
  • People without health insurance are much less likely than those with insurance to receive recommended preventive services and medications, are less likely to have access to regular care by a personal physician, and are less able to obtain needed health care services. (
  • Support for this project was provided by the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. (
  • Mental Health Services-organization & administration-United States. (
  • This study was funded by a Veterans Affairs Health Services Research and Development grant. (
  • Drs. Asch and Kerr were funded by Veterans Affairs Health Services Research and Development Career Development Awards. (
  • The initial development of the indicators was funded by the Centers for Medicare & Medicaid Services and the Agency for Healthcare Research and Quality (grant no. 5U18HS09463-03). (
  • Duties of department - Analysis of health services. (
  • Transfer of powers and duties from the department of social and health services. (
  • Transfer of certain behavioral health-related powers, duties, and functions from the department of social and health services. (
  • The Department's vision for urgent and emergency care is of universal, continuous access to high quality urgent and emergency care services. (
  • Emergency and critical care services will be operating normally and 999 calls will be responded to, during industrial action in the NHS on Wednesday 30 November. (
  • The Nuffield Trust has published a briefing which explores the impact the pandemic has had on the delivery of rural and remote health services in England, highlighting the underlying challenges faced by these services - and outlining how of the challenges faced are different for rural areas in comparison with more urban areas. (
  • This graphic below highlights some of the pressures facing rural and remote health care services. (
  • Professor Doron was one of the fathers of modern primary care in Israel and constantly promoted the development of primary care physicians - first in his role as the regional medical director for Clalit Health Services in the Negev, and later as Clalit's chief medical officer, and then as its CEO. (
  • The SOC approach for supervision was effective for measuring progress, enhancing quality of services, identifying capacity needs, and serving as a mentorship and an operational research tool. (
  • The Department of Health and Human Services sponsored a town hall meeting on December 16, 2003 to highlight the important role of health promotion and disease prevention activities in ensuring the health and wellness of our nation's family caregivers. (
  • 4+ years at Sutter Physician Services or other Health Care facility in a business office setting. (
  • Integrated health services delivery is an approach to strengthen people-centered health systems through the promotion of the delivery of quality services across the patient health journey, designed according to the multidimensional needs of the population and the individual and delivered by a coordinated multidisciplinary team of providers working across settings and levels of care. (
  • Tuality sold off its stake in the Tanasbourne Health Center in 2004 after a dispute with partner Providence Health & Services over the later's attempt to build a hospital in Hillsboro. (
  • In October of that year an affiliation with former partner Providence Health & Services was announced that was to be a trial program. (
  • It also operates the Tuality Health Education Center, which includes a library that is a member of the Washington County Cooperative Library Services. (
  • Inpatient services offered by Tuality Healthcare at these facilities include: cancer treatment, cardiac related services, a critical care center and Tuality Community Hospital, surgical services, geriatric psychiatry, and birth and maternity care. (
  • These indicators were categorised into 21 aspects of care, 11 relating to general practices and 10 relating to health authorities or primary care groups/trusts. (
  • The central role played by primary care in the recognition and delivery of care for people with mental health problems is now widely acknowledged. (
  • This was subsequently followed by the National Service Framework for Mental Health 4 which included the role of primary care in the delivery of mental health care (box 1). (
  • To evaluate the transferability of primary care quality indicators by comparing indicators for common clinical problems developed using the same method in the UK and the USA. (
  • Quality indicators developed in the USA for a range of common conditions using the RAND-UCLA appropriateness method were applied to 19 common primary care conditions in the UK. (
  • This document contains the BTS Quality Standards for Pulmonary Rehabilitation in adults with chronic respiratory disease and applies to both primary and secondary care. (
  • This study assessed a large set of evidence-based quality indicators (QIs) for primary healthcare in the Swiss context. (
  • Strong primary care systems can produce better health outcomes cost-efficiently and can offset the impacts of poor socioeconomic conditions on health. (
  • At the beginning of her pregnancy, she contacted her primary care center via text message. (
  • All PCAS items are non-visit specific to emphasize primary care in a sustained clinician-patient relationship. (
  • The foundation for the PCAS came from the Institute of Medicine's definition of primary care. (
  • Beyond the examination room: Primary care performance and the patient-physician relationship for low-income women. (
  • Primary care experiences of Medicare beneficiaries, 1998 to 2000. (
  • rather, each of our 10 provinces and three territories holds primary responsibility for health care. (
  • 001). From the least to most expensive groups, increases in PMPM spending were smallest for primary care (from $15 to $33) and much larger for inpatient ($0.28 to $3129), mental health ($4 to $1609), specialty care ($8 to $768), and pharmacy ($4 to $699). (
  • Low and high resource users with Medicaid are similar in the amount of spending on primary and dental care and dramatically differ in spending on hospital, mental health, specialty, and pharmacy care. (
  • 15 - 18 Despite this finding, 40% of children with complex chronic conditions may not have an annual primary care visit. (
  • to describe drug prescription indicators in a primary health care facility with different models of health care . (
  • The health workforce is well trained, yet the United States faces a severe shortage of primary care physicians. (
  • for example, social norm feedback (presenting information to show that individuals are outliers in their behaviour) from a high profile messenger can reduce antibiotic prescribing in primary care at low cost and at national scale ( table 1 ). (
  • The primary outcome was direct health care costs. (
  • At the same time, Israeli primary care continues to face important challenges, including difficulties in attracting talented medical school graduates in sufficient numbers and the brevity of the typical patient-physician encounter. (
  • Primary care is a crucial part of a functional health care system, though in many parts of the world there are current or projected gaps in the primary care physician workforce. (
  • Rachel Podell and her colleagues at the National Program for Quality Indicators in Community Healthcare in Israel have provided a clear and engaging description of thequality of primary care provided to the el. (
  • Although the 2016 health care budget was down on the historic high of 2015, industry players are confident of changes to enhance efficiency and promote better allocation of resources, as the rollout of government initiatives and projects already in the pipeline moves ahead. (
  • The majority of QIs, in particular QIs reflecting chronic care and medication use, are considered beneficial markers of healthcare quality as they were associated with reduced risk of hospitalisation in the subsequent year. (
  • Meanwhile, a greater focus on preventive care is being encouraged to tackle the rise of chronic and lifestyle-related diseases, and an increasing number of Saudis are enrolling in courses at the Kingdom's medical colleges, which bodes well for a sector historically reliant on foreign expertise. (
  • Disease management programs (DMPs) in the Netherlands are based on the chronic care model (CCM) introduced by Edward Wagner. (
  • The idea is to transform chronic disease care from acute and reactive to proactive, planned, and population-based. (
  • In line with earlier research on the ACIC, both the ACIC and the ACIC-S appear to be sensitive to intervention across different DMPs aimed at various chronic illnesses, helping teams focus their efforts on adopting evidence-based chronic care changes. (
  • The result is a 0-11 scale, with categories defined as 0-2 (little or no support for chronic illness care), 3-5 (basic or intermediate support), 6-8 (advanced support), and 9-11 (optimal or comprehensive integrated care for chronic illness). (
  • These include inequities in access to dental care, disparities in the prevalence of oral disease, risk behaviors related to oral disease, the relationship between oral health and chronic diseases, and the effect of the COVID-19 pandemic on oral health. (
  • Healthy People 2030 oral health objective 6 is to reduce the proportion of adults aged 45 years or older with moderate or severe periodontitis, a disease linked to chronic diseases such as diabetes (4), adverse pregnancy outcomes (5), atherosclerotic cardiovascular disease (6), rheumatoid arthritis (7), Alzheimer's disease (8), chronic obstructive pulmonary diseases (9), nonalcoholic fatty liver disease (10), and others. (
  • The authors suggest that these correlations should be factored into care plans for people with comorbid or multimorbid dental and chronic disease conditions. (
  • They also suggest that more awareness is needed about evidence on correlations between dental conditions and chronic diseases and potential opportunities for medical-dental integration in delivery of care. (
  • 7 , 8 Child HRUs are a heterogeneous group with many rare, complex chronic conditions 9 , 10 and a variety of intensive, expensive health care needs. (
  • Each then examined important aspects of patient care and constructed a quality framework that included dimensions of access, quality (appropriateness of care), perception of care (satisfaction), outcome, and-for the children's report-prevention. (
  • Indicators were linked to discharge diagnoses. (
  • It has supported the early discharge of older people from hospital and can help delay their entry into residential care. (
  • This paper represents an attempt to set out a conceptual framework for the OECD's Health Care Quality Indicator (HCQI) Project. (
  • How does Australia compare on the HCQI indicators? (
  • The PSIs reflect the quality of inpatient care but also focus on preventable complications and iatrogenic events. (
  • The PDIs can be used to identify potential quality and patient safety issues specific to the pediatric inpatient population. (
  • Duties of department - Promotion of health care cost-effectiveness. (
  • 4, 5 However, developing lower level clinical quality indicators is an expensive and time consuming process, and there is currently little evidence to suggest that the process can be facilitated by transferring indicators developed for the health system in one country to another country. (
  • There is interest in the creation of performance indicators that can measure quality by examining the structure, process, and outcomes of care. (
  • As part of these efforts, many countries have developed indicators to measure and monitor acute care performance. (
  • Quality indicators measure important aspects of quality of care that can affect a care recipient's health and wellbeing. (
  • We explain how risk factors are taken into account and show how LTC facilities at facility and country level can be compared on quality of care using thresholds and a Quality Indicator sum measure. (
  • Our QI sum measure facilitates the overall comparison of quality of care between facilities and countries. (
  • A measure for rating the quality of an interaction with a patient who is bothered by a problem is called the Functional Education Index or FNXEI. (
  • Prioritizing quality measure concepts at the interface of behavioral and physical healthcare. (
  • Within myBlueMeter, individuals can see how their personal health compares to their peers, and what action steps they can take to match or beat the health measure values of those peers. (
  • The acute hospital care remains central to the performance of the health care system. (
  • The second indicator reports on the percentage of deaths that occur within 30 days following admission, where the death may have occurred in any hospital or out of hospital. (
  • In principle it might make sense for other countries to use this expertise rather than to develop their own indicators de novo, and there is some experience of doing this from the Maryland Hospital Indicator project. (
  • Receiving care during her pregnancy is much easier than when she was a child, and her parents had to save up for taxi fare or spend an entire day taking buses to the hospital and waiting for a doctor. (
  • This Gap Analysis tool developed by Julie Furlan from Darwin Private Hospital will assist organisations to understand what gaps exist in their current work flows, policies and procedures to enable the implementation of the Colonoscopy Clinical Care Standard. (
  • The objective of this study was to compare the quality of maternity care in 2 types of government-run hospital in the town of Khorram Abad, Islamic Republic of Iran in 2009: a university-linked teaching and asocial security organization non-teaching hospital. (
  • 11 Hospital care accounts for nearly 80% of health care spending for these children. (
  • Reductions in hospital and ED use have been reported with high-intensity outpatient care management for subgroups of HRU children. (
  • The Key Performance Indicators are a roll up of the information used to generate hospital quality "report cards. (
  • Tuality operates the following healthcare facilities: Tuality Community Hospital, Tuality Urgent Care, Tuality Forest Grove Hospital, Tuality/OHSU Cancer Center, and other medical offices in western Washington County. (
  • This review summarizes HSPA domains and indicators used by Member States in their HSPA or health system-related reports. (
  • The paper report on the indicators' technical specifications and the United States Public Health System Task Force defined strength of supporting evidence. (
  • Opportunities are also available to extend the use of the MHQIs to community mental health, so that system level evaluations of quality can be developed. (
  • It includes 38 recommended actions to further improve the aged care system. (
  • We use the well-recognized framework of the Institute of Medicine 6 to appraise the quality of health care in Canada, and also as a foundation for discussing strategies that can be used by system-level decision-makers who wish to improve health care. (
  • The CCM clusters six interrelated components of health care systems: health care organization, community linkages, self-management support, delivery system design, decision support and clinical information systems. (
  • Healthy People 2030 oral health objective 8 is to increase the proportion of children, adolescents, and adults who use the oral health care system. (
  • Increasing use of the oral health system is also a Leading Health Indicator, a small subset of high-priority Healthy People 2030 objectives selected to drive action toward improving health and well-being in the United States (12). (
  • The concluding section proposes lessons that the United States can learn from these countries and recommendations for achieving a high-performance health care system in the United States. (
  • and Veterans Affairs Ann Arbor Healthcare System and University of Michigan, Ann Arbor, Michigan. (
  • therefore, an appropriate detection and management system that includes lifestyle modifications may minimize the burden on public health resources worldwide. (
  • Dr Billy Palmer, senior research fellow at the Nuffield Trust, says there is no doubt the pandemic was a game-changer across the whole health and social care system. (
  • We assessed a participatory community and health system intervention to reduce the prevalence of disrespect and abuse during childbirth in Tanzania. (
  • The results indicate that a participatory community and health system intervention designed to tackle disrespect and abuse by changing the norms and standards of care is a potential strategy to improve the treatment of women during childbirth at health facilities. (
  • Health care system and AMR quality service indicators. (
  • Phase II included the conceptualization and prototyping of the following: a "brand" for the Leading Health Indicators, an annual report on the health of the nation, a national summit on prevention, regional meetings on prevention topics, possible baseline knowledge questions about the LHIs, and a qualitative research repository to enhance knowledge of how to communicate effectively with the public. (
  • The available materials include the event agenda and summary, a special letter from Mrs. Nancy Reagan, one page fact sheet and frequently asked questions concerning family caregiving, an overview of the programs that promote the health of older adults, and a compendium of studies designed to promote the health of caregivers. (
  • The interplay between healthy behaviors and health outcomes among older adults in Russia. (
  • The findings appear in the July/August 2007 issue of the journal Health Affairs. (
  • Findings were based on a nationwide health insurance claims database covering all parts of Switzerland. (
  • These articles describe the protocols for the Translating Research in Elder Care (TREC) program and the evolution of the approaches taken by the team in its first four years to feed research findings back to study participants as the team began to move toward an integrated knowledge translation model. (
  • These objectives are categorized by health conditions, health behaviors, and populations, and the 11 that deal with oral health serve as a framework for articulating how findings and recommendations presented in this PCD collection align with established strategies to improve national oral health outcomes. (
  • Our findings show that a consensus must be reached for defining a set of indicators and standards to improve quality in NHs. (
  • Health care quality - Findings and intent - Requirements for conducting study under RCW 43.70.066 . (
  • The initiative highlights unbiased treatment summaries from AHRQ's Effective Health Care (EHC) Program , a leading Federal effort that compares treatments for various health conditions and makes the findings public. (
  • TREC is designed to establish the associations between organizational context, bedside knowledge use, work life quality for caregivers, and resident outcomes. (
  • People living with dementia and symptoms of agitation or aggression have an individualized care plan that is developed, implemented, and reviewed on a regular basis with caregivers and agreed upon by substitute decision-makers. (
  • initiative encourages people living with health conditions and their caregivers to explore treatments options for their conditions, compare the benefits and risks of each, and prepare to discuss them with their health care provider. (
  • Former and current family caregivers were on hand to deliver testimonials of their caregiving experiences and discuss the positive impacts that health promotion activities have had on their quality of life. (
  • Researchers and representatives from caregiving organizations also highlighted ways in which family caregivers could engage in activities to improve their overall health. (
  • It aims to help everyone involved - contact centre staff, assessors, service providers and health-care providers - best support people get the aged care they need. (
  • Public and private sector investment in Saudi Arabia's health care industry continues to be fuelled by the growing demands of a rising population and the increasing prevalence of lifestyle-related diseases. (
  • Schols, J.M.G.A. / Malnutrition in Dutch health care: Prevalence, prevention, treatment, and quality indicators . (
  • National results per indicator are published onto the HAS website and results per organization are published on Scope Sante . (
  • WHO HQ Library catalog › Results of search for 'su:{Quality indicators, Health care. (
  • Purchasers of mental health care want clear, reliable, meaningful, and comparable information on what care is provided and with what results. (
  • all the prescription indicators show better results for FHS. (
  • Only one of the 19 studies described the quality of care by comparing the results with the threshold values. (
  • aims to bring together leading academic scientists, researchers and research scholars to exchange and share their experiences and research results on all aspects of Healthcare and Nursing Care Quality. (
  • Also, high quality research contributions describing original and unpublished results of conceptual, constructive, empirical, experimental, or theoretical work in all areas of Healthcare and Nursing Care Quality are cordially invited for presentation at the conference. (
  • Specifies guidance for the selection, use and interpretation of results from application of biological indicators when used in the development, validation and routine monitoring of sterilization processes. (
  • In this analysis we present results from 10 zones (of 28) in which 1,165 health facilities were supported from 2011 through 2015. (
  • Performance indicators in the long term care sector are important to evaluate the efficiency and quality of care delivery. (
  • Therefore, this study aimed to evaluate the recently proposed quality indicators (QIs) based on a nationwide healthcare claims database and determine their association with the risk of subsequent hospitalisation at patient-level. (
  • Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. (
  • It will also alert public health authorities, with the possibility of action to stem local outbreaks. (
  • A woman takes her three sick children to a public health clinic. (
  • As both a broad conceptual framework for considering the quality of mental health care and as a practical field guide to real-life techniques for measuring the quality of care, this volume will prove exceptionally valuable for mental health care professionals, administrators, and policymakers as well as for consumers and consumer advocates, researchers, students, and public health professionals. (
  • The main objective of this work is to provide a book with high quality content that becomes a reference and support for graduate course (Mental Health, Public Health and Epidemiology) and for research in the domain of health economics applied to mental health. (
  • Oral health is essential to overall health (1), and dental public health is a field of public health and a specialized field of dentistry that focuses on improving access to oral health care and understanding the factors that contribute to improving oral health from a population health perspective (2). (
  • Some public health units (PHUs) vaccinate children in schools. (
  • Threat to public health - Investigation, examination or sampling of articles or conditions constituting - Access - Subpoena power. (
  • Threat to public health - Order prohibiting sale or disposition of food or other items pending investigation. (
  • Public health supplemental account - Annual statement. (
  • In California, the increasing health- and cost-related effects of coccidioidomycosis-associated hospitalizations are a major public health challenge. (
  • Bachelor's in Healthcare Informatics, Public Health , Healthcare administration or similar is required. (
  • BMC Public Health, 14:526. (
  • A Web search was used to identify websites that contained comparative health care information. (
  • Diverse presentation approaches were used to display comparative health care information on the Internet. (
  • Currently, approaches to the presentation of comparative health care information do not seem to be systematically selected. (
  • Public reporting of comparative health care information has become increasingly important in several countries. (
  • Objectives The quality of ambulatory care in Switzerland is widely unknown. (
  • The proportion of SAB infections that are due to MRSA should be a good indicator of a hospital's level of MRSA control. (
  • Take steps to protect yourself from infections when you get medical care. (
  • Life expectancy in Saudi Arabia was 74.2 years in 2014, exceeding the regional average by six years and the global average by four, with life expectancy at birth for both sexes rising by three years in the decade to 2012, according to the World Health Organisation (WHO). (
  • This paper describes the methodology used to develop 88 performance indicators of the quality of mental health and substance abuse treatment, and presents the technical specifications associated with each indicator. (
  • 1- 3 In recent years there has been considerable interest in using high level indicators to compare the performance of different health systems. (
  • Quality outcome and process of care quality indicators (QI) provide a mechanism to identify variation in performance and can contribute to a framework for improving performance. (
  • Performance indicators and health promotion targets / David Buck, Christine Godfrey, Antony Morgan. (
  • Measuring integration is different from measuring the performance of integrated care. (
  • This submission by the Aged Care Financing Authority (ACFA) describes the financial performance of aged care service providers. (
  • 1 2 Audit and feedback aim to improve patient care by reviewing clinical performance against explicit standards and directing action towards areas not meeting those standards. (
  • Face validity (median rating of 8 or 9 on a nine point scale with agreement by all panels) for assessing quality of care. (
  • In England it is only recently that a National Service Framework and strategy for mental health care has been developed. (
  • Our indicators offer a comparable, replicable and standardized framework to identify variations on quality of care. (
  • In Table 1 , we use the six dimensions in the Institute of Medicine's framework to compare the quality of health care in Canada with that in other high-income countries. (
  • According to Donabedian's framework [ 5 ], quality is a function of three domains: structure, process, and outcome. (
  • Although many of the indicators relate to parochial issues in UK service delivery, the methodology used in the development of the indicators could be applied in other settings to produce locally relevant indicators. (
  • Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology. (
  • Of the 57 hybrid indicators, 13 indicators are supported by Agency for Healthcare Research and Quality grade I evidence, 5 indicators are grade II, and 39 indicators are grade III. (
  • APA convened these two task forces to lend its professional expertise to that issue, to advise on how to develop clinically based, patient focused quality indicators that use existing and ongoing research and clinical consensus in selecting potential indicators. (
  • Rockville, MD: Agency for Healthcare Research and Quality. (
  • Stay up to date: Receive monthly updates on RWJF-sponsored research that informs leading health policy debates on Capitol Hill - from health equity to improving access to quality health care, child nutrition, equitable housing, and more. (
  • In addition, longitudinal research studies are needed to document the direction of causality between oral health and systemic diseases. (
  • In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. (
  • Quality of Life Research, 24 (4), 897-903. (
  • This Memorandum of Understanding (MoU) describes how the Department of Health and the Aged Care Quality and Safety Commission will work together. (
  • The term healthcare waste describes any waste generated through clinical activity, with the majority (about 85%) considered 'general' (non-hazardous). (
  • The first part describes health care in the United States. (
  • The second compares it with health care in other countries. (
  • 4 , 5 Reducing preventable encounters is thought to be best achieved by improving outpatient care management and coordination. (
  • Prevention Quality Indicators Overview. (
  • Among the 3 techniques used to predict reaching therapeutic targets, the hybrid method had a better discriminative capacity (cvAUCs=0.73 for hypertension, 0.64 for dyslipidemia, and 0.79 for diabetes) and succeeded in identifying indicators with a better capacity for predicting intermediate outcomes related to cardiovascular disease prevention. (
  • Access to dental care for prevention and treatment is critical to ensure optimal oral health. (
  • A survey by the Centers for Disease Control and Prevention found that 43.6 million people (14.8%) of all ages were uninsured at the time of the National Health Expenditure Survey interview in 2006 (2) . (
  • People with a venous leg ulcer have a mutually agreed-upon individualized care plan that identifies patient-centred concerns and is reviewed and updated regularly. (
  • ICHNCQ 2021 has teamed up with the Special Journal Issue on Healthcare and Nursing Care Quality . (
  • In this timely guide, the editors have gathered the work of 49 distinguished contributors and crafted a valuable resource for overcoming the extraordinary challenge of delivering high quality mental health care. (
  • Also this book might be useful for policymakers on formulating mental health policies. (
  • 4. Health Economics, burden and indirect costs of mental disorders - This section highlights the social and economic burden caused by mental illness under societal perspective focusing on stigma, unemployment, indirect costs in the workplace (absenteeism and presenteeism), the relationship between poverty and mental disorders, global health and social determinants of mental health and on the costs of mental disorders (depression, anxiety, psychosis, alcohol and drug disorders). (
  • 1. Managed mental health care-United States-Quality control. (
  • 2. Managed mental health care-Accreditation-United States. (
  • Perspectives of Individuals With Serious Mental Illness on a Reverse-Colocated Care Model: A Qualitative Study. (
  • Potential Risks and Benefits of Mental Health Screening of Physicians. (
  • And Satellite Wellbound is leading the industry in home dialysis because better outcomes and quality of life are our highest priority. (