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 ...
The BIG-IPs performance reports provide information about page requests, the frequency of those requests, and how well the BIG-IP system serviced those requests from cache. Additionally, performance reports provide information about the acceleration application, policy, policy node, HTTP response status, S-code, size range of the response, response object type, and ID of the BIG-IP system or browser making the request.. The BIG-IP system provides three types of performance reports.. ...
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
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 (http://www.ahrq.com), UK (http://www.hqip.org.uk), and Denmark (http://www.ikas.dk). 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 ...
This website presents the results of Quality Indicators for Directory Enquiry Services. They provide measurements of call response time in call centers (numbers 118XX) where directory information is p
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 ...
Areas of strength for the SJSD include social studies, college and career readiness indicators and attendance.. For the first time, the SJSD posted a 3.1% overall improvement in attendance. This is the best performance the district has ever earned, said Dr. Kendra Lau, Director of School Improvement. In previous years the district has suffered a severe chronic absenteeism issue that contributes to both the academic and social success of students. Reducing chronic absenteeism is a continued focus of the district as it is critical for students academic and postsecondary success.. The Districts social studies scores show a 3.2% increase in proficiency reflecting tremendous progress from last year.. Growth is our goal. It is important that our students grow in their learning each year, said Dr. Marlie Williams, Assistant Superintendent of Academic Services. With our focused efforts over the last two years to improve our outcomes, this is a positive step for the district.. The SJSDs ...
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 ...
Every three months - each quarter of the year - central government spending agencies prepare a report on the implementation of their budgets and their annual workplans. These are key documents to hold Spending Agencies to account against the performance contracts they agreed to. They show: actual outputs by Spending Agency; actions to improve performance; actual work plan outputs by project and programme; and the expenditure on outputs by item. ...
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 www.squire-statement.org. 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: http://www.lanetpbrn.net/wp-content/uploads/Performance-Report-Generator_1.xlsb) 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. ...
It also offers corresponding contextual and operational indicators, helping to interpret the core set in national and global contexts and to provide more detail according to national circumstances and priorities.. Eight of the proposed indicators are SDG (or conceptually identical) indicators, and four are global indicators to measure the targets of the Sendai Framework on Disaster Risk Reduction. Twenty-seven of the proposed indicators can be produced from SEEA-Central Framework (SEEA-CF) accounts or are linked to SEEAs ecosystem accounting (SEEA-EA). Reserved spaces had to be included for an indicator measuring the contribution of forestry to adaptation to climate change and for an indicator measuring the impact of climate change on biodiversity. Both areas are highly relevant, but the Working Group was unable to identify appropriate indicators after consulting with international experts in the field. The two reserved spaces require additional work. The indicators were developed by a task ...
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 ...
Switzerland ranked 6th in the HRI 2011, improving one position from 2010. Based on the pattern of its scores, Switzerland is classified as a Group 1 donor. Donors in this group tend to perform above average in all pillars. Other Group 1 donors are Denmark, Finland, the Netherlands, Norway, and Sweden. Switzerlands global score was above the OECD/DAC average, but below the Group 1 average. Similarly, Switzerland scored above the OECD/DAC average in all pillars, with the exception of Pillar 2 (Prevention, risk reduction and recovery). It scored below the Group 1 average in all pillars, except for Pillar 1 (Responding to needs), where it scored above average.. Compared to its OECD/DAC peers, Switzerland did best in the indicators on Participating in accountability initiatives, Funding accountability initiatives, International humanitarian law, Funding international risk mitigation and Advocacy towards local authorities. Its scores were relatively the lowest in the indicators on Funding ...
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 ...