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Question about Quality of Care and Performance Measures

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1. What is quality?
2.Why is it important to measure quality of care?
3.What do you believe is the most effective measure of quality and why? Support your position with evidence.
4. Why is the quality measure you selected better than other measures. Cite your sources.

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Solution Summary

This solution explains the concept of 'quality' and the reasons why it is important to measure quality of care. Then, measures of quality are explored and evaluated in terms of effectiveness. Sources are cited. Supplemented with three highly informative articles.

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1. What is quality?

There are many operational definitions for the variable quality. For example, quality care can focus on the response to the procedure, looking at several indicators including: mortality rate for specific diseases, re-admissions within 30 days, 30-day mortality rates, 90-day mortality rates, contacts with physicians, and continuity of care. (http://www.umanitoba.ca/centres/mchp/concept/thesaurus/thesaurus_Q.html see attachment "quality indicators).

If the researcher or evaluator is measuring the quality care of children, then the focus may be on the procedure itself, looking at several indicators including: caseload volume, performance of procedures on very young children, and postoperative management
(http://www.umanitoba.ca/centres/mchp/concept/thesaurus/thesaurus_Q.html).

For Primary Care the focus may be on the extent to which care meets accepted standards. In this study, the focus was on process measures, specifically clinical effectiveness, which are easily accessible through administrative data. For article on the qualities of a good doctor see attachment. (http://www.umanitoba.ca/centres/mchp/reports/reports_04/quality.htm)

Developed by MCHP, these 13 measures of quality of care in primary care, are divided into two groups and focus on family physician behavior. The first group, Disease Prevention / Health Promotion indicators, include five measures: childhood immunization, influenza vaccination, cervical cancer screening, cholesterol screening, and blood sugar screening. The second group, Acute and Chronic Disease Management indicators, include eight measures: anticoagulation medication monitoring, antidepressant prescription follow-up, asthma care, potentially inappropriate prescribing of benzodiazepines for older adults, diabetes care: cholesterol testing, diabetes care: eye examination, post-myocardial infarction (MI) care: Beta-Blocker prescribing, and post-myocardial infarction (MI) care: cholesterol testing.

See on-line article for indicators of quality care of family physicians at http://www.umanitoba.ca/centres/mchp/reports/pdfs/quality_wo.pdf.

EXCERPT

"The analysis of organizational performance (i.e., quality of care) is a crucial step in the organizational assessment process. Yet, measuring performance is one of the most ...

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