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Notes from chapter 3 quality management, Study notes of Quality Management

Notes from chapter 3 quality management

Typology: Study notes

2022/2023

Available from 04/11/2023

chelsealouwood
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Measuring
performance
-purpose
of
measurement
is
to
gather
information
·
measures
-
instruments
or
tools
used
to
gather
information
-
information
must
be
accurate
to
be
helpful
·
metrics-anxtype
of
measurement
used
to
gauge
a
quantifiable
component
of
performance
-
companies
measure
costs,
quality,
productivity,
efficiency,
customer
satisfaction
more
~use
to
understand
performance
·
performance
-
the
way
in
which
an
individual,
group
or
organization
carries
out
or
accomplishes
its
important
functions
processes
-data
must
be
accurate,
useful,
easy
to
interpret
reported
consistently
Measurement
in
Quality
Management
starting
point
in
an
arm
activities
-
uses
measurement
to
determine
how
performing
·
customer
service-series
of
activities
designed
to
attend
to
customer
needs
-measurement
-
how
are
we
doing?
-
assessment:
are
we
meeting
expectations?
-
Improvement:
now
can
we
improve
performance?
·
performance
measures:
quantitative
tools
used
to
evaluate
an
element
of
patient
care.
-
quality
measures
·
quality
indicators
-
measures
used
to
determine
organizations
performance
over
time
-
measurement
data
can
be
communicated
In
many
ways
-
measure
expressed
as
percentage
is
more
useful
than
measure
expressed
as
absolute
number
·
average
-
numerical
result
obtained
by
dividing
sum
of
two
or
more
quantities
by
number
of
quantities
-
arithmetic
mean
·
ratio
one
value
divided
by
another
-value
of
one
quantity
in
terms
of
the
other
Accuracy
~
correctness
of
numbers
-validity
of
numbers
·
validity
-
the
degree
to
which
data
or
results
of
a
study
are
correct
or
true
·
valid-relevant,
meaningful,
and
correct
-
appropriate
to
the
task
at
hand
Usefulness
-
must
be
useful
East
of
Interpretation
-
must
be
easy
to
interpret
-
purpose
of
performance
measurement
is
to
provide
information
·
line
graph-graph
in
which
trends
are
highlighted
by
a
line
connecting
data
points
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Measuring performance

-purpose

of measurementisto gather

information

·

measures

instruments

or

tools used to

gather

information

information

must

be accurate

to be

helpful

·

metrics-anxtype

of

measurement

used to

gauge

a

quantifiable component of

performance

companies measure costs,

quality,

productivity,

efficiency,

customer

satisfaction

more

~use to understand performance

·

performance

the way

in which

an

individual,

group or organization

carries

out or accomplishes

its

important

functions

processes

-data must be

accurate,

useful, easyto

interpret

reported

consistently

Measurement

in

QualityManagement

starting

point

in an

arm activities

  • uses measurement

to determine how

performing

·

customer service-series

of

activities

designed

to attend to

customer

needs

-measurement

  • how are we

doing?

assessment:

arewe meeting expectations?

Improvement:

now can we improve

performance?

·

performance

measures: quantitativetools used

to

evaluate

an element of patient

care.

quality measures

·

qualityindicators

measures used to

determine

organizations

performance

over

time

measurement data can

be communicated In many ways

measure

expressed

as percentage

is more useful than

measure

expressed

as

absolute

number

·

average

  • numerical

result

obtained

by

dividing

sum of

two

or

more quantities by number

of quantities

arithmetic

mean

·

ratioone

value

divided

by another

-value of one quantity in terms

of the other

Accuracy

~

correctness of numbers

-validity

of numbers

·

validity

the degree to which data or results

of

a

study

are correct

or true

·

valid-relevant,meaningful,

and correct

appropriate

to the task at

hand

Usefulness

must be useful

East ofInterpretation

must

be easy to interpret

purpose of

performance

measurement is

to

provide

information

·

line

graph-graph in whichtrends are highlighted by

a

line

connecting

data

points

consistent reporting

must be

uniformly

reported

to make

meaningful

comparisons

between results

Measurementcategories

Four categories

·

structure

measures

used to Judge

a

dequacy

of

environment

in which

patient

care is

provided

·

process measures

used toJudge whether patient

care and support

functions

are properly performed

·

outcome

measuresused to Judge

results of

patient care

and

support

functions

·

patient

experience

measures

patient

reported

information used to

Judge

whether something

that

should

happen

in a

health

care

setting

actually

happened or how

it

happened

agency for

healthcare

research and

quality (AHRQ)

selecting

performance measures

thothers ofmeasures

to evaluate

·

system

level measures

data describing overall

performance

of

several

interdependent processes or activities

·

activity level data describing performance of one process

or activity

Measurement

priorities

influenced by

internalexternal

factors

external:

government regulations, accreditation

standards,

and

purchaser

requirements

-home healthcare quality measures

process

OUCOme

potentiallyavoided

events

constructing measures

1.identify topic of interest

develop

measure

3, design data

collection

·

numerator

top

number of

fraction

· denominator-bottom

number

understand

Measure

specifications

· data

dictionary-lists descriptive name

of

data element

·standardize definitions tensure consistency

externally mandated measures reviewed

approved

by

National

Quality

Forum (NQF)

public private

partnership

composed

of representatives

from providerorganizations,

regulatoryaccreditation bodies

formed in 1999

Use

criterial

importance

scientific

acceptability

3 Usability

4 feasibility

Measures of

Clinical

Decision Making

physicians determine which

patients

need

what and

when

measure service

aspectsclinical

decision making