Week 14 - Outcome Measures & Safety Flashcards
name 3 types of outcome measures.
- quality measures
- patient goal setting measures
- patient rated outcome measures
the degree to which health services for individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge
quality of care
name the 7 aims of high quality care.
- safe
- effective
- patient-centered
- timely
- efficient
- equitable
name 3 types of quality measures.
- structure
- process
- outcomes
- not just concerned with organization of clinic or hospital but also with policies that affect care
- characteristics of setting: physicians and hospitals, personnel, policies related to care delivery
structure quality measures
- did the pt. receive what is known to be good care?
- includes characteristics of pt./health care provider encounter
- interpersonal process
- was pt. involved in decision making?
process quality measures
-how did patient’s health status change resulting from medical care provided
outcomes quality measures
contains items that measure physical, psychological, and psycho-social functioning; gives a multidimensional view of the patient’s functional capacities and can be used to present a nursing home’s profile
minimum data set
name a common outcome measure tool.
SF-36
one of the most widely used generic measures of health-related quality of life and has been shown to discriminate between subjects with different chronic conditions and between subjects with different severity levels of the same disease; demonstrated sensitivity to significant treatment effects in a variety of pt. populations.
SF-36
name the 8 domains of the SF-36.
- vitality
- physical functioning
- bodily pain
- general health perceptions
- physical role functioning
- emotional role functioning
- social role functioning
- mental health
- uniform system of measurement based on international classification of impairment, disability, and handicaps
- helps determine the type of assistance needed - cognitive, motor
functional independence measure (FIM)
measurement instruments that support, monitor goal setting process
goal setting measures
name an example of a goal setting measure.
COPM
- how is the pt. doing in treatment
- are they reaching their goals
patient reported outcome measures (PROMS)
- focus on outcomes unique to disease entity
- usually of interest to pts. and treating clinicians
disease specific measures
which measures demonstrate depth but not breadth?
disease specific measures
- focus on pts. performance associated with specific activities
- measures give providers standardized criteria for assessing patient performance
functional status measures
- gold standard of UL pt. rated outcome measures
- focuses solely on injured UL functional status - can person do task with affected side or hold item with affected side while doing task with unaffected
DASH
gold standard of PROMS
DASH
- 6 categories
- overall hand function
- hand-related ADLs
- pain
- work performance
- aesthetics
- patient satisfaction with hand function
michigan hand outcomes questionnaire (MHQ)
-doesn’t look at specific disability, instead looks at overall function
upper limb functional index
name 2 sources of medical errors that can involve occupational therapy.
- equipment failure
- misrepresentation of medical orders
injury cause by medical management rather than underlying disease or condition of the pt.
adverse event
what does OSHA regulate?
safety at the workplace
what does HIPAA regulate?
patient privacy rights
- enacted into response to growing concern about patient safety
- goal is to improve pt. safety by encouraging voluntary and confidential reporting of events that adversely affect patients.
patient safety and quality improvement act of 2005
