Week 4 Flashcards
Personal Based Prospectives on Health Care Quality
Most commonly used by OTs.
Focused in on patient-provider relationship and organization, delivery and outcome of services
Focuses on services, how they are delivered and results of services.
Population Based Prospective on Health Care Quality
Exams, experiences and health status of population.
Tides to Universalism Philosophy
Used to understand quality of life for those with disablement.
What are three dimension of Quality ?
Structures
Process
Outcome- Result of healthcare encounters.
Structures
Permanent features of healthcare systems
Physical and human resources to deliver services
The health resources services administration
Process
Technical excellence
Interpersonal excellence
Evidence based practice (EBP)
Critically Appraised topics
Outcomes - Result of heath-care encounters
Quality of life Disease specific measures FOTO Web-based software - outpatient care FIM, Barthel.
National Quality Forum
Measure standard services
Initiative to enhance healthcare values, make patient care safer and achieve better outcome.
Report Cards and Utilization Review
Awareness of Quality of healthcare, physicians compete on quality.
Utilization review
Accreditation
The process by which institutional providers measure their structure, process and outcomes against consensus quality standards.
Joint Commission on the Accreditation of Healthcare Organziation
Orders accreditation initially for hospitals.
Today SNFs, home care, behavioral health and hospitals.
Advocates for redesign of the healthcare system
Implemented the National Patient Safety Goal Initiative
Commission on the Accreditation of Rehab Facilities
Begun in late 1990.
Uses part time surveyors recruited from clinical fields.
National Committee on Quality Assurance
1990s Accredit quality of health plans, managed care.
The Future of Healthcare (Crossing the Quality Chasm - 6 Areas of need improvement)
Safety Effectiveness Patient-centeredness Timeless Efficiency Equitability
Efficiency/ Prospective on Health Care Quality
Based care provided under the circumstances
Effectiveness/ Prospective on Health Care Quality
Usual expectations for day to day expectations