Measuring the quality of health care : a statement by the National Roundtable on Health Care Quality, Division of Health Care Services, Institute of Medicine / Molla S. Donaldson, editor.

Format:

Book

Contributor:

Donaldson, Molla S.

Language:

English

Subjects (All):

Medical care--United States--Evaluation.

Medical care.

Public health--United States--Evaluation.

Public health.

Physical Description:

1 online resource (42 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1999.

Language Note:

English

Summary:

The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.

Contents:

Measuring the Quality of Health Care

Copyright

Preface and Acknowledgments

ORGANIZATION OF THIS STATEMENT

Contents

Measuring the Quality of Health Care

CAN QUALITY OF CARE BE DEFINED?

Terms in the Definition

What Is the Relationship Between Quality and Resource Constraints?

WHERE DO QUALITY-OF-CARE CONCERNS LIE?

Too Much Care: Unnecessary or Inappropriate Care

Too Little Care: Underuse of Needed, Effective, and Appropriate Care

Misuse: Shortcomings in Technical and Interpersonal Aspects of Care

The Burden of Poor Quality

WHAT ARE THE MAJOR APPROACHES TO QUALITY MEASUREMENT?

Structural Measures of Quality

Process Measures of Quality

Outcomes Measurement

The Importance of Linking Structure, Process, Outcomes, and Cost

Measurement as a Continuous Process that Serves Multiple Purposes

ADVANCES IN QUALITY MEASUREMENT

Applying Research Methods to Address Real-World Quality Problems

Combining Quality Measurement and Improvement to Reduce Adverse Drug Events

Translating Clinical Guidelines into Useful Quality Measures

The Development of Patient-Reported Measure of Quality

Beginnings of Quality Measurement in Integrated Systems

Amassing and Accessing the Burgeoning Toolkit of Quality Measures

Infrastructure for the Development and Use of Measures

Public-and Private-Sector Responsibilities

Dissemination and Updating

CHALLENGES

Evaluating Measures

Data Systems

The Evidence Base of Medicine and Health Care

Common Definitions and Measurement Methods

Risk Adjustment

Ensuring the Accuracy of Public Reporting

Confidentiality

The Cost of Quality Measurement, Improvement, and Poor Quality

Who Is Responsible for Performance?

CONCLUDING THOUGHTS

References

Committee Biographies.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references.

ISBN:

9786610186099

9780309173261

0309173264

9781280186097

1280186097

9780309570688

0309570689

9780585082448

0585082448

OCLC:

70772923