PUP 4931r Lecture Notes - Lecture 49: Marginal Cost, Marginal Utility
16 May 2018
School
Department
Course
Professor
QUALITY
Quality of US Health Care
Assessing Quality
Three basic approaches to quality evaluation
Ideally evaluate all three
Structural Indicators of Quality
Capacity to render quality care
adequate staffing: well trained, appropriately certified, experienced, well
trained staff support
Cleanliness, building safety, orderliness, sufficient physical, equipment, IT,
monetary resources to render good quality care, referral sources, networks,
emergency agreements, etc.
Organizational capabilities: policies in place, effective leadership (board,
CEO, Chief of Staff, Chief of Nursing), supervisory responsibilities clear,
procedures manual, monitoring and reporting mechanisms to assure
compliance with policies and procedures, incentive mechanisms, feedback,
sanctions and retraining options.
Care policies and procedures
Care protocols, quality review, reporting, feedback, correction,
sanctions, retraining
Process Indicators of Quality
Activities of care
Following protocols, implementing procedures
Admission practices, history, drugs, allergies, diagnosis, awareness of best
practices, reviewing care options, appropriate referrals, patient consent,
implementing care plan, infection & safety controls, meds administered,
labs ordered & read, patient progress evaluated, corrective steps,
rehabilitation, patient education, follow-up. Data entry and validation.
Case reviews, statistical analysis. Staff morale, turnover, in-service training.
Implementing policies &reviews, team consultation and
coordination, reporting, rewarding, feedback, sanctioning, retraining;
Recommended care for condition delivered
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Document Summary
Capacity to render quality care adequate staffing: well trained, appropriately certified, experienced, well trained staff support. Cleanliness, building safety, orderliness, sufficient physical, equipment, it, monetary resources to render good quality care, referral sources, networks, emergency agreements, etc. Organizational capabilities: policies in place, effective leadership (board, Ceo, chief of staff, chief of nursing), supervisory responsibilities clear, procedures manual, monitoring and reporting mechanisms to assure compliance with policies and procedures, incentive mechanisms, feedback, sanctions and retraining options. Care protocols, quality review, reporting, feedback, correction, sanctions, retraining. Admission practices, history, drugs, allergies, diagnosis, awareness of best practices, reviewing care options, appropriate referrals, patient consent, implementing care plan, infection & safety controls, meds administered, labs ordered & read, patient progress evaluated, corrective steps, rehabilitation, patient education, follow-up. Implementing policies &reviews, team consultation and coordination, reporting, rewarding, feedback, sanctioning, retraining; Timeless, efficiency of care: inputs per patient, etc. Dx & severity adjusted patient survival rates at various intervals.
