What is Quality?
According to HRSA Office of Health Information Technology and Quality “Quality healthcare is the provision of appropriate services to individuals and populations that are consistent with current professional knowledge, in a technically competent manner with good communication, shared decision-making and cultural sensitivity. Good quality healthcare is evidence based; increases the likelihood of desired health outcomes; and, addresses six aims—safe, effective, patient-centered, timely, efficient and equitable—using a systems approach to continuously improve clinical, operational and financial domains.”
The Institute of Medicine (IOM) defines quality as: “The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.” The six aims for improvement noted by the HRSA Office of Health Information Technology and Quality were developed by the Committee on the Quality of Health Care in America convened by the IOM and further defined in its final report entitled “Crossing the Quality Chasm.”
Performing Quality Within Your Health CenteR
Quality is measured many ways. There are process indicators (those that measure things such as timeliness and baseline practices) and outcome indicators (such as A1C Control, or infection rates,). You can look at these indicators and compare them among health centers. You can also look at state and national recognitions and accreditations, and a health centers individual awards that measure their quality of care.
The Institute of Medicine defines health care quality by six attributes:
- Safety - patients should not be harmed by the care that is intended to help them
- Patient-Centered - care should be based on individual needs
- Timely - waits and delays in care should be reduced
- Effective - care should be evidence-based
- Efficient - reduce waste
- Equitable - care should be equal for all people
DEVELOPING A QUALITY IMPROVEMENT PLAN
All health centers must have an effective Quality Improvement (QI) Plan to improve performance of their health center. QI plans should consider the healthcare environment including national quality measurement and reporting systems. It should reflect standardized QI measures and efforts across the health care organization
A QI plan should include:
- A description of priorities, policies and goals of the health centers QI Program
- A description of the organizational systems needed to implement the program, including QI committee structure and functions, accountability, and responsibilities
- A process for consumer input
- Core measures, and measurement processes
- A description of the communication and evaluation plan
UDS Data Reporting
UDS Data Sharing Quarterly with OACHC
Plan-Do-Study-Act (PDSA) Worksheet
Institute for Healthcare Improvement. - This resource provides a template to be used to document a test of change within your organization.
ABCs of Measurement
National Quality Forum. - This resource is the National Quality Forum’s introduction to performance measurement and the basics of what goes into NQF endorsement.
Six Sigma DMAIC Roadmap
The FADE Model
Duke University Medical Center