The 'Toward Excellence in Care' Program: A Statewide Indicator Project
| Autor: | Lori Reed-Fourquet, Ivan P. Shevchenko, Angela Mattie, John T. Lynch |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Quality management Databases Factual Quality Assurance Health Care media_common.quotation_subject Statistics as Topic MEDLINE Fiscal year Excellence Acute care medicine Organizational Objectives Program Development media_common Risk Management Data collection Health Priorities business.industry Data Collection General Medicine Emergency department medicine.disease Hospitals Connecticut Societies Hospital Medical Record Linkage Medical emergency business Quality assurance Confidentiality |
| Zdroj: | The Joint Commission Journal on Quality Improvement. 19:519-529 |
| ISSN: | 1070-3241 |
| Popis: | Article-at-a-Glance Background The “Toward Excellence in Care” program was launched by Connecticut hospitals and physicians in 1988 to develop and use quality-of-care indicators for use in quality improvement. Methodology Data came primarily from the Connecticut Health Information Management and Exchange (CHIME) database, which contains discharge abstract information, UB (uniform billing)-82 information, and additional data elements, for all of Connecticut’s 34 acute care hospitals. Linkages also occur with the state mortality database, the trauma registry, and with admission/discharge data within and across Connecticut hospitals. The “Toward Excellence in Care” program staff help the hospital use the data on indicator reports for quality improvement. Example On receiving a report on care for patients with acute myocardial infarction (AMI), a program representative summarized opportunities for improvement. The data were then disseminated to both the cardiology and the hospitalwide quality improvement staffs. Cardiologists conducted chart review on 100% of patients included in the last time-frame on the report (for example, fiscal year 1991). The quality improvement professional documented the system of care for an AMI patient Recommended actions included adoption of a policy for emergency department administration of thrombolytic therapy before a cardiology consultation, and modification of the postcoronary care program. Conclusions Progress in addressing four challenges–easing the burden of data collection on the hospitals, maximizing acceptance of information by hospitals and physicians, risk adjusting data to permit comparison of outcomes, and facilitating understanding of reports–is reflected in expanding use of the “Toward Excellence in Care” program. |
| Databáze: | OpenAIRE |
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