bassalsa.blogg.se - Crossing the quality chasm. national academies press; 2001

Washington, DC: National Institute for Health Care Management Foundation October 2005. Engaging Consumers in Quality Issues: While the road to engaging consumers is steep, it is fairly well marked. To learn more about selecting and reporting measures within categories that consumers understand, refer to: To learn more about grouping measures into categories, go to Organizing Measures To Reduce Information Overload. Further, when measures are grouped into user-friendly versions of those three IOM domains, consumers can see the meaning of the measures more clearly and understand how they relate to their own concerns about their care. For example, when consumers are given a brief, understandable explanation of safe, effective, and patient-centered care, they view all three categories as important. Studies have shown that providing consumers with a framework for understanding quality helps them value a broader range of quality indicators. įrameworks like the IOM domains also make it easier for consumers to grasp the meaning and relevance of quality measures. The vast majority of measures address effectiveness and safety, a smaller number examine timeliness and patient-centeredness, and very few assess the efficiency or equity of care.

Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.Įxisting measures address some domains more extensively than others.

Efficient: Avoiding waste, including waste of equipment, supplies, ideas, and energy.

Timely: Reducing waits and sometimes harmful delays for both those who receive and those who give care.

Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.

Effective: Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and misuse, respectively).

Safe: Avoiding harm to patients from the care that is intended to help them.

One of the most influential is the framework put forth by the Institute of Medicine (IOM), which includes the following six aims for the health care system.

A handful of analytic frameworks for quality assessment have guided measure development initiatives in the public and private sectors.