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Quality Improvement

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  • April 2011
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HCS/588 Measuring Performance Standards

Quality improvement is an organizational approach to improve quality of care and services using a specified set of principles and methodologies. Principles of quality improvement are measurements, which the data is used to improve care, focusing on the important patient outcomes and consumer needs, being involved with participants, such as encouraging direct participation in teams by those individuals who implement the processes being evaluated. Ensuring there is an emphasis on strengthening the systems through analyzes and processes is a must.

What are the foundational frameworks of QI?
"A framework is a tool to organize the way an organization would think about health care quality" Many frameworks have been developed such as European Foundation for Quality Management (EFQM), Chronic Care Model (CCM), HIVQUAL, which improves the quality of HIV services supported through the HIV/AIDS Bureau . (Minkman, 2007) Frameworks include multiple performance dimensions, consist of multiple enablers (organizational factors) and presume relationships. Selection of a framework depends on the quality improvement focus such as: immunization rates, pap smear rates, waiting times, adherence rates to ascertain performance in each of these areas. Many frameworks are built upon existing frameworks or approaches to quality improvement.

Why do various health care stakeholders define the quality of care differently?
Stakeholders in health care have various prospective on quality of care and which translate into different ratings of quality. ”Exploratory interviews suggest that ratings are influenced by past experience, expectations, definitions of quality of care, and perceived power relationships between stakeholders.” (Campbell, 2004)

What are the roles of various clinicians and patients in QI?
Data collection at the patient and provider level helps support multiple uses of the same data. Involving consumers {the...