Wk 2 Paper Assignment - David A Givens III HC Quality...

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David A. Givens III HC Quality Assessment & Improvement Instructor: Mountasser Kadrie S-P-O Model of Healthcare Quality
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1 In today’s health care environment just providing services may not be enough anymore. Lately, payers having been withholding reimbursement until the quality of services rendered has been verified. The increasing importance of pay-for-performance initiatives has put the spotlight on meeting certain quality measures. These measures are the standards used to govern how well a physician or healthcare facility provides care. A majority of the time, quality measures reporting is voluntary. However, several private payers and accrediting organizations require healthcare facilities to report quality measures. These measures are then tied to reimbursement levels and accreditation status (Dimick, 2010). Structural quality measures are now the norm. One such measure is the Donabedian model. This model is a flexible framework that is highly successful at assessing quality and displaying the link between process and outcome. While some facilities subscribe to other systems like the World Health Organization (WHO)-Recommended Quality of Care Framework and the Bamako Initiative , the Donabedian model continues to dominate in this arena (McQuestion, 2006). The Donabedian model takes on a three pronged approach to assessing quality of care. The three analytic areas represented are structure, process, and outcome-utilized in that order. The structural area represents organizational characteristics such as staff training and the number of hospital beds. It also includes the actual facility itself, all of its equipment, and even human resources-since they can affect the way in which care can be delivered. The process area represents interactions between healthcare practitioner and patient.
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