Health Care Quality SLU Global 2-13-12

Health Care Quality SLU Global 2-13-12 - Health Care...

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Unformatted text preview: Health Care Quality IPE 350 Lisa Dorsey, PhD, MBA, PT Objectives • Define quality as it relates to health care. • Identify health care quality concerns. • Identify barriers to quality health care. • Discuss the evidence surrounding disparities in quality in health care. • Begin to identify solutions for improved quality. Quality • Define – How do you know if you are getting quality care? • Integrated • Interprofessional – National Healthcare Quality Report (2010) & Institute of Medicine (IOM) • “safe, timely, patient centered, efficient and equitable (devoid of disparities related to race or ethnicity)” Quality • Defined – “Quality (of Care) is a measure of the ability of a doctor, hospital or health plan to provide services for individuals and populations that increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Good quality health care means doing the right thing at the right time, in the right way, for the right person and getting the best possible results. According to the mantra for the quality improvement Scores: Dimensions of a High Performance Health System Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2008 100 Scorecard • National Healthcare Quality Report 2010 – Areas in need of improvement • Health care quality and access are suboptimal – Minority and low-income groups • Reduction of disparities – Specific services – Geographic regions – Focused populations • Quality improvement national health care priorities (8) Disparities Defined • Do not receive the care one needs • Care received causes harm • Delivered too late • Service distribution is inefficient Why Disparate Care? • Access to care • Provider bias • Poor provider-patient communication • Poor health literacy Change in quality and access over time http://www.ahrq.gov/qual/nhqr10/Key.htm Measures of Health Status • General Health Status • Health Related Quality of Life and Well- Being • Determinants of Health • Disparities General Health Status Life Expectancy • Historically – Early 20th century • 47.3 years • Current – 77 years • Based on age – 65 years + avg. 18 more years = 83 years total – 75 years + avg. 11 years = 86 years total Life Expectancy by Age and Sex: 1929–31 and 2006 http://www.census.gov/prod/2011pubs/ac Sex and age Average number of years of life remaining 1929–1931 2006 BOTH SEXES 0 years. 59.2 77.7 65 years. 12.2 18.5 75 years. 7.3 11.6 85 years. 4.2 6.4 90 years. 3.2 4.6 100 years. 1.5 2.3 MALE 0 years. 57.7 75.1 65 years. 11.7 17.0 75 years. 7.0 10.4 85 years. 4.0 5.7 90 years. 3.1 4.1 100 years. 1.5 2.0 FEMALE 0 years. 60.9 80.2 65 years. 12.8 19.7 75 years. 7.6 12.3 85 years. 4.3 6.8 90 years. 3.2 4.8 100 years. 1.5 2.3 Life Expectancy • U.S. facts – Women outlive men by 6-7 years – White women have greatest life expectancy – African American women greater than white men...
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Health Care Quality SLU Global 2-13-12 - Health Care...

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