Int J Qual Health Care-2001-Rubin-469-74

This need may be especially strong when a clinical

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Unformatted text preview: such evidence is available, providers may desire to demonstrate the relationship between a process and outcome measure in their organization. This need may be especially strong when a clinical unit or quality improvement effort is requesting additional resources from their administrators to support an evaluation effort or a change in process. If the professional and scientific community has not conducted the needed studies, or these studies are thought to be inapplicable to a specific organization’s population, then demonstrating the link between process and outcome is prohibitively expensive and often impossible to achieve for any one organization. Thirdly, while providers may care about process measures, patients and non-clinicians generally place little value on them; they care about outcomes and believe it is the provider’s responsibility to perform the appropriate processes and to avoid harmful ones. Therefore, the measures mean little to consumers or purchasers for plan or provider selection, and may be less useful to a provider organization in its marketing efforts. Fourthly, most feasible process measures are usually indicators for a very specific element of the care process rather than comprehensive measures of how care is delivered. For example, national asthma guidelines recommend a comprehensive approach to care, including appropriate medication use, periodic assessment of disease status, patient education 472 for self-management, and identification and avoidance of asthma triggers. While this comprehensive approach may represent ideal care, it may be feasible to measure only whether certain medications have been dispensed by a pharmacy, which provides a narrow perspective on overall asthma care. Feasibility of certain measures may be limited by what information is usually collected in a patient record. For example, while many clinicians will document laboratory testing or use of medications, it is rare to document conversations in which patients are educated about care of their illne...
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This document was uploaded on 03/09/2014 for the course ACC 301 at HELP University.

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