Institute: ONC | Component: 2 | Unit: 7 | Lecture: a | Slide: 6
Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Definitions and framework for assessing quality What is known about health care quality
Slide content:Examples in Donabedian Model Type of Measure Individual Department Organization Structural - Professional certification - Credential review - Staffing analysis - Equipment safety checks - Licensure - Fire safety inspections Process - Peer review - Performance evaluations - Review of performance indicators - Infection surveillance - Review of utilization data Outcome - Practice profiles - Rework required - Error/complication rate analysis - Mortality rates - Quality sanctions 7.1 Table: Adapted from Donabedian , 2002 6
Slide notes:On this slide is a table that includes the types of quality measures and the levels at which quality is measuredindividual, department, organizationacross the columns. Some of the structural measures are whether individuals are professionally certified, whether departments have appropriate staffing, and whether an organization has various licensures. Process measures are things like performance evaluation of individuals, monitoring of their productivity, and reviewing factors such as their performance indicators at the department level, how much screening they have done, and their stated adherence to guidelines. Outcomes measure results. Do patients do better on the basis of the care they receive? Do they achieve better health? Its important to measure things like practice profiles of individuals errors at departmental levels and mortality rates and quality sanctions at organizational levels. 6