PUP 4931r Lecture Notes - Lecture 50: Coronary Artery Bypass Surgery, Blood Sugar, Aspirin
16 May 2018
School
Department
Course
Professor
Study Design
Reports results from the Community Quality Index (CQI) study.
Monitors changes in health care market in the US.
Self-reported information from a random sample of the population.
Insurance coverage
Utilization patterns
Health status
Using the study, authors are able to asses the extent to which recommended
process of medical care are delivered for a spectrum of conditions.
This adherence is a critical dimension of quality.
Development of Indicators
Derived from RAND’s Quality Assessment Tools system.
Primarily foused o proess idiators eause they are diretly otrollale
and are consistent with national guidelines.
Four nine-member panels ranked selected indicators for use.
Final indicators allowed for several examinations:
What is being done (type of care)
Why it is being done (function)
How it is being done (mode)
Nature of quality problem (overuse/underuse)
439 indicators for 30 conditions and preventative care
Selected information came directly from respondents.
Quality Score
Number of times in a two-year period that patient received the care
recommended
-----------------Divided By----------------------
Number of times that patient was determined to be eligible for the recommend
care in a specific category
Results: Overall
Overall, partiipats reeived .9% of re’d are.
Similar across all care types:
preventative, acute, chronic.
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Document Summary
Reports results from the community quality index (cqi) study. Monitors changes in health care market in the us. Self-reported information from a random sample of the population. Using the study, authors are able to asses the extent to which recommended process of medical care are delivered for a spectrum of conditions. This adherence is a critical dimension of quality. Primarily fo(cid:272)used o(cid:374) (cid:862)pro(cid:272)ess(cid:863) i(cid:374)di(cid:272)ators (cid:271)e(cid:272)ause they are dire(cid:272)tly (cid:272)o(cid:374)trolla(cid:271)le and are consistent with national guidelines. Four nine-member panels ranked selected indicators for use. 439 indicators for 30 conditions and preventative care. Number of times in a two-year period that patient received the care recommended. Number of times that patient was determined to be eligible for the recommend care in a specific category. Similar across all care types: preventative, acute, chronic. 3 quality of care varied substantially across conditions. Fewer than 1/4th of diabetics had their average blood sugar levels measured regularly.
