Quality of care in dermatology. The state of (measuring) the art

1997 ◽  
Vol 133 (11) ◽  
pp. 1349-1351 ◽  
Author(s):  
M. M. Chren
Keyword(s):  
Quality Of Care ◽  
The State

scholarly journals Longitudinal Impact of APRNs on Nursing Home Quality Measures in the Missouri Quality Initiative

2021 ◽  
Author(s):  
Marilyn Rantz ◽  
G. F. Petroski ◽  
L. L. Popejoy ◽  
A. A. Vogelsmeier ◽  
K. E. Canada ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Phase 1 ◽  
Quality Measures ◽  
The State ◽  
Full Time ◽  
Improve Quality ◽  
Phase 2 ◽  
Intervention Phase ◽  
Tract Infections

Abstract Objectives To measure the impact of advanced practice nurses (APRNs) on quality measures (QM) scores of nursing homes (NHs) in the CMS funded Missouri Quality Initiative (MOQI) that was designed to reduce avoidable hospitalizations of NH residents, improve quality of care, and reduce overall healthcare spending. Design A four group comparative analysis of longitudinal data from September 2013 thru December 2019. Setting NHs in the interventions of both Phases 1 (2012–2016) and 2 (2016–2020) of MOQI (n=16) in the St. Louis area; matched comparations in the same counties as MOQI NHs (n=27); selected Phase 2 payment intervention NHs in Missouri (n=24); NHs in the remainder of the state (n=406). Participants NHs in Missouri Intervention: Phase 1 of The Missouri Quality Initiative (MOQI), a Centers for Medicare and Medicaid (CMS) Innovations Center funded research initiative, was a multifaceted intervention in NHs in the Midwest, which embedded full-time APRNs in participating NHs to reduce hospitalizations and improve care of NH residents. Phase 2 extended the MOQI intervention in the original intervention NHs and added a CMS designed Payment Intervention; Phase 2 added a second group of NHs to receive the Payment. Intervention Only. Measurements Eight QMs selected by CMS for the Initiative were falls, pressure ulcers, urinary tract infections, indwelling catheters, restraint use, activities of daily living, weight loss, and antipsychotic medication use. For each of the monthly QMs (2013 thru 2019) an unobserved components model (UCM) was fitted for comparison of groups. Results The analysis of QMs reveals that that the MOQI Intervention + Payment group (group with the embedded APRNs) outperformed all comparison groups: matched comparison with neither intervention, Payment Intervention only, and remainder of the state. Conclusion These results confirm the QM analyses of Phase 1, that MOQI NHs with full-time APRNs are effective to improve quality of care.

scholarly journals Young GI Societies in Europe: 2019 update

2020 ◽  
Vol 8 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Henriette Heinrich ◽  
Iago Rodríguez-Lago ◽  
Radislav Nakov ◽  
Vita Skuja ◽  
Pilar Acedo ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Inequalities ◽  
The State ◽  
Future Research ◽  
Web Based ◽  
Research Education ◽  
Excellent Quality ◽  
Further Development ◽  
The Way

Background One of the aims of the Young Talent Group (YTG) is to make United European Gastroenterology (UEG) more attractive to young fellows interested in gastroenterology (GI), and to actively involve them in UEG activities and the activities of their respective national societies. In 2017, we conducted a survey among the Friends of the UEG YTG with the aim of identifying the state of organization and needs of Young GI Sections (YGISs) throughout Europe, highlighting areas for further development and improvement. Aims The aim of the current web-based survey was to assess the progress of YGISs over 1 year, and persisting hurdles in forming and running a YGIS. Results Overall, 38 of 42 Friends answered the survey (91%). The number of YGISs has increased significantly from 12 in 2017 to 25 in 2019. Young gastroenterologists remained supported, but not influenced, by national societies. Results of the survey suggest that a lack of dedicated and motivated fellows has replaced a lack of funding as the most prevalent hurdle in forming these types of sections. Conclusion Our survey shows that the development of YGISs has improved markedly within the last 2 years. However, several limitations, like underrepresentation in subcommittees of national societies, remain and need to be addressed in order to involve young gastroenterologists in their respective national societies and within UEG, to pave the way for future research, education and excellent quality of care, and reduce health inequalities across Europe.

scholarly journals Usage of quality indicators in hospital nursing services in Brazil

2013 ◽  
Vol 2 (4) ◽  
pp. 91
Author(s):  
Carmen Silvia Gabriel ◽  
Daniele Ramos ◽  
Andrea Boldrini ◽  
Silvana Silveira Kempfer ◽  
Andrea Bernardes ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Indicators ◽  
User Satisfaction ◽  
Sao Paulo ◽  
The State ◽  
Teaching Hospitals ◽  
São Paulo ◽  
Hospital Nursing ◽  
Nursing Services

Quality indicators are tools to measure the quality of care. Objective: To identify the quality indicators adopted by nursing services of hospitals in the state of São Paulo, Brazil. Method: A cross-sectional, non-experimental, descriptive and quantitative approach, performed in seventeen teaching hospitals in the state of São Paulo, Brazil, using a questionnaire answered by the head of the Nursing Service. Results: Only 5.9% of hospital nursing services do not adopt indicators, showing concern for the quality of care. There is a preference for the adoption of care indicators. Conclusion: A culture of adoption and analysis of indicators exists in hospital nursing services and the indicators are related to classical nursing care processes, with less emphasis on the adoption of indicators related to human resource management and user satisfaction.

scholarly journals Prescription auditing: an important tool for sensitization of resident doctors for rationale prescription and utilization of drug

2019 ◽  
Vol 8 (10) ◽  
pp. 2237
Author(s):  
Archana G. Dhavalshankh ◽  
Vikram A. Rajadnya ◽  
Kedar L. Patil
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Tertiary Care ◽  
Development Project ◽  
The State ◽  
Essential Medicines ◽  
World Health ◽  
Duration Of Treatment ◽  
Improving Health Care

Background: The main objective of the Maharashtra Health Systems Development Project (MHSDP) is to enhance the quality of care by improving health care; in the hospitals, in the state. Improvement in the prescribing practice of resident doctors working in the hospitals is one of the initiatives taken up, to improve the rationalizing service delivery. A prescription audit may become an important tool for sensitizing resident doctors for rational prescription and utilization of drug.Methods: An observational study was carried out during the period of March 2017 to May 2017 in tertiary care teaching hospital, Kolhapur. Total 247 first prescriptions written by resident for in-door-patient department were collected, scrutinized and analysed. Prescriptions were evaluated for completeness of prescription format while legibility was graded. Prescriptions were also analysed as per World Health Organization prescribing indicators.Results: In study 247 prescriptions with 1091 drugs with average 4.42% drugs per prescription, 49.8 % prescriptions wrote the drugs by generic name. We found that 44.1 % prescriptions written with drugs included in essential medicines list while antibiotics prescribed were 27.1%. In prescription format 34% had incorrect dosage, 67% of prescriptions omitted the duration of treatment. Direction for drug use was not mentioned in 25% of prescriptions.  Weight was not mentioned on any prescriptions even for paediatric group.Conclusions: Through prescription auditing, sensitizing resident doctors for rational prescription and utilization of drug can be done to achieve the goal of the MHSDP of enhancing the quality of care by improving health care; in the hospitals, in the state.

scholarly journals MEDICAID MANAGED LONG-TERM CARE PROGRAMS VS. THE TRADITIONAL MODEL: COMPARATIVE COSTS AND OUTCOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S229-S229
Author(s):  
Larry Polivka
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
The State ◽  
Current Status ◽  
Term Care ◽  
Profit Model ◽  
Non Profit ◽  
For Profit

Abstract Several states have adopted Medicaid Managed Long-Term Care (MLTC) programs over the last several years. At this point at least 30 states are either administering such models or have plans to in the near future. We do not, however, know much yet about the relative cost-effectiveness of the MLTC model when compared to the traditional non-profit model of Medicaid LTC. Is the for-profit MLTC model actually generating savings in the Medicaid program while improving the quality of care? This symposia is designed to address the question through three presentations on experiences with MLTC programs in the states of Ohio, Texas and Pennsylvania and a fourth presentation offering a national overview and critique of Medicaid MLTC in comparison to the traditional Medicaid LTC program still administered through non-profit Aging Network organizations. The state focused presentations describe the current status and results of MLTC in three states that vary in their specific features, extent of formal accountability for outcomes and the political contexts in which the programs currently function. The presentations also include discussions of the implications of each states experiences for the future of Medicaid LTC policy at the state and federal levels. The fourth presentation is a critical analysis of the main differences between the traditional non-profit model of Medicaid LTC services and the for-profit MLTC programs in terms of commonly accepted criteria of cost-effective LTC services, such as access, quality of care and per-person costs and differences in the roles of advocacy and accountability.

scholarly journals Evaluating the Quality of Colorectal Cancer Care in the State of Florida: Results From the Florida Initiative for Quality Cancer Care

2012 ◽  
Vol 8 (4) ◽  
pp. 239-245 ◽  
Author(s):  
Erin M. Siegel ◽  
Paul B. Jacobsen ◽  
Mokenge Malafa ◽  
William Fulp ◽  
Michelle Fletcher ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Quality Of Care ◽  
Cancer Care ◽  
The State ◽  
Quality Cancer Care ◽  
Systemic Level ◽  
Care Practices

Although the quality of care delivered within the Florida Initiative for Quality Cancer Care practices seems to be high, several components of care were identified that warrant further scrutiny on a systemic level and at individual centers.

The role of the nurse in dental care provision in the State Budgetary Healthcare Institution of Samara Region Novokuybyshevsk Dental Polyclinic

2020 ◽  
pp. 54-59
Author(s):  
Irina Chaschina
Keyword(s):  
Quality Of Care ◽  
Dental Care ◽  
The State ◽  
Healthcare Institution ◽  
Medical Documentation ◽  
Care Provision ◽  
Dental Clinic ◽  
Dental Office

The role of the nurse in providing dental care is to ensure the quality of care. The main parameters of the nurse's activity in the dental clinic are: observance of the sanitary and anti-epidemic regime, work with the patient and the dentist, organization of the dental office, and maintenance of medical documentation.

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