A step towards evidence-based regulation of health practitioners

2015 ◽  
Vol 39 (4) ◽  
pp. 483 ◽  
Author(s):  
Marie M. Bismark ◽  
Martin Fletcher ◽  
Matthew J. Spittal ◽  
David M. Studdert
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Workforce Planning ◽  
Care Quality ◽  
Health Practitioner ◽  
Evidence Based ◽  
Australian Health ◽  
Health Practitioners

In 2010 Australia established a national registration and accreditation scheme, covering more than 620000 health practitioners. The data held by the Australian Health Practitioner Regulation Agency is a remarkable platform for research aimed at improving health practitioner regulation, health care quality and workforce planning.

scholarly journals Use of online knowledge base in primary health care and correlation to health care quality: an observational study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christian Gerdesköld ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Knowledge Base ◽  
Health Care Quality ◽  
Knowledge Bases ◽  
Patient Experiences ◽  
Outcome Data ◽  
Care Quality ◽  
Evidence Based ◽  
Primary Health

Abstract Background Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality. Methods The study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic Care Need Index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used. Results Frequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p < 0.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p < 0.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p > 0.05). Adjusting for Care Need Index had almost no effect on the outcomes for the groups. Conclusions Frequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.

scholarly journals Use of online knowledge base in primary health care and correlation to health care quality: An observational study

2020 ◽  
Author(s):  
Christian Gerdeskold ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Knowledge Base ◽  
Health Care Quality ◽  
Knowledge Bases ◽  
Patient Experiences ◽  
Outcome Data ◽  
Care Quality ◽  
Evidence Based ◽  
Primary Health

Abstract BackgroundEvidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality.MethodsThe study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic Care Need Index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used.ResultsFrequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p<.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p<.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p>.05). Adjusting for Care Need Index had almost no effect on the outcomes for the groups.ConclusionsFrequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.

scholarly journals The exploration of use of an online knowledge base and effect on patient experiences and health care quality: An observational study in primary health care

2020 ◽  
Author(s):  
Christian Gerdeskold ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Knowledge Base ◽  
Health Care Quality ◽  
Knowledge Bases ◽  
Patient Experiences ◽  
Outcome Data ◽  
Care Quality ◽  
Evidence Based ◽  
Primary Health

Abstract Background: Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality.Methods: The study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic care need index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used.Results: Frequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p<.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p<.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p>.05). Adjusting for care need index had almost no effect on the outcomes for the groups.Conclusions: Frequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.

Care Coordination Models Improve Quality of Care for Adults Aging With Intellectual and Developmental Disabilities

2019 ◽  
Vol 30 (4) ◽  
pp. 191-201 ◽  
Author(s):  
Sarah Ruiz ◽  
Katherine Giuriceo ◽  
Joe Caldwell ◽  
Lynne Page Snyder ◽  
Michelle Putnam
Keyword(s):  
Health Care ◽  
Developmental Disabilities ◽  
Care Coordination ◽  
Health Care Quality ◽  
Quality Care ◽  
Care Quality ◽  
Social Needs ◽  
Evidence Based ◽  
Intellectual And Developmental Disabilities ◽  
Residential Setting

A significant gap remains between existing evidence-based care coordination techniques for the general population and those that have been successfully translated for people with intellectual and developmental disabilities (IDD). Two models funded through the Health Care Innovation Awards have dedicated resources to the translation of evidence-based practices in community or clinical settings. This study analyzes quasi-experimental mixed-methods evaluation data, including Medicaid/Medicare claims on more than 600 beneficiaries who participated in the two models and survey data, site visits, and focus groups with participants and caregivers. Qualitative data suggest that both models address key contextual factors, considering residential setting, health disparities, and heterogeneity of the population. We identify key improvements in health care quality related to timeliness, patient safety, and medication reconciliation. In addition, both models show some evidence of reduced claims utilization. This study represents the first step to understand the potential of care coordination to improve the lives of adults aging with IDD. As health systems continue to struggle to manage the cost of their most expensive users and deliver high quality care, these models hold promise as vehicles to reduce utilization and cost among adults who have lived long-term with disability by addressing their unique health care and social needs.

scholarly journals Evidence-Based Practice Competencies for RNs and APNs: How Are We Doing?

2020 ◽  
Vol 39 (5) ◽  
pp. 299-302
Author(s):  
Susan Givens Bell
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Health Care Quality ◽  
Evidence Based Practice ◽  
Care Quality ◽  
Good Time ◽  
Evidence Based ◽  
Nurse Midwife ◽  
Definition Of ◽  
High Level

As we approach the end of 2020, the Year of the Nurse and Nurse Midwife, it is a good time to reflect on our evidence-based practice (EBP) competencies through a review of a recent study by Melnyk and colleagues. Before describing these competencies, our progress in achieving EBP competency, and the effect competency status has on health care quality, safety, and patient outcomes, this column reviews the definition of EBP and provides a high-level overview of the steps of EBP as defined in Melnyk and Fineout-Overholt.

scholarly journals Use of online knowledge base in primary health care and correlation to health care quality: An observational study

2020 ◽  
Author(s):  
Christian Gerdeskold ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Knowledge Base ◽  
Health Care Quality ◽  
Knowledge Bases ◽  
Patient Experiences ◽  
Outcome Data ◽  
Care Quality ◽  
Evidence Based ◽  
Primary Health

Abstract BackgroundEvidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality.MethodsThe study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic Care Need Index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used.ResultsFrequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p<.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p<.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p>.05). Adjusting for Care Need Index had almost no effect on the outcomes for the groups.ConclusionsFrequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.

scholarly journals The exploration of use of an online knowledge base on patient experiences and health care quality: An observational cohort study in primary health care

2020 ◽  
Author(s):  
Christian Gerdeskold ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Knowledge Base ◽  
Health Care Quality ◽  
Knowledge Bases ◽  
Patient Experiences ◽  
Outcome Data ◽  
Care Quality ◽  
Evidence Based ◽  
Primary Health

Abstract Background Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality. Methods The study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic care need index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used. Results Frequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p<0.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p<0.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p>0.05). Adjusting for care need index had almost no effect on the outcomes for the groups. Conclusions Frequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.

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