scholarly journals A methodology of healthcare quality measurement: a case study

2015 ◽  
Vol 588 ◽  
pp. 012027 ◽  
Author(s):  
F Pecoraro ◽  
D Luzi ◽  
M Cesarelli ◽  
F Clemente
BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043759
Author(s):  
Claire Barber ◽  
Diane Lacaille ◽  
Marc Hall ◽  
Victoria Bohm ◽  
Linda C Li ◽  
...  

ObjectivesTo obtain stakeholder perspectives to inform the development and implementation of a rheumatoid arthritis (RA) healthcare quality measurement framework.DesignQualitative study using thematic analysis of focus groups and interviews.SettingArthritis stakeholders from across Canada including healthcare providers, persons living with RA, clinic managers and policy leaders were recruited for the focus groups and interviews.ParticipantsFifty-four stakeholders from nine provinces.InterventionsQualitative researchers led each focus group/interview using a semistructured guide; the digitally recorded data were transcribed verbatim. Two teams of two coders independently analysed the transcripts using thematic analysis.ResultsPerspectives on the use of different types of measurement frameworks in healthcare were obtained. In particular, stakeholders advocated for the use of existing healthcare frameworks over frameworks developed in the business world and adapted for healthcare. Persons living with RA were less familiar with specific measurement frameworks, however, they had used existing online public forums for rating their experience and quality of healthcare provided. They viewed a standardised framework as potentially useful for assisting with monitoring the care provided to them individually. Nine guiding principles for framework development and 13 measurement themes were identified. Perceived barriers identified included access to data and concerns about how measures in the framework were developed and used. Effective approaches to framework implementation included having sound knowledge translation strategies and involving stakeholders throughout the measurement development and reporting process. Clinical models of care and health policies conducive to outcome measurement were highlighted as drivers of successful measurement initiatives.ConclusionThese important perspectives will be used to inform a healthcare quality measurement framework for RA.


2015 ◽  
Vol 75 (5) ◽  
Author(s):  
Ang Qiu Mei ◽  
Md Azree Othuman Mydin

This study was done to investigate the relationship between indoor environmental quality and prevalence of Sick Building Syndrome in six small offices inPenangIsland. Indoor environmental quality measurement was conducted according to relevant standards. There are totally Sixty workers were selected to participate in an electronic questionnaire survey. Questionnaire was used to record the comfort level of respondents in the case studies and level of sick building syndrome faced by respondents. Through indoor environmental quality measurement, it is found that most of the offices facing the lighting and noise problem. The result from the questionnaire shows that in overall, the occupants satisfy with their working environment in term of indoor environmental quality although the result also shows the opinions of occupants on dissatisfaction on certain indoor environmental parameter according to case study. The study also found that most of the occupants feel drowsy and fatigue when they work within the offices. Besides, due to the difference of the indoor environmental quality of the buildings, the occupants are suffered from different symptoms of the sick building syndrome.


KOMTEKINFO ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 67-76
Author(s):  
Fajrin Rizaldi ◽  
Aggy Gusman ◽  
Ulya Mega Wahyuni

BMKGsoft is a website owned by BMKG that is used to enter certain data obtained. Governance is a structure of relationships and processes to direct and control the organization to achieve its objectives. In thisstudy using the COBIT framework (Control objectives for information and related technologies) version 5, the selected domain in the study was the EDM, APO, DSS, and MEA domains. In the research done overall the average obtained is 2.96 with a maturity scale is on a scale of 3.


Frequenz ◽  
2016 ◽  
Vol 70 (9-10) ◽  
Author(s):  
Pekka Eskelinen

AbstractCylindrical resonator principle can be used in GPR asphalt quality measurement calibration. This method relies on ordinary drill core samples that are regularly taken from measured road sections, but now only analyzed for dimensions, density and sometimes chemically. If such a drill sample is covered with proper conductive surfaces, a cylindrical cavity resonator is formed. The baseline of the GPR permittivity recordings can so be found by measuring the resonance behaviour of this covered sample, which can later still be used for those traditional analyses. A clear benefit is the resonator’s 1–2 GHz frequency range which equals that of common commercial GPR systems. Example results and reference readings from known dielectric material are shown. The obtained uncertainty in this case study is 0.02 units of permittivity, when measuring the same sample repeatedly.


2016 ◽  
pp. 1-1 ◽  
Author(s):  
omprakash kaiwartya ◽  
Abdul Abdullah ◽  
Yue Cao ◽  
Ram Shringar Rao ◽  
Sushil Kumar ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Alison Brown

Abstract Background Patients are sometimes harmed in the course of receiving hospital care. Existing research has highlighted a positive association between board engagement in healthcare quality activities and healthcare outcomes. However, most research has been undertaken through surveys examining board engagement in a limited number of governance processes. This paper presents evidence of a comprehensive range of processes related to governing healthcare quality undertaken at the corporate governance level. This provides a more detailed picture than previously described of how corporate governance of healthcare quality is enacted by boards and management. Methods A comparative case study of eight Australian public hospitals was undertaken. Case studies varying is size and location were selected from two Australian states. Data collection included a review of key governance documentation, semi structured interviews with board members and senior management and an observation of a board quality committee meeting. Thematic analysis was undertaken to identify processes related to key tasks in governing healthcare quality. Results Two key tasks in the corporate governance of healthcare quality, evaluating healthcare quality and overseeing quality priorities, were examined. Numerous processes related to these two tasks were found. Case studies, while found to be similar in engagement on previously identified processes, were found to differ in engagement in these additional processes. While generally low levels of engagement in processes of overseeing quality priorities were found, cases differed markedly in their engagement in evaluating healthcare quality processes. Additional processes undertaken at some case studies represent innovative and mature responses to the need for effective corporate governance of healthcare quality. In addition, a group of processes, related to broader governance taskwork, were found to be important in enabling effective corporate governance of healthcare quality. Conclusion The work of governing healthcare quality, undertaken at the corporate governance level, is redefined in terms of these more detailed processes. This paper highlights that it is how well these key tasks are undertaken that is important in effective governance. When processes related to key tasks are omitted, the rituals of governance may appear to be satisfied but the responsibility may not be met. Boards and managers need to differentiate between common approaches to governance and practices that enable the fulfilment of governance responsibilities. This study provides practical guidance in outlining processes for effective corporate governance of healthcare quality and highlights areas for further examination.


2020 ◽  
Vol 34 (2) ◽  
pp. 144-161
Author(s):  
Alison Brown

PurposeThe importance of hospital board engagement in the work of governing healthcare quality has been demonstrated in the literature. Research into influences on effective corporate governance has traditionally focused on board architecture. Emerging research is bringing to light the importance of governance dynamics. This paper contributes to emerging research through highlighting how communication and leadership underpin effective engagement in governing healthcare quality.Design/methodology/approachA comparative case study of eight Australian public hospitals was undertaken involving document review, interviews and observations. Case studies were allocated into high- or low-engagement categories based on evidence of governance processes being undertaken, in order to compare and contrast influencing factors. Thematic analysis was undertaken to explore how communication and leadership influence healthcare governance.FindingsSeveral key components of communication and leadership are shown to influence healthcare quality governance. Clear logical narratives in reporting, open communication, effective questioning and challenge from board members are important elements of communication found to influence engagement. Leadership that has a focus on healthcare excellence and quality improvement are aligned and promote effective meeting processes is also found to foster governance engagement. Effective engagement in these communication and leadership processes facilitate valuable reflexivity at the governance level.Practical implicationsThe findings highlight the way in which boards and senior managers can strengthen governance effectiveness through attention to key aspects of communication and leadership.Originality/valueThe case study approach allows the exploration of communication and leadership in greater depth than previously undertaken at the corporate governance level in the healthcare setting.


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