Health Care Transparency in Organizational Perspective

2016 ◽  
Author(s):  
Charlotta Levay
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Economic Incentives ◽  
Care Quality ◽  
Future Research ◽  
Health Care Market ◽  
Quality Reporting ◽  
Organizational Perspective ◽  
Health Care Transparency

Health care organizations are under increasing pressure to account for their performance to outside constituencies. This chapter reviews the background, nature, and consequences of organized efforts to enhance transparency in health care. Market reforms and quality concerns create mounting demands for public transparency, but health care quality is difficult to assess in a way that is both fair and accessible to a general audience. Public quality reporting has not been shown to improve quality of care, and there is a risk that it produces nominal rather than effective transparency. Especially when combined with economic incentives, transparency regimes tend to breed gaming, which is repeatedly ignored by systems designers. Health professionals typically react negatively, even if they also participate in and derive some benefits from transparency efforts. Future research needs to explore systematically the strategies that professionals, patients, and organizations engage in when creating and receiving public quality information.

scholarly journals Measuring Regional Performance in the Italian NHS: Are Disparities Decreasing?

2021 ◽  
Author(s):  
Silvia Bruzzi ◽  
Enrico Ivaldi ◽  
Marta Santagata
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Health Care Quality ◽  
Health Care Systems ◽  
Care Quality ◽  
Regional Disparities ◽  
Future Research ◽  
Regional Health ◽  
Regional Health Care ◽  
Composite Indexes

AbstractGiven the regional disparities that historically characterize the Italian context, in this paper we propose a framework to evaluate the regional health care systems’ performance in order to contribute to the debate on the relationship between decentralisation of health care and equity. To investigate the regional health systems performance, we refer to the OECD Health Care Quality Indicators project to construct of a set of five composite indexes. The composite indexes are built on the basis of the non-compensatory Adjusted Mazziotta-Pareto Index, that allows comparability of the data across units and over time. We propose three indexes of health system performance, namely Quality Index, Accessibility Index and Cost-Expenditure Index, along with a Health Status Index and a Lifestyles Index. Our framework highlights that regional disparities still persist. Consistently with the evidence at the institutional level, there are regions, particularly in Southern Italy, which record lower levels of performance with high levels of expenditure. Continuous research is needed to provide policy makers with appropriate data and tools to build a cohesive health care system for the benefit of the whole population. Even if future research is needed to integrate our framework with new indicators for the calculation of the indexes and with the identification of new indexes, the study shows that a scientific reflection on decentralisation of health systems is necessary in order to reduce inequalities.

Hemodialysis Unit at Renfrew Victoria Hospital

1995 ◽  
Vol 8 (2) ◽  
pp. 5-10
Author(s):  
Randy Penney
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Care Quality ◽  
Hemodialysis Unit

In June 1994, the Renfrew Victoria Hospital was selected as the first-ever recipient of the Health Care Quality Team Award in the “Small and Rural Provider” category. This award, offered by the Canadian College of Health Service Executives and 3M Health Care, was established to recognize health care organizations that have sustained measurable improvements in their network of services, and have done so through the use of a team. Renfrew Victoria Hospital's entry focused on the establishment of a hemodialysis unit for the residents of Renfrew County. This article summarizes the parameters of this award, as presented in our submission.

Adjudicating Severe Birth Injury Claims in Florida and Virginia: The Experience of a Landmark Experiment in Personal Injury Compensation

2008 ◽  
Vol 34 (4) ◽  
pp. 493-537 ◽  
Author(s):  
Gil Siegal ◽  
Michelle M. Mello ◽  
David M. Studdert
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Current System ◽  
The United States ◽  
Care Quality ◽  
Tort Liability ◽  
Legal Doctrine ◽  
Medical Injury ◽  
Improve Health Care Quality

Policy debates over medical malpractice in the United States involve a complex amalgam of legal doctrine, public demands to address the problem of medical errors, and the interests of various stakeholder groups. Most parties can agree, however, that the current system for compensating medical injury performs poorly. It falls short of achieving its two main goals: compensation and deterrence. The current system of tort liability is “neither sensitive nor specific in its distribution of compensation:” the vast majority of patients injured by negligent medical care do not receive compensation, yet the system compensates some cases that do not appear to involve negligence. Sometimes, it awards more in noneconomic damages than seems reasonable to many observers. Ultimately, tort liability appears to do little to improve health care quality and safety, yet it spurs costly defensive medicine. Physicians and health care organizations face burdensome insurance and legal costs, leading some to threaten to curtail their services. These concerns about the burden of medical injury and the malpractice “crisis” have sharpened calls for reform.

Culture in Health Care Organizations

2016 ◽  
Author(s):  
Russell Mannion ◽  
Huw Davies
Keyword(s):  
Health Care ◽  
Culture Change ◽  
Health Care Quality ◽  
Health Care Policy ◽  
Health Care Organizations ◽  
Care Quality ◽  
Quality Health Care ◽  
Wide Range ◽  
Health Care Performance ◽  
Care Performance

Modern health care policy frequently invokes notions of cultural change as a key means of achieving performance improvement and good quality health care. This chapter aims to sharpen thinking around the theory and feasibility of culture change in health care contexts by setting out some of the key conceptual and practical challenges that need to be addressed by policy makers, health care managers, researchers, and by others seeking to understand, assess and change cultures in health care organizations. It begins by introducing some of the sources of ideas, conceptual underpinnings and key concerns with using organizational culture, before considering the evidence on the linkages between culture and health care performance and the wide range of models that have been used to understand culture change and the management of cultural diversity in health care organizations. The chapter closes by arguing that the diverse and contested nature of understanding about culture will necessarily mean that there will be diverse and contested ways of seeking to harness the power of culture to deliver the desired improvements in health care quality and performance. What is clear is attempting to enact culture change to improve health care performance is a difficult, uncertain and risky enterprise and may not always generate the anticipated outcomes. As in many other areas of management we are in need of a more secure evidence base that is underpinned by a more sophisticated understanding of these complex and dynamic organizational phenomena.

A Toolkit to Improve Diversity in Patient and Family Advisory Councils: A New Method to Advance Health Equity

2019 ◽  
Vol 25 (2) ◽  
pp. 176-181
Author(s):  
Kendra Jones ◽  
Teddie Potter
Keyword(s):  
Health Care ◽  
Health Equity ◽  
Health Care Quality ◽  
Health Care Organizations ◽  
Formal Method ◽  
Care Quality ◽  
Institute Of Medicine ◽  
Advisory Councils ◽  
Essential Components ◽  
Pervasive Health

The Institute of Medicine (2001) identifies equity as one of six essential components of health-care quality. However, many health-care organizations lack a formal method to deeply understand and evaluate diverse patient and family experiences. Understanding care experiences of patients and families from minority racial and ethnic groups is essential to improving pervasive health disparities and to making health care more equitable. This article describes the creation of a toolkit aimed at strengthening health-care organizations' abilities to advance health equity through patient and family advisory councils (PFACs). This resource, cocreated with representatives from diverse PFACs, identifies and promotes strategies to recruit and retain diverse representation in advisory councils.

scholarly journals The present and future of quality measures and public reporting in neurosurgery

2015 ◽  
Vol 39 (6) ◽  
pp. E3 ◽  
Author(s):  
Kimon Bekelis ◽  
Matthew J. McGirt ◽  
Scott L. Parker ◽  
Christopher M. Holland ◽  
Jason Davies ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Reporting System ◽  
Quality Measurement ◽  
Quality Measures ◽  
Public Reporting ◽  
Care Quality ◽  
Common Denominator ◽  
Quality Reporting ◽  
Physician Quality Reporting System

Quality measurement and public reporting are intended to facilitate targeted outcome improvement, practice-based learning, shared decision making, and effective resource utilization. However, regulatory implementation has created a complex network of reporting requirements for physicians and medical practices. These include Medicare’s Physician Quality Reporting System, Electronic Health Records Meaningful Use, and Value-Based Payment Modifier programs. The common denominator of all these initiatives is that to avoid penalties, physicians must meet “generic” quality standards that, in the case of neurosurgery and many other specialties, are not pertinent to everyday clinical practice and hold specialists accountable for care decisions outside of their direct control. The Centers for Medicare and Medicaid Services has recently authorized alternative quality reporting mechanisms for the Physician Quality Reporting System, which allow registries to become subspecialty-reporting mechanisms under the Qualified Clinical Data Registry (QCDR) program. These programs further give subspecialties latitude to develop measures of health care quality that are relevant to the care provided. As such, these programs amplify the power of clinical registries by allowing more accurate assessment of practice patterns, patient experiences, and overall health care value. Neurosurgery has been at the forefront of these developments, leveraging the experience of the National Neurosurgery Quality and Outcomes Database to create one of the first specialty-specific QCDRs. Recent legislative reform has continued to change this landscape and has fueled optimism that registries (including QCDRs) and other specialty-driven quality measures will be a prominent feature of federal and private sector quality improvement initiatives. These physician- and patient-driven methods will allow neurosurgery to underscore the value of interventions, contribute to the development of sustainable health care solutions, and actively participate in meaningful quality initiatives for the benefit of the patients served.

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