The quality of health care organizations can be assessed by
various methods.The overall aim is to evaluate the quality of care
rendered by the organization.According to world heatlth
organization the quality of the health care institutions can be
identified through evaluating the outcome measures.It includes
different variables that assess quality of care as well as cost
effectiveness.
The most important outcome measures Includes
- Mortality rate - inpatient mortality rate is an indicator if
quality health care.Usually health care organizations conduct
monthly mortality meetings to evaluate the causes of the
rates.
- Safety of care- Patient safety is assessed here by checking
rate of hospital acquired infections like catheter associated
UTI,ventilator associated pneumonia,decubi dec ulcers etc
- Readmission- Readmission of a patient within a short duration
after discharge is a negative indicator of quality.It reflect some
defecit in treatment and expected recovery.It increases the cost of
care as well as decrease patient satisfaction.
- Patient experience- It reviews the quality if care in terms of
patient satisfaction.It reflects the opinion of the society
too.
- Effectiveness of care- It can be assessed by the patient
condition after receiving treatment,the changes in his health
status that is recovery from illness is assessed here.
- Timelines of care- It indicated early initiation of treatment
.It is more important in ER ,if there is more number of individuals
prioritization is required at the same time everyone should get
attention within short period of time.Early diagnosis can create
good patient outcome.
- Efficient use of medical imaging - Some times medical imaging
is essential to identify the underlying causes of symptoms and to
intervene it effectively within golden hours .For example in case
of suspected head injury CT or MRI of brain is essential to rule
out intra cranial bleed.Also judicial use of imaging as and when
required is essential.Un necessary use of imaging to increase
hospital profit should be avoided.
The essentials for successful healthcare outcome measurement
Includes data transparency,integrated care with transition of care
and data interoperability that is communication between the various
departments.
Analysis of quality of health care , that is rendering of
quality and efficient heatlth services to varied sections of the
community at a competitive cost is the tool to identify health care
organizations.