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Quality of Care, Medical Errors, Culture of Safety

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2016 National Patient Safety Goals - Joint Commission

The Joint Commission (an accrediting body formerly called JCAHO) has adopted patient safety goals for 2016. Goals apply to Ambulatory Care and Office-Based Surgery, Behavioral Health Care, Hospitals (including Critical Access Hospitals), Home Care, Laboratories, and Long Term Care

Agency for Healthcare Research and Quality (AHRQ)

AHRQ is one of 11 principal operating divisions within the Department of Health and Human Services. Its mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable. It also works to help people understand that evidence and put it into practice. FY16 budget was $428 million, down 3% from the prior year

Hospital Quality in US (Selected Conditions) 2010 Report

Accreditation agency Joint Commission (formerly JCAHO) Annual Report identifies the percentage of hospital patients that received recommended care on more than 30 measures of quality for heart attack, heart failure care, pneumonia, surgical care (infection prevention only) and children's asthma. In aggregate, 2009 hospital performance went up in nearly all conditions, compared to 2008 and earlier data. Lowest surgical infection performance ratings continue for colon surgery; discharge instructions for heart failure have improved to 88%. New inpatient psychiatric measures. Published Sept. 2010. See HospitalCompare if you want hospital names and performance results

Hospital Survey on Patient Safety Culture, March 2014 (AHRQ)  Editor's Pick

Survey results from 405,281 hospital staff members (54% avg. response rate) in 653 participating hospitals in 2014 provide a baseline on the patient safety culture in US hospitals. While teamwork within units, and supervisors promoting safety received relatively high marks, handoffs and transitions, as well as nonpunitive response to errors were identified as weak areas. Less than half of respondents indicated staff felt free to question the decisions or actions of those with more authority. Similar results for shift changes, hospital units coordinating with each other, or transferring patients from one unit to another. See especially Charts 5-1 and 5-2 and Tables 6-3, 6-4

How Good is US healthcare?

Compare Canada, Australia, France, Germany, Netherlands, New Zealand, Sweden, UK and the United States on key healthcare performance measures, and health determinants smoking and obesity. Table 1 shows relative ranking and actual scores from OECD's international 2012 results. Download the report (27 pages) Learning From the Best: Benchmarking Canada’s Health System, released Nov. 2013 by the Canadian Institute for Health Information (CIHI)

National Healthcare Quality Report, 2013 (pdf)

The latest NHQR report focuses on about 250 measures of the quality of healthcare in the US. Key finding: Quality is improving slowly. Across all measures of health care quality, most improved. Access was not improving, but this report pre-dates the opening of the Health Care Exchange. Heart care, Cancer, Diabetes, ESRD, Maternal, Mental Health, patient safety, lifestyle, palliative care and more. Pub. May 2014

NCQA - Health Insurance Plan Quality of Care and Member Satisfaction, 2015

National Committee for Quality Assurance (NCQA) - the premier accrediting body for health insurance plans - annual State of Health Care Quality Report, 2015. Reports performance for over 1000 managed care HMO & PPO plans on measures of effectiveness (HEDIS) during 2014, in more than 30 health topics such as cancer screening, diabetes care, osteoporosis management, heart care, immunization rates, asthma care, COPD, diabetes, appropriate medications, maternity care and mental health follow-up. Also reports averages for member satisfaction and experience with getting the kind of care they expect (CAHPS). Aggregate data only

Patients' ratings of their health care are not associated with technical quality of care

This article, by Chang, Shekelle et al, published in the Annals of Internal Medicine, May 2, 2006, concludes: Assessments of quality of care should include both patient evaluations and independent assessments of technical quality. Study based on adults 65 years and older. See the abstract at this link, through PubMed

QIO Listings - Quality Improvement and Innovation Organizations

The mission of the QIO program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries. It has been modified to incorporate Quality Innovation Networks and complaints on behalf of patients and beneficiaries. Find a Quality Improvement Organization here, organized by region and area

Readmissions to hospital in 30 days - 2013 data

Hospital readmissions are an important measure for assessing performance of the health care system. One strategy for improving health care quality and lowering costs is to reduce rates of preventable readmissions. Statistical Brief #199 presents data on hospital readmissions within 30 days following an initial hospitalization. From 2009 to 2013, the readmission rate for all payers combined stayed at about 14.0 per 100 admissions. Companion Brief #196 shows readmission rates by health condition. Pub. Dec. 2015

Other Helpful Listings

CEO Concerns: Top Hospital Issues, Oct. 2014

ACHE annual survey asked CEOs to identify their top three issues. The overwhelming number one choice continues to be financial challenges with top concern about Medicaid reimbursement and bad debt. Tied for Second choice were implementing Healthcare Reform and Government mandates. Patient Safety and Quality came in 4th. Care for the uninsured was #5. Response rate 30%, by the American College of Healthcare Executives. Released January 2015

Consumers' Views of Patient Safety and Quality Information (KFF)

The Kaiser Family Foundation (Kaiser Health Tracking Poll) released survey findings on the public's views and experiences with comparative quality information. Results from telephone survey early August, 2008 showed only 6 percent had heard of HospitalCompare.gov at that time. Relative importance of familiarity vs ratings described for selecting health plans, surgeons and hospitals is compared to prior years

Readmissions to hospital in 30 days - 2013 data

Hospital readmissions are an important measure for assessing performance of the health care system. One strategy for improving health care quality and lowering costs is to reduce rates of preventable readmissions. Statistical Brief #199 presents data on hospital readmissions within 30 days following an initial hospitalization. From 2009 to 2013, the readmission rate for all payers combined stayed at about 14.0 per 100 admissions. Companion Brief #196 shows readmission rates by health condition. Pub. Dec. 2015

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