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Quality Indicators And Healthcare A First Step To The Evaluation Of A Hospitals Performance Introdução à Medicina 2008/2009 Ana Cristina Pereira Ana Teresa

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Quality Indicators And Healthcare A First Step To The Evaluation Of A Hospitals Performance Introduo Medicina 2008/2009 Ana Cristina Pereira Ana Teresa Carapenha Ana Rita Oliveira Andr Vinha Catarina Vieira Eduardo Freitas Joo Rebelo Mariana Oliveira Marli Cruz Nuno Ribeiro Victoriano Costa Authors Slide 2 Quality Of Healthcare The indicators are the source of information to evaluate the performance of a hospital. KIRKMAN, Jamie John, BOUAMRA, Omar, 2008. Introduo Medicina - Turma 10 Slide 3 Quality Of Healthcare Slide 4 Values of the indicators as the basis to evaluate healthcare quality. Introduo Medicina - Turma 10 EDDY, David M., 1998 Slide 5 Research Question and Main Aim Introduo Medicina - Turma 10 How did quality and performance indicators evolve through the years in a central hospital? Our main objective is to calculate these indicators concerning different variables and to have a perspective of the performance of the hospital in case. Definitive conclusions demand a more exaustive study. Slide 6 Introduo Medicina - Turma 10 Examination of healthcare quality. Definition of a hospitals activity and production. Study of the quality of the data. How will we do this? Specific Aims Slide 7 Methods Introduo Medicina - Turma 10 Slide 8 Methods SPSS (Statistical Package for the Social Sciences) Provider of predictive analytics software and solutions. (*) (*) SPSS: The Predictive Analytics Company: http://www.spss.com/corpinfo/?source=homepage&hpzone=nav_bar Slide 9 Introduo Medicina - Turma 10 Methods DRGs ICD-9-CM ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States. (**) A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. (*) (*) MeSh definition (**) Classifications of Diseases and Functioning & Disability: http://www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm INE The entity responsible for ensuring the production and dissemination of official statistical information. (***) (***) Statistics Portugal: http://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_cont_inst&ine_smenu.boui=13918434&INST=53864&xlang=en Slide 10 Introduo Medicina - Turma 10 Methods Slide 11 Expected Results Introduo Medicina - Turma 10 Slide 12 Expected Results Slide 13 Introduo Medicina - Turma 10 Slide 14 References EDDY, David M. Performance measurements: problems and solutions in Health Affairs. Vol.17. 4, 1998. REINHARDT,U: Quality in comsumer Driven Health Systems, International Journal for Health Care. 1998; 10(5) BENTES, Margarida; BERARDO, Ana; MATIAS, Alberto: XVII Congresso da Unio Europeia de Gestores Hospitalares; 1999. GARDNER, Karen L; SIBTHORPE, Beverly; LONGSTAFF, Duncan. National quality and performance system for Divisions of General Practice: early reflections on a system under development. 2007 Geraedts M, Schwartze D, Molzahn T. Hospital quality reports in Germany: patient and physician opinion of the reported quality indicators. Germany: BMC Health Serv Res.; 2007 Sep 28; 7-157. BENTES, Margarida; GONALVES, Maria da Luz; TRANQUADA, Suzete; URBANO, Joo. A utilizao dos GDHs como instrumento de financiamento hospitalar. Gesto Hospital, 33-42. BRIZ, Teodoro; DIAS, Carlos Matias; FREITAS, Mrio. Indicadores de sade: uma viso de Sade Pblica, com interesse em Medicina Geral e Familiar. Revista Portuguesa Clnica Geral 2007;23:439-50 RIBEIRO, Nuno. Administrao pblica. TOC. 2000/08 URIEL, Zanon. Qualidade da assistncia mdico-hospitalar: conceito e avaliao de indicadores. 2000 Jul-Set RAS _ Vol. 2, N 8. Available from: http://www.cqh.org.br/files/ARTIGORAS08.pdf Slide 15 References National report on health sector performance indicators 2003 [Internet]. Canberra:. Australian Institute of Health and Welfare; 2004. DIMICK, Justin B., WELCH, H. Gilbert, BIRKMEYER, John D. Surgical Mortality as an Indicator of Hospital Quality: The Problem With Small Sample Size. JAMA. 2004;292:847-851. Classifications of Diseases and Functioning & Disability: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). [Cited 2 Dec 2008] Available from: http://www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm SPSS: The Predictive Analytics Company. [Cited 16 Dec 2008] Available from: http://www.spss.com/corpinfo/?source=homepage&hpzone=nav_bar Statistics Portugal. [Cited 17 Dec 2008] Available from: http://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_cont_inst&ine_smenu.boui=13918434&INST=53864&xlang=en

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