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Quality Indicators And Quality Indicators And HealthcareHealthcare

A First Step To The Evaluation Of A Hospital’s PerformanceA First Step To The Evaluation Of A Hospital’s Performance

Introdução à Medicina

2008/2009

Ana Cristina PereiraAna Cristina PereiraAna Teresa CarapenhaAna Teresa Carapenha

Ana Rita OliveiraAna Rita OliveiraAndré VinhaAndré Vinha

Catarina VieiraCatarina VieiraEduardo FreitasEduardo Freitas

João RebeloJoão RebeloMariana OliveiraMariana Oliveira

Marli CruzMarli CruzNuno RibeiroNuno Ribeiro

Victoriano CostaVictoriano Costa

Authors

Quality Of HealthcareQuality Of Healthcare

The indicators are the source of information to evaluate the performance of a hospital.

KIRKMAN, Jamie John, BOUAMRA, Omar , 2008.

Introdução à Medicina - Turma 10




Values of the indicators as the basis to evaluate healthcare quality.


EDDY, David M., 1998

Research Question and Main AimResearch Question and Main Aim


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.


Examination of healthcare quality.

Definition of a hospital’s activity and production.

Study of the quality of the data.

How will we do this?

Specific AimsSpecific Aims

MethodsMethods



MethodsMethods

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


MethodsMethods

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


MethodsMethods

Expected ResultsExpected Results






ReferencesReferences


• 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 União 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; GONÇALVES, Maria da Luz; TRANQUADA, Suzete; URBANO, João. A utilização dos GDH’s como instrumento de financiamento hospitalar. Gestão Hospital, 33-42.

• BRIZ, Teodoro; DIAS, Carlos Matias; FREITAS, Mário. Indicadores de saúde: uma visão de Saúde Pública, com interesse em Medicina Geral e Familiar. Revista Portuguesa Clínica Geral 2007;23:439-50

• RIBEIRO, Nuno. Administração pública. TOC. 2000/08

• URIEL, Zanon. Qualidade da assistência médico-hospitalar: conceito e avaliação de indicadores. 2000 Jul-Set RAS _ Vol. 2, Nº 8. Available from: http://www.cqh.org.br/files/ARTIGORAS08.pdf

ReferencesReferences

• 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