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Quality Management Essay

617 words - 3 pages

Quality measurement to determine the end result of a product was first used in industry. Large manufacturers used processes that lead to a consistent quality product and instituted guidelines for these processes to continue. Often trial and error was needed before the process that led to the quality product was determined. The guidelines were refined so that the quality product could be reproduced the same way every time.
Quality measurement in health care is based on some of the same concepts used in manufacturing. “The measurement of health care quality is a seemingly simple endeavor, beginning with the decision on what to measure, identifying the proper measures along with ...view middle of the document...

Currently, quality measures are submitted, studied, and compared to mortality rates to determine if the guidelines improved patient outcomes.
There are disadvantages to quality measurement. Data elements are not clear, risk adjustments are complex, accuracy in data collection is difficult, and needed documentation is absent when there is a variation in care. Retrospective data collection doesn’t affect the current process of patient care so there is little opportunity to affect outcome. Today, most institutions use concurrent data abstraction. This encourages adherence to the measures and there is opportunity to affect patient outcomes. Concurrent data abstraction is labor intensive because it is not clear which patients belong in the diagnostic category and abstraction may be completed on patients who do not belong in that category. Publically reported data is often out of date and hard to interpret for the consumer with no avenue for explanation of why appropriate care was given even...

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