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Donabedian model. The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [1] According to the model, information about quality of care can be drawn from three categories: “structure,” “process,” and “outcomes." [2] Structure describes the context in ...
The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
Health care quality is a level of value provided by any health care resource, as determined by some measurement. [1] As with quality in other fields, it is an assessment of whether something is good enough and whether it is suitable for its purpose. The goal of health care is to provide medical resources of high quality to all who need them ...
Most measures of quality are improving, but the pace of change remains modest. Quality improvement varies by setting and phase of care. The rate of improvement accelerated for some measures while a few continued to show deterioration. Variation in health care quality remains high.
Clinical audit. Clinical audit is a process that has been defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. The key component of clinical audit is that performance is reviewed (or audited), to ensure that what ...
The GRADE approach (Grading of Recommendations Assessment, Development and Evaluation) is a method of assessing the certainty in evidence (also known as quality of evidence or confidence in effect estimates) and the strength of recommendations in health care. [1] It provides a structured and transparent evaluation of the importance of outcomes ...
National Quality Forum (NQF) is a United States-based non-profit membership organization that promotes patient protections and healthcare quality through measurement and public reporting. [ 1 ] [ 2 ] It was established in 1999 based on recommendations by the President's Advisory Commission on Consumer Protection and Quality in the Health Care ...
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1][2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review). Today, clinical peer review is most ...