Search results
Results from the WOW.Com Content Network
At the end of the financial year the total number of points achieved by a surgery is collated by the QMAS or other system which then converts the points total into a payment amount for the surgery. The formula includes the number of patients and in particular the numbers diagnosed with certain common chronic illnesses; the clinical element ...
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]
The CCC System is a standardized framework consisting of four levels designed to allow nursing data to flow upward as well as downward. At the highest level the CCC System Framework consists of four healthcare patterns (Saba, 2007): [29] Health Behavioral; Functional; Physiological; Psychological; Each represents a different set of Care Components.
In some studies, attainment of HEDIS measures is associated with cost-effective practices or with better health outcomes. In a 2002 study, HEDIS measures "generally reflect[ed] cost-effective practices". [11] A 2003 study of Medicare managed care plans determined that plan-level health outcomes were associated with HEDIS measures. [12]
This standard provides a measurement framework for improved quality management, similar to and based upon the measurement framework for process assessment. The last major revision was published on 15 September 2015. This change adopted the High-Level Structure, contained in ISO Directive 1 Annex SL, for the first time.
Pay for performance systems link compensation to measures of work quality or goals. Current methods of healthcare payment may actually reward less-safe care, since some insurance companies will not pay for new practices to reduce errors, while physicians and hospitals can bill for additional services that are needed when patients are injured by mistakes. [1]
A qualifications framework is a formalized structure in which learning level descriptors and qualifications are used in order to understand learning outcomes. [1] This allows for the ability to develop, assess and improve quality education in a number of contexts.
The seven basic tools of quality are a fixed set of visual exercises identified as being most helpful in troubleshooting issues related to quality. [1] They are called basic because they are suitable for people with little formal training in statistics and because they can be used to solve the vast majority of quality-related issues.