HCA 610 Assignment Methods of Quality Measurement

HCA 610 Assignment Methods of Quality Measurement

HCA 610 Assignment Methods of Quality Measurement

 

Details:

For this assignment, you are required to write a research paper (4-6 pages) on methods of quality measurement. Your paper must include the following:

1) Detailed summary of at least two different methods of quality measurement.

2) Examples of how the methods may be used to improve organizational effectiveness.

3) Evaluation of the methods.

4) At least four references.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric that can be viewed at the assignment’s drop box. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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The field of quality measurement in healthcare has developed considerably in the past few decades and has attracted growing interest among researchers, policy-makers and the general public (Papanicolas & Smith, 2013; EC, 2016; OECD, 2019). Researchers and policy-makers are increasingly seeking to develop more systematic ways of measuring and benchmarking quality of care of different providers. Quality of care is now systematically reported as part of overall health system performance reports in many countries, including Australia, Belgium, Canada, Italy, Mexico, Spain, the Netherlands, and most Nordic countries. At the same time, international efforts in comparing and benchmarking quality of care across countries are mounting. The Organisation for Economic Co-operation and Development (OECD) and the EU Commission have both expanded their efforts at assessing and comparing healthcare quality internationally (Carinci et al., 2015; EC, 2016). Furthermore, a growing focus on value-based healthcare (Porter, 2010) has sparked renewed interest in the standardization of measurement of outcomes (ICHOM, 2019), and notably the measurement of patient-reported outcomes has gained momentum (OECD, 2019).

The increasing interest in quality measurement has been accompanied and supported by the growing ability to measure and analyse quality of care, driven, amongst others, by significant changes in information technology and associated advances in measurement methodology. National policy-makers recognize that without measurement it is difficult to assure high quality of service provision in a country, as it is impossible to identify good and bad providers or good and bad practitioners without reliable information about quality of care. Measuring quality of care is important for a range of different stakeholders within healthcare systems, and it builds the basis for numerous quality assurance and improvement strategies discussed in Part II of this book. In particular, accreditation and certification (see Chapter 8), audit and feedback (see Chapter 10), public reporting (see Chapter 13) and pay for quality (see Chapter 14) rely heavily on the availability of reliable information about the quality of care provided by different providers and/or professionals. Common to all strategies in Part II is that without robust measurement of quality, it is impossible to determine the extent to which new regulations or quality improvement interventions actually work and improve quality as expected, or if there are also adverse effects related to these changes.

This chapter presents different approaches, frameworks and data sources used in quality measurement as well as methodological challenges, such as risk-adjustment, that need to be considered when making inferences about quality measures. In line with the focus of this book (see Chapter 1), the chapter focuses on measuring quality of healthcare services, i.e. on the quality dimensions of effectiveness, patient safety and patient-centredness. Other dimensions of health system performance, such as accessibility and efficiency, are not covered in this chapter as they are the focus of other volumes about health system performance assessment (see, for example, Smith et al., 2009; Papanicolas & Smith, 2013; Cylus, Papanicolas & Smith, 2016). The chapter also provides examples of quality measurement systems in place in different countries. An overview of the history of quality measurement (with a focus on the United States) is given in Marjoua & Bozic (2012). Overviews of measurement challenges related to international comparisons are provided by Forde, Morgan & Klazinga (2013) and Papanicolas & Smith (2013).

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