Measurement & Bioterrorism Preparedness: An Impact Study

测量

• 批准号: 6667281
• 负责人: JEROD M LOEB
• 金额: $ 40万
• 依托单位: JOINT COMMISSION
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2006-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6667281
• 关键词: bioterrorism /chemical warfare; clinical research; community health services; congestive heart failure; cooperative study; disasters; emergency health services; health care quality; health care service evaluation; health care service organization; health service demonstration project; health services research tag; hospital organization /administration; hospital patient care; human data; myocardial infarction; performance; pneumonia; pregnancy

This proposal describes two distinct but complementary projects designed to improve the performance of health care organizations on a broad scale. The first project relates to performance measurement- an indicator-based approach to measuring quality of care. The goal of the performance measurement project is to demonstrate the impact of evidence-based performance measurement on health care quality across hospitals in the United States. Specifically, the study will examine the ability of nationally implemented performance measures to influence those processes of hospital care that have direct bearing on improved patient outcome. This project will be based on hospital core performance measures that have been introduced as part of the Joint Commission's ORYX initiative in the areas of congestive heart failure, acute myocardial infarction, community-acquired pneumonia and pregnancy. The usefulness of performance measures for improving health care quality will be addressed within a multidimensional framework, including perception of value, action taken, and the impact of intervention. The second project, under the supplemental funding option noted in the RFA, addresses an essential element of overall preparedness of health care organizations for a bioterrorism event- namely establishing strong linkages to relevant community entities. The overall goal of this project is to assess improvements in linkages between health care organizations, the public health infrastructure, and emergency response entities in the wake of multiple influences such as implementation of revised Joint Commission emergency management standards, occurrence of national events and provision of federal funding for bioterrodsm preparedness. Using a mailed survey with on-site verification, we propose to evaluate change over time on linkage related items consistent across previous surveys, conduct a comprehensive cross sectional assessment of existing linkages, assess health care organization preparedness activities over the last five years, and identify exemplary practices related to linkages. The sample will consist of two types of health care organizations: a nationally representative sample of accredited hospitals and a convenience sample of accredited community health centers. The Joint Commission is uniquely positioned to conduct these projects because of its national stature and leadership role in the measurement and oversight of health care quality and its ability to influence change through consensus. Together, these projects aim to provide information about the overall usefulness of performance measurement to improve care and to identify opportunities and effective strategies for improving coordination and communication among key entities responding to bioterrorism events.

该提案描述了两个不同但互补的项目，旨在广泛提高医疗保健组织的绩效。第一个项目涉及业绩计量-一种以指标为基础的衡量护理质量的方法。绩效衡量项目的目标是展示基于证据的 美国各医院医疗质量的绩效衡量。具体来说，这项研究将检查国家实施的绩效指标的能力，以影响这些过程的医院护理，有直接关系到改善病人的结果。该项目将基于医院核心绩效指标，这些指标已作为联合委员会在充血性心脏病领域的ORYX倡议的一部分引入 衰竭、急性心肌梗死、社区获得性肺炎和妊娠。将在一个多层面的框架内，包括价值观，采取的行动和干预的影响，提高医疗保健质量的绩效措施的有用性。 第二个项目属于外地住房准备金计划中提到的补充供资备选办法，涉及保健组织对生物恐怖主义事件的全面准备的一个基本要素，即与有关社区实体建立强有力的联系。该项目的总体目标是评估在多重影响之后，卫生保健组织、公共卫生基础设施和应急响应实体之间的联系的改善情况， 如执行经修订的联合委员会应急管理标准、国家事件的发生以及为生物地球化防备提供联邦资金。使用邮寄的调查与现场核查，我们建议评估变化随着时间的推移，在以前的调查一致的联系相关的项目，进行全面的横截面评估现有的联系，评估医疗机构的准备活动在过去五年，并确定示范性的做法与联系。样本将包括两种类型的医疗保健组织：具有全国代表性的认证医院样本和认证社区卫生中心的便利样本。 联合委员会在开展这些项目方面具有独特的地位，因为它在衡量和监督保健质量方面具有国家地位和领导作用，并有能力通过共识影响变革。 这些项目旨在提供信息，说明业绩计量对改善护理的总体效用，并确定机会和有效战略，以改善应对生物恐怖主义事件的主要实体之间的协调和沟通。