PERFORMANCE-MEASURES AND MEASUREMENT - OUTCOMES ASSESSMENT IN CLINICAL SETTINGS - A CONSENSUS STATEMENT ON PRINCIPLES AND BEST PRACTICES IN PROJECT-MANAGEMENT

被引:33
作者
DAVIES, AR
DOYLE, MAT
LANSKY, D
RUTT, W
STEVIC, MO
DOYLE, JB
机构
[1] TUFTS UNIV NEW ENGLAND MED CTR,BOSTON,MA 02111
[2] PARK NICOLLET MED FDN,MINNEAPOLIS,MN
[3] SISTERS PROVIDENCE HLTH SYST,PORTLAND,OR
[4] HENRY FORD HLTH SYST,DETROIT,MI
[5] CLEVELAND CLIN EDUC FDN,CLEVELAND,OH 44106
来源
JOINT COMMISSION JOURNAL ON QUALITY IMPROVEMENT | 1994年 / 20卷 / 01期
关键词
D O I
10.1016/S1070-3241(16)30049-9
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The focus this article is on health-related outcomes, particularly reducing symptoms and improving health status. Public policy, purchaser demand, quality assurance/quality improvement, clinical research, and the computerized medical record have all fed the increasing interest in outcomes. ''Outcomes assessment'' refers to the measurement monitoring, and feedback of outcomes. In implementing outcomes assessment the bulk of the work is concentrated in managing individual projects. From May 1992 through March 1993, under a grant from the Functional Outcomes Program of the New England Medical Center (Boston), the directors of five major health outcomes assessment programs held a series of meetings to share their experiences in implementation. Principles and recommended best practices for project management are provided here. Implementing an outcomes project: Making a commitment to begin includes identifying a condition or procedure to investigate, assembling a project team, and naming a coordinator. Designing a project entails defining its purpose and scope, developing the measurement instruments, and establishing a logistical protocol for data collection. Managing the data entails collecting the data, entering the data into a database, maintaining quality control over the data, and storing the data. Using the data entails analyzing the data, providing feedback and interpretation to clinicians, and linking outcomes to the clinical process. Case study: For a typical outcomes project-total hip replacement-the sequence of activities in the project and the staffing and resources needed are all described.
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页码:6 / 16
页数:11
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