Quality Improvement Measures in Healthcare: An Overview

This presentation offers a comprehensive overview of quality improvement in healthcare. It begins with a definition of quality improvement and its significance in enhancing healthcare safety, patient-centered care, and efficiency. The presentation delves into various quality measures, including those used in mental health care, highlighting the challenges in measuring patient outcomes and the importance of continuous monitoring. It also explores specific initiatives like the Strategic Analytics for Improvement and Learning (SAIL) model used by the Veterans Health Administration and the Mental Health Management System. Furthermore, the presentation discusses public reporting of quality measures and the innovations undertaken by the VA, such as the Quality Enhancement Research Initiative (QUERI) and the Diffusion of Excellence initiative. The conclusion emphasizes the essential role of quality improvement measures in ensuring quality patient care.

QUALITY IMPROVEMENT IN
HEALTHCARE

INTRODUCTION
 The intent of this presentation is to research
about some of the quality measures that are
used by the healthcare providers with
examples.
 The presentation is comprised of detailed
description of the concept of quality
improvement in the healthcare setting.
 In addition to this, it is highlighting the
importance of use of quality measures.

QUALITY IMPROVEMENT
 Quality Improvement is said to be an orderly
and a formal approach used to analyse the
performance and efforts made to enhance
the performance.
 There are number of approaches of quality
improvement used that support in collecting
and analysing the data and testing the
change.

IMPORTANCE OF QUALITY
IMPROVEMENT IN HEALTHCARE
SETTING
 Improving quality is all about making
healthcare safer, patient cantered, equitable,
efficient, effective, and timely. Generally, it is
considered that there is no single define of
the quality or quality improvement.
 Healthcare safety, equitability, and efficiency
are some of the importance facts which are
essential for every human to be aware about.
With the advancement or improvement in the
technology, science, and enhancing the
quality in the healthcare has become
essential (IPatient Care, 2016).

QUALITY MEASUREMENT
 In the health systems, orderly quality
measurement is required for the quality
improvement liability, and transparency and
well-versed decision making by the patients.
A properly determined and synchronized
quality measures sets using managerial,
clinical and patient reported information is
required in order to track and enhance
clinical care value and quality.

MENTAL HEALTH CARE
MEASUREMENT GAPS
 Patient outcome measures are considered to
be essential for the improvement of the
mental health quality efforts. There are very
limited numbers of patient outcome
measures that are present, which is the
major difficulty in understanding operative
mental care. Besides this, to encounter the
expectations of value in the health care,
monitoring and mental health measurement
has to move towards evaluating outcomes,
quality, and access in relation to the cost to
deliver care (NCBI, 2019).

MENTAL HEALTH CARE QUALITY
MEASUREMENTS
 Mental health information system is said to
be a system of around 200 clinical qualities
as well as procedure of the care measures
that are created to monitor the execution of
the necessities enclosed in the Mental Health
Services. MHIS measures are intended at the
managers of the local facility program and
are envisioned to help in the quality
improvement at every clinic or hospital
(Allen, Balfour, Bell & Marmot, 2014).

STRATEGIC ANALYTICS FOR
IMPROVEMENT AND LEARNING
 Strategic Analytics for Improvement and
Learning Value Model also called as SAIL
which is the system used for briefing the
performance of the hospital system in the
Veterans Health Administration.
 SAIL evaluates 25 measures of the quality in
the setting like patient satisfaction,
complications, and death rates along with
total physician capacity and efficiency at
every Medical Centres of VA (NCBI, 2019).

MENTAL HEALTH MANAGEMENT
SYSTEM
 The Mental Health Management System has
been designed for supporting a mental
health system that is driven by value from
the perspective of the wider systems. This
system make use of organizational as well as
clinical data for offering objective information
for taking decisions related to the facilities to
be used, resources to be procure for the
incessant quality improvement.

PATIENT OUTPUT DATA
 None of the data systems that are used by the
healthcare providers such as MHMS, MHIS, SAIL,
gathers and utilizes standardized patient
outcome data. However, continuous monitoring
of the symptoms of the patient is important to
the improvement and assessment of patient care.
 As per the reports of VA, by the year 2018, it will
finish the first phase development of the detailed
system, the Clinical Outcomes Reporting Systems
and Mental Health Quality System for nursing the
health outcomes with even patient-reported
outcome measures (Carmichael, Jassar &
Nguyen, 2016).

PUBLIC REPORTING
 Public reporting is planned to enhance the
delivery of the healthcare services and patient
outcomes by adopting transparent quality
measures and making easily accessible services.
Literature presented on the public reporting
impact is limited, but some of the positive
examples are evolving.
 For instance, according to the national survey
conducted in 2008, reflected that patient
suffering from vascular disease were suggested
by the 35 to 47% of the doctors to intake
prophylactic aspirin involved in diverse
specialties (Dehmer, Drozda, Brindis & Masoudi,
2014).

QUALITY IMPROVEMENT
INNOVATIONS
 Recognizing and spreading best practices could
be considered as the main driver of offering
reliable and health quality health care for the
veterans.
 In consideration to the performance
measurement, the VA has number of initiatives
and centres that provide support to the services
of mental health through assessment, research,
as well as clinical support.
 There are number of initiatives undertaken by the
VA in relation to the enhancing the execution of
the therapies based on evidence and assessing
outcomes at the program at regional level.