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Component 1: Introduction to Health Care and Public Health in the U.S.

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Component 1: Introduction to Health Care and Public Health in the U.S. 1.9: Unit 9: The evolution and reform of healthcare in the US 1.9c: Quality Indicators And ... – PowerPoint PPT presentation

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Title: Component 1: Introduction to Health Care and Public Health in the U.S.


1
Component 1 Introduction to Health Care and
Public Health in the U.S.
  • 1.9 Unit 9 The evolution and reform of
    healthcare in the US
  • 1.9c Quality Indicators And Comparative
    Effectiveness

2
Quality Indicators In Medicine
  • What is quality?
  • "the degree to which health services for
    individuals and populations increase the
    likelihood of desired health outcomes and are
    consistent with current professional knowledge."

3
What Does Quality Mean?
  • Better patient outcomes (patient health)
  • Better system performance (patient care)
  • Better professional development (clinician
    learning)
  • Scientific evidence particular context
    measured performance improvement

4
Agency for Healthcare Research and Quality (AHRQ)
  • Part of Department of Health and Human Services
  • Mission to improve quality, safety, efficiency,
    and effectiveness of health care for all
    Americans
  • Safety and quality Reduce risk of harm
  • Effectiveness Improve health care outcomes
  • Efficiency Transform research into practice

5
Methods To Promote Quality
  • Metrics for measuring quality
  • Process measures
  • Outcome measures
  • Role of EHR in improving quality
  • Data collection
  • Data analysis
  • Plan-Do-Study-Act (PDSA) cycle
  • Organizational standards

6
Comparative Effectiveness Research (CER)
  • In 2008 the Institute of Medicine noted that
    patient care should be based on the
    conscientious, explicit, and judicious use of
    current best evidence
  • In 2009 the IOM defined CER as evidence that
    compares the benefits and harms of alternative
    methods

7
Comparative Effectiveness
  • Generate evidence from research studies
  • Compare drugs, tests, healthcare delivery
    methods, etc.
  • Researchers may look at existing studies, or
    devise new studies
  • They may develop or use different methods and
    sources of data

8
Steps in Comparative Effectiveness Research
  • Review and synthesize current medical research
  • Promote and generate new evidence and analytic
    tools
  • Train and develop clinical researchers
  • Translate and disseminate research findings to
    diverse stakeholders

9
Benefits of CER
  • CER stakeholders spectrum of individuals who
    make informed decisions that will improve health
    care
  • CER may provide information about benefits and
    harms
  • CER can compare costs of different treatments
    based on outcomes
  • CER helps patients and physicians to choose
    between treatments

10
Emphasis on CER Is A Part of Healthcare Reform
  • The American Recovery and Reinvestment Act of
    2009 created the Federal Coordinating Council for
    Comparative Effectiveness Research
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