Wednesday, May 31, 2006

AHRQ - Cancer Care Quality Measures

Cancer Care Quality Measures: Diagnosis and Treatment of Colorectal CancerEvidence Report
(Publication No. 06-E002)
(PDF file, 1.6 MB)

This evidence report from Agency for Healthcare Research and Quality (AHRQ) identify measures that are currently available to assess the quality of care provided to patients with colorectal cancer (CRC), and assess the extent to which these measures have been developed and tested.

Cancer Care Quality Measures: Symptoms and End of Life CareEvidence Report
(Publication No. 06-E001)
(PDF file, 1.7 MB)

This evidence report from Agency for Healthcare Research and Quality (AHRQ) identify quality measures and the evidence for them to support quality assessment and improvement in the palliative care of patients with cancer in the areas of pain, dyspnea, depression, and advance care planning (ACP), and identify important gaps in related research.

Tuesday, May 30, 2006

BMJ - NICE work

Review of NICE's recommendations, 1999-2005
James Raftery
BMJ 2006;332:1266-1268
[Full text] [PDF] [extra: Classification of the recommendations]

Resource allocation: NICE work
BMJ 2006;332:1266
[Full text]

How NICE may be outflanked
R E Ferner, Sarah E McDowell
BMJ 2006;332:1268-1271
[Full text] [PDF] [extra: References w1 - w36]

Monday, May 29, 2006

CMWF - Committed to Safety: Ten Case Studies on Reducing Harm to Patients

This report from The Commonwealth Fund presents 10 case studies of health care organizations, clinical teams, and learning collaborations that have designed innovations in five areas that hold great promise for improving patient safety:

  • promoting an organizational culture of safety,
  • improving teamwork and communication,
  • enhancing rapid response to prevent heart attacks and other crises in the hospital,
  • preventing health care–associated infections in the intensive care unit, and
    preventing adverse drug events throughout the hospital.

report pdf

Executive Summary

Friday, May 26, 2006

Development and Validation of a Psychiatric Case-Mix System

Kevin L. Sloan, Maria E. Montez-Rath, Avron Spiro III, Cindy L. Christiansen, Susan Loveland, Priti Shokeen, Lawrence Herz, Susan Eisen, James N. Breckenridge, Amy K. Rosen
Medical Care. 44(6):568-580, June 2006.
Abstract HTML PDF (711 K)

Thursday, May 25, 2006

Indices for Continuity of Care: A Systematic Review of the Literature

Sandra H. Jee and Michael D. Cabana
Med Care Res Rev 2006 63: 158-188.
[Abstract] [PDF]

Wednesday, May 24, 2006

HCUP Statistical Briefs

The Agency for Healthcare Research and Quality (AHRQ) has launched a new series of Web-based publications, the HCUP Statistical Briefs containing information from its Healthcare Cost and Utilization Project (HCUP).

These publications will provide concise, easy-to-read information on hospital care, costs, quality, utilization, and access.

Tuesday, May 23, 2006

MJA - The safety and quality of health care: where are we now?

Key achievements of the Australian Council for Safety and Quality in Health Care
Med J Aust 2006; 184 (10): S37.

The safety and quality of health care: from Council to Commission
Richard A Smallwood
Med J Aust 2006; 184 (10): S39-S40.

Shared meanings: preferred terms and definitions for safety and quality concepts
William B Runciman
Med J Aust 2006; 184 (10): S41-S43.

Sea change: public reporting and the safety and quality of the Australian health care system
Clifford F Hughes and Patricia Mackay
Med J Aust 2006; 184 (10): S44-S47.

Health care safety and quality: where have we been and where are we going?
Bruce H Barraclough and Jim Birch
Med J Aust 2006; 184 (10): S48-S50.

Measurement of the safety and quality of health care
Sarah Scobie, Richard Thomson, John J McNeil and Paddy A Phillips
Med J Aust 2006; 184 (10): S51-S55.

Designing safer health care through responsive regulation
Judith Healy and John Braithwaite
Med J Aust 2006; 184 (10): S56-S59.

Improving safety and quality: how can education help?
Merrilyn M Walton and Susan L Elliott
Med J Aust 2006; 184 (10): S60-S64.

The development of the National Reporting and Learning System in England and Wales, 2001–2005
Susan K Williams and Sue S Osborn
Med J Aust 2006; 184 (10): S65-S68.

The WHO World Alliance for Patient Safety: towards the years of living less dangerously
Liam J Donaldson and Martin G Fletcher
Med J Aust 2006; 184 (10): S69-S72.

Monday, May 22, 2006

AARP - Home Care Quality: Emerging State Strategies to Deliver Person-Centered Services

Folkemer, Donna, and Barbara Coleman.
PPI Issue Paper #2006-07. February 2006

This paper reviews the quality improvement initiatives of three states (Wisconsin, Washington, and South Carolina) to ensure faster consumer access to services and supports, to guarantee that consumers receive prompt and competent assistance from care managers and providers, and to assess how well consumers are being served through feedback from the consumers.

Friday, May 19, 2006

Qual Manag Health Care - Why We Love Quality but Hate to Measure It

Quality Management in Health Care. 15(2):116-120, April/June 2006.
Peabody, John
Abstract HTML PDF (73 K)

Thursday, May 18, 2006

Am J Med Qual - Consumer Assessment of Health Providers and Systems (CAHPS)

Evolving to Meet Stakeholder Needs
Charles Darby, Christine Crofton, and Carolyn M. Clancy
American Journal of Medical Quality 2006 21: 144-147.

Wednesday, May 17, 2006

What Is the Empirical Basis for Paying for Quality in Health Care?

Meredith B. Rosenthal and Richard G. Frank
Med Care Res Rev 2006 63: 135-157.
[Abstract] [PDF]

Tuesday, May 16, 2006

Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care

B. Chaudhry, J. Wang, S. Wu, M. Maglione, W. Mojica, E. Roth, S. C. Morton and P. G. Shekelle
Ann Intern Med 2006; 742-752.
Abstract Full Text PDF

Monday, May 15, 2006

Leapfrog Group - Designing incentives to improve care tools


The Leapfrog Group offer tools to design, implement, and evaluat financial and nonfinancial incentives to reward hospitals for providing high-quality care.

These tools include:

  • profiles of insurers, purchasers, and employers that have implemented incentive programs
  • models of potential incentives
  • strategies for determining the business case for such programs
  • how to communicate benefits
  • other practical materials

Friday, May 12, 2006

BMA - Reporting Adverse Drug Reactions

A guide for healthcare professionals
British Medical Association
May 2006

The BMA believes that effective reporting of adverse drug reactions (ADRs) is an important mechanism for post-marketing surveillance of medicines and is vital for maintaining drug safety.

This report includes significant changes to the Yellow Card Scheme through which suspected ADRs can be reported spontaneously.

Also in the report are recommendations about ways in which healthcare professionals can help improve reporting of ADRs.

Download the report in PDF format (493K)

Wednesday, May 10, 2006

Arch Surg - Incidence, Patterns, and Prevention of Wrong-Site Surgery

Mary R. Kwaan; David M. Studdert; Michael J. Zinner; Atul A. Gawande
Arch Surg 2006 141: 353-358

Tuesday, May 09, 2006

Qual Manag Health Care - Readmission Data for Outcomes Measurement

Identifying and Strengthening the Empirical Base
Quality Management in Health Care. 15(2):83-95, April/June 2006.
Landrum, Laurie ; Weinrich, Sally.
Abstract HTML PDF (100 K)

Health Econ - Cost inefficiency and mortality rates in Florida hospitals

Deily, ME; McKay, NL
Health Economics, 15 (4): 419-431; APR 2006
Abstract PDF

Monday, May 08, 2006

Pharmacy Quality Alliance (PQA)

Centers for Medicare & Medicaid Services (CMS) announces the formation of the Pharmacy Quality Alliance (PQA).

The Mission of the PQA is to improve health care quality and patient safety through a collaborative process in which key stakeholders agree on a strategy for measuring performance at the pharmacy and pharmacist-levels; collecting data in the least burdensome way; and reporting meaningful information to consumers, pharmacists, employers, health insurance plans, and other healthcare decision-makers to help make informed choices, improve outcomes and stimulate the development of new payment models.

Friday, May 05, 2006

Ann Intern Med - Patients' Global Ratings of Their Health Care Are Not Associated with the Technical Quality of Their Care

John T. Chang, Ron D. Hays, Paul G. Shekelle, Catherine H. MacLean, David H. Solomon, David B. Reuben, Carol P. Roth, Caren J. Kamberg, John Adams, Roy T. Young, and Neil S. Wenger
Ann Intern Med. 2006 May 2;144(9):665-72.
Abstract Full Text PDF

NHS - Website on cardiac care

The Healthcare Commission has worked with the Society of Cardiothoracic Surgeons of Great Britain and Ireland to develop a website on cardiac care.

The website provides detailed information to help patients who need cardiac surgery to make informed decisions about their care and treatment.

Patients are able to see the performance of cardiac units and in many cases of their individual surgeons.

Thursday, May 04, 2006

AHRQ - Patient Safety Tools and Resources
April 2006.
Agency for Healthcare Research and Quality, Rockville, MD.

The information here summarizes AHRQ patient safety tools and resources designed for health systems, providers, and consumers.

JAMA - How the US Drug Safety System Should Be Changed

Brian L. Strom
JAMA. 2006;295:2072-2075.

Wednesday, May 03, 2006

AHRQ - Pay for Performance: A Decision Guide for Purchasers

This Guide from Agency for Healthcare Research and Quality (AHRQ) is intended to be used by public and private purchasers of health care services who are considering sponsorship of a pay-for-performance (P4P) initiative.

Twenty questions are presented for consideration along with options and any available evidence for each.

The questions are grouped into four phases: contemplation, design, implementation, and evaluation.

PDF File, 320 KB

Tuesday, May 02, 2006

Am J Med Qual - National Quality Forum 30 safe practices

priority and progress in Iowa hospitals
Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS.
Am J Med Qual. 2006;21:101-108.
[Abstract] [PDF]