Thursday, August 31, 2006

MCHP - Defining and Validating Chronic Diseases: An Administrative Data Approach.

Lix L, Yogendran M, Burchill C, Metge C, McKeen N, Moore D, Bond R.

Winnipeg, Manitoba Centre for Health Policy, July 2006.


This study examines the validity of administrative data, including hospital separations, physician billing claims, and prescription drug records, for monitoring the prevalence of selected chronic diseases in Manitoba.

The specific objectives of this report are to:

1) Review the literature on the validity of administrative data for identifying chronic disease cases.

2) Evaluate the validity of multiple algorithms for identifying disease cases from Manitoba administrative data.

3) Test for differences in cross-sectional and longitudinal prevalence estimates for chronic disease algorithms.

Download the full report

Download the summary

Wednesday, August 30, 2006

Does Pay-for-Performance Improve the Quality of Health Care?

L. A. Petersen, L. D. Woodard, T. Urech, C. Daw and S. Sookanan
Ann Intern Med 2006; 265-272.

Abstract Full Text PDF Appendix Table

Tuesday, August 29, 2006

Tracking Rates of Patient Safety Indicators Over Time: Lessons From the Veterans Administration

Rosen AK, Zhao S, Rivard P, Loveland S, Montez-Rath ME, Elixhauser A, Romano PS.
Med Care. 2006 Sep;44(9):850-861.

Fulltext PDF (699 K)

Monday, August 28, 2006

Patients at Risk of Re-hospitalisation (PARR) case finding tool

Case finding for patients at risk of readmission to hospital: development of algorithm to identify high risk patients

John Billings, Jennifer Dixon, Tod Mijanovich, David Wennberg
BMJ 2006;333:327

[Abstract] [Full text] [PDF] [extra: Appendix]


full report and tool

Friday, August 25, 2006

Volume and process of care in high-risk cancer surgery.

Birkmeyer JD, Sun Y, Goldfaden A, Birkmeyer NJ, Stukel TA.
Cancer. 2006 Jun 1;106(11):2476-81.

Abstract HTML PDF

Thursday, August 24, 2006

Accuracy of hospital report cards based on administrative data

Glance, LG; Dick, AW; Osler, TM; Mukamel, DB
HEALTH SERVICES RESEARCH, 41 (4): 1413-1437, Part 1; AUG 2006

abstract htm pdf

Wednesday, August 23, 2006

Pan-Canadian Primary Health Care Indicator Development Project


http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=GR_1489_E

A series of reports from the Canadian Institute for Health Information (CIHI) develops a list of Primary Health Care indicators. Report 1, Volume 1 presents the context and background for the 105 agreed upon indicators. Report 1, Volume 2 includes detailed technical specifications for each of the 105 indicators. A companion report outlining options for enhancing the pan-Canadian data collection infrastructure is also available.

PHC Indicator List - Labels
PHC Indicator List - Definitions

Primary Health Care Indicators : Pan-Canadian, Report 1, Vol 1 (PDF file)
Primary Health Care Indicators : pan-Canadian, Report 1, Volume 2 (PDF file)
Enhancing the Primary Health Care Data Collection Infrastructure in Canada, Report 2 (PDF file)

Tuesday, August 22, 2006

Effects of Quality Improvement Strategies for Type 2 Diabetes on Glycemic Control

A Meta-Regression Analysis
Kaveh G. Shojania; Sumant R. Ranji; Kathryn M. McDonald; Jeremy M. Grimshaw; Vandana Sundaram; Robert J. Rushakoff; Douglas K. Owens
JAMA. 2006;296:427-440.

ABSTRACT FULL TEXT PDF

Monday, August 21, 2006

IOM - Preventing Medication Errors

This report from the Institute of Medicine finds that medication errors are surprisingly common and costly, and it outlines a comprehensive approach to decreasing the prevalence of these errors.

This approach will require changes from doctors, nurses, pharmacists, and others in the health care industry, from government agencies, from hospitals and other health-care organizations, and from patients.

report

Report Brief. Preventing Medication Errors

Fact Sheet. What You Can Do to Avoid Medication Errors

Friday, August 18, 2006

Developing and implementing new safe practices

voluntary adoption through statewide collaboratives
Leape, L L, Rogers, G, Hanna, D, Griswold, P, Federico, F, Fenn, C A, Bates, D W, Kirle, L, Clarridge, B R
Qual Saf Health Care 2006 15: 289-295

[Abstract] [Full text] [PDF]

Thursday, August 17, 2006

AHRQ - DoD Medical Team Training Programs

Three medical team training programs based on aviation team training are evaluated under a contract from the Agency for Healthcare Research and Quality (AHRQ).

Results suggest that all three programs have desirable traits such as using active learning techniques and offering training to interdisciplinary health care teams. The researchers set out a framework for a successful medical team training program.

htm File PDF File

Wednesday, August 16, 2006

Developing the electronic health record: what about patient safety?

Boaden R, Joyce P.
Health Serv Manage Res. 2006 May;19(2):94-104.

pubmed

Monday, August 14, 2006

Fragmentation of care for frequently hospitalized urban residents.

Schrag D, Xu F, Hanger M, Elkin E, Bickell NA, Bach PB.
Med Care. 2006 Jun;44(6):560-7.

Abstract HTML PDF (673 K)

Friday, August 11, 2006

Thursday, August 10, 2006

Tracking Progress in Patient Safety

An Elusive Target
Peter J. Pronovost; Marlene R. Miller; Robert M. Wachter
JAMA 2006 296: 696-699

EXTRACT FULL TEXT PDF

Wednesday, August 09, 2006

Tuesday, August 08, 2006

Monday, August 07, 2006

Hospital responses to pay-for-performance incentives.

Reiter KL, Nahra TA, Alexander JA, Wheeler JR.
Health Serv Manage Res. 2006 May;19(2):123-34.

pubmed

Friday, August 04, 2006

Wednesday, August 02, 2006

Are Claims Data Accurate Enough to Identify Patients for Performance Measures or Quality Improvement?

The Case of Diabetes, Heart Disease, and Depression
Solberg, Leif I., Engebretson, Karen I., Sperl-Hillen, Joann M., Hroscikoski, Mary C., O'Connor, Patrick J.
American Journal of Medical Quality 2006 21: 238-245

[Abstract] [PDF]

Tuesday, August 01, 2006

Patient Safety: Solutions in Managed Care Organizations?

Nowinski, Caralynn V. ; Mullner, Ross M.
Quality Management in Health Care. 15(3):130-136, July/September 2006.

Fulltext PDF (80 K)