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Definition. Health care quality is the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes. [2] Quality of care plays an important role in describing the iron triangle of health care relationships between quality, cost, and accessibility of health care within a community. [3]
The National Committee for Quality Assurance ( NCQA) is an independent 501 (c) (3) nonprofit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. The National Committee for Quality Assurance operates on a formula of measure ...
The Healthcare Quality Improvement Act of 1986 (HCQIA) was introduced by Congressman Ron Wyden from Oregon.(Title 42 of the United States Code, Sections 11101 - 11152) It followed a federal antitrust suit by a surgeon against an Astoria hospital and members of its clinic in which he claimed antitrust actions were effected through the mechanism of peer review in the hospital.
Definition and implementation Measure definition. In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: Communication and Care Coordination; Community/Population Health; Effective Clinical Care; Efficiency and Cost Reduction
Donabedian model. The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [1] According to the model, information about quality of care can be drawn from three categories: “structure,” “process,” and “outcomes." [2] Structure describes the context in ...
Three people are standing behind a fence, trying to watch a parade as it passes by. One is tall, one is shorter, and one is a small child. The tall person can see over the fence, but the other two ...
Clinical audit. Clinical audit is a process that has been defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. The key component of clinical audit is that performance is reviewed (or audited), to ensure that what ...
A six-minute video documentary of NICE from 2008. The National Institute for Health and Care Excellence ( NICE) is an executive non-departmental public body, in England, of the Department of Health and Social Care, [1] that publishes guidelines in four areas: [2] the use of health technologies within England's National Health Service (NHS) and ...