Closing The Quality Gap A Critical Analysis Of Quality Improvement Strategies Volume 3 Hypertension Care
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Closing The Quality Gap
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Author :
language : en
Publisher:
Release Date : 2005
Closing The Quality Gap written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with categories.
Closing The Quality Gap A Critical Analysis Of Quality Improvement Strategies Volume 3 Hypertension Care
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Author : U. S. Department Human Services
language : en
Publisher: Createspace Independent Publishing Platform
Release Date : 2013-06-07
Closing The Quality Gap A Critical Analysis Of Quality Improvement Strategies Volume 3 Hypertension Care written by U. S. Department Human Services and has been published by Createspace Independent Publishing Platform this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-06-07 with categories.
In early 2003, the Institute of Medicine (IOM) released its report, Priority Areas for National Action: Transforming Health Care Quality. The report listed 20 clinical topics for which "best practices" were strongly supported by clinical evidence. The report documents the disappointingly low rates at which these practices have been implemented in the U.S., at an annual cost of many thousands of lives. To bring data to bear on the quality improvement opportunities articulated in the IOM's 2003 report, the Agency for Healthcare Research and Quality (AHRQ) engaged the Stanford-UCSF Evidence-based Practice Center (EPC) to perform a critical analysis of the existing literature on quality improvement strategies for a selection of the 20 disease and practice priorities noted in the IOM Report. Rather than concentrating on the specific clinical practices that appear to improve health outcomes, the focus of this review is on translating research into practice-identifying those activities that increase the rate at which practices regarded as effective are applied to patient care in real world settings. This report focuses on the clinical problem of hypertension. It, like the other reports in the series, aims to help readers assess whether the evidence suggests that a quality improvement strategy would work in their specific practice or with their specific patient population. The question of whether these may be crosscutting practices-that is, the manner in which those that have been studied for specific conditions such as hypertension might be applicable to others, such as asthma-remains to be seen. We defined the quality gap as the difference between health care processes or outcomes observed in practice, and those potentially obtainable on the basis of current professional knowledge. We defined a quality improvement (QI) strategy as an intervention aimed at reducing the quality gap for a group of patients representative of those encountered in routine practice. Finally, a quality improvement target is an outcome, process, or structure that the QI strategy aims to influence, with the goal of reducing the quality gap. Examples of targets relevant to this volume include outcomes such as reductions in blood pressure, or processes such as improved provider adherence with medication choices in patients with hypertension. Despite the importance and prevalence of both diabetes and hypertension, and the richness of their clinical literatures, studies that would help patients, providers, and policymakers choose how best to close their quality gaps are somewhat confusing. For each entity, certain strategies (such as the use of multifaceted interventions, and perhaps disease management in diabetes, and the adoption of organizational change in hypertension) appear to be more effective than others. Yet, even in these areas, problems with publication bias, co-interventions, and secular trends make sweeping conclusions hazardous. Our review provides a huge collection of research data for the interested reader to dissect; undoubtedly, there is information that will be directly applicable to a given clinical situation or location. There are several important questions that warrant consideration in the realm of hypertension quality improvement. Some of these questions focus on prevention (screening) while others relate to the management of a chronic disease (blood pressure control). The reviewers have selected the following questions as important foci in the development of this report: Which QI strategies improve the process of screening for hypertension? Which QI strategies most effectively ensure that blood pressure goals are achieved and maintained? Which QI strategies improve provider adherence to recommended guidelines for hypertension management? Which QI strategies improve patient adherence to hypertension treatment?
Closing The Quality Gap
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Author : Kaveh G. Shojania
language : en
Publisher:
Release Date : 2005-12
Closing The Quality Gap written by Kaveh G. Shojania and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005-12 with categories.
This review was organized to bring a systematic assessment of different quality improvement strategies & their effects to the process of identifying & managing hypertension. Findings suggest that quality improvement strategies appear, in general, to be associated with the improved identification & control of hypertension. It is not possible to discern with complete confidence which specific quality improvement strategies have the greatest effects, since most of the studies included more than one quality improvement strategy. Illustrations.
Closing The Quality Gap
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Author : Kaveh G. Shojania
language : en
Publisher:
Release Date : 2004
Closing The Quality Gap written by Kaveh G. Shojania and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Disaster hospitals categories.
Closing The Quality Gap A Critical Analysis Of Quality Improvement Strategies Vol 1 Series Overview And Methodology
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Author :
language : en
Publisher:
Release Date : 2004
Closing The Quality Gap A Critical Analysis Of Quality Improvement Strategies Vol 1 Series Overview And Methodology written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with categories.
Closing The Quality Gap
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Author :
language : en
Publisher:
Release Date : 2004
Closing The Quality Gap written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with categories.
Improving Healthcare Quality In Europe Characteristics Effectiveness And Implementation Of Different Strategies
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Author : OECD
language : en
Publisher: OECD Publishing
Release Date : 2019-10-17
Improving Healthcare Quality In Europe Characteristics Effectiveness And Implementation Of Different Strategies written by OECD and has been published by OECD Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-17 with categories.
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Priority Areas For National Action
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2003-04-10
Priority Areas For National Action written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-04-10 with Medical categories.
A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.
Disease Control Priorities Third Edition Volume 5
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Author : Dorairaj Prabhakaran
language : en
Publisher: World Bank Publications
Release Date : 2017-11-17
Disease Control Priorities Third Edition Volume 5 written by Dorairaj Prabhakaran and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-17 with Medical categories.
Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.
The State Of Quality Improvement And Implementation Research
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2007-10-01
The State Of Quality Improvement And Implementation Research written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-10-01 with Medical categories.
The Institute of Medicine (IOM) workshop "The Conduct of Health Care Quality Improvement and Implementation Research" was held on May 24-25, 2007, in Irvine, CA. The purpose of this workshop was to gain a better understanding of what is known and not known about quality improvement and implementation research. Experts were asked to identify current methods and best practices as well as areas where future efforts should be concentrated to propel the field. As with its previous workshop, the Forum on the Science of Health Care Quality Improvement and Implementation invited speakers from other disciplines to share their experiences in their respective fields. Although many disciplines are relevant to this topic, not all views could be incorporated because of workshop time constraints, but will be incorporated in the forum's future activities. The State of Quality Improvement and Implementation Research: Expert Views, Workshop Summary describes and summarizes workshop presentations and discussions.