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Article
Hospital responses to a data-driven statewide quality improvement project
Quantitative Health Sciences Publications and Presentations
  • R. G. Wallace
  • Robert M. Farmer
  • A. S. Jr. Craig
  • Catarina I. Kiefe, University of Massachusetts Medical School
UMMS Affiliation
Department of Quantitative Health Sciences
Date
12-9-1995
Document Type
Article
Medical Subject Headings
Abstracting and Indexing as Topic; Alabama; Cardiology Service, Hospital; Efficiency, Organizational; *Health Services Research; Humans; Medical Records; Myocardial Infarction; Peer Review, Health Care; Program Evaluation; *Total Quality Management
Abstract

BACKGROUND: The overall success of any continuous quality improvement (CQI) project lies in the ability to measure changes resulting from the project and to show that changes have resulted n improved care.

METHOD: A software tool was developed to categorize hospital responses and activities implemented by hospitals as a result of the Cooperative Cardiovascular Project CCP). Information was captured regarding the hospital's acceptance of data and the educational/interventional strategies implemented. Hospital size, number of acute myocardial infarction patients treated, indicator performances, and type of presentation given (on-site versus regional visit) was entered to allow analysis of factors affecting the response.

RESULT: sixty-one of 107 hospitals responded to the peer review organization. Of those, 49% planned further educational activities and 75% planned to implement some form of CQI activity. Comparison of responses in relation to the type of presentation received suggested that on-site presentations are associated with higher response rates and more intense quality improvement efforts. This also could be attributed to other factors such as hospital size, teaching environment, or number of acute myocardial infarction patients treated.

CONCLUSION: The system developed allowed us to collate hospital improvement efforts as a result of CCP. The system is limited in its ability to identify those activities taking place before CCP. Further development and refinement of the tool is warranted to document quality improvement efforts and determine best strategies for peer review organization intervention.

Rights and Permissions
Citation: Clin Perform Qual Health Care. 1996 Jan-Mar;4(1):34-7.
Related Resources
Link to Article in PubMed
Citation Information
R. G. Wallace, Robert M. Farmer, A. S. Jr. Craig and Catarina I. Kiefe. "Hospital responses to a data-driven statewide quality improvement project" Vol. 4 Iss. 1 (1995) ISSN: 1063-0279 (Linking)
Available at: http://works.bepress.com/catarina_kiefe/157/