Reflections on a decade of outcomes management in women's services.
Outcomes management was theorized as a strategy for redesigning and continually enhancing interdisciplinary health care processes through the use of outcomes measurements. Regardless of the rapidly changing and oftentimes turbulent health care environment, this strategy successfully facilitated positive outcomes in one women's service for 10 years. Outcomes affected during these years included reduction in cost per case, length of stay, infant prematurity, and cesarean delivery rates.
St Luke's Episcopal Hospital, Houston, TX 77030, USA.
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Houston
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Fleschler
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Luquire
D002585:Cesarean Section / Q000706:statistics & numerical data; D003363:Cost Control; D005260:Female; D018166:Health Care Reform / Q000458:organization & administration; D017721:Hospital Costs / Q000706:statistics & numerical data; D016519:Hospitals, Religious; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008329:Managed Care Programs / Q000458:organization & administration; D008427:Maternal Health Services / Q000191:economics / Q000592:standards*; D017146:Models, Organizational; D007752:Obstetric Labor, Premature / Q000209:etiology / Q000517:prevention & control; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D011247:Pregnancy; D013781:Texas; D017749:Total Quality Management / Q000458:organization & administration*; D014932:Women's Health Services / Q000191:economics / Q000592:standards*