Measuring healthcare outcomes to improve quality of care across post--acute care provider settings.
Post-acute care (PAC) occurs in a variety of settings-skilled nursing facilities (nursing homes), rehabilitation facilities, and home health agencies. To evaluate the impact of care processes on clinical outcomes and implement changes designed to improve outcomes, one must begin by measuring outcomes in a valid, reliable manner that allows for comparisons to reference or benchmarking data. Currently, several data sets exist in PAC settings for the purpose of outcome measurement. However, there is a need for comparable information across settings to ensure the quality and continuity of care. This article reviews various existing data sets used in PAC settings, examines ongoing projects to create a single set of measures, and suggests some directions for future research.
Bryant
Lucinda L
LL
Center for Health Services Research, Division of Health Care Policy and Research, University of Colorado Health Sciences Center, Aurora, CO 80011, USA. lucinda.bryant@uchsc.edu
Floersch
Natasha
N
Richard
Angela A
AA
Schlenker
Robert E
RE
D000203:Activities of Daily Living; D019985:Benchmarking / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000592:standards*; D003625:Data Collection; D005544:Forecasting; D006304:Health Status; D006699:Home Care Services / Q000592:standards; D006801:Humans; D009735:Nursing Homes / Q000592:standards; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D012047:Rehabilitation Centers / Q000592:standards; D015203:Reproducibility of Results; D019467:Subacute Care / Q000592:standards*; D017749:Total Quality Management / Q000458:organization & administration*