title: Design of an instrument to measure the quality of care in Physical Therapy.
abstract: OBJECTIVE
  To design an instrument composed of domains that would demonstrate physical therapy activities and generate a consistent index to represent the quality of care in physical therapy.
  
  
  METHODS
  The methodology Lean Six Sigma was used to design the tool. The discussion involved seven different management groups staff. By means of brainstorming and Cause & Effect Matrix, we set up the process map.
  
  
  RESULTS
  Five requirements composed the quality of care index in physical therapy, after application of the tool called Cause & Effect Matrix. The following requirements were assessed: physical therapist performance, care outcome indicator, adherence to physical therapy protocols, measure whether the prognosis and treatment outcome was achieved and Infrastructure.
  
  
  CONCLUSIONS
  The proposed design allowed evaluating several items related to physical therapy service, enabling customization, reproducibility and benchmarking with other organizations. For management, this index provides the opportunity to identify areas for improvement and the strengths of the team and process of physical therapy care.
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Leny Vieira
authors.initials: LV
authors.lastname: Cavalheiro
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Raquel Afonso Caserta
authors.initials: RA
authors.lastname: Eid
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Claudia
authors.initials: C
authors.lastname: Talerman
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Cristiane do
authors.initials: Cd
authors.lastname: Prado
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Fátima Cristina Martorano
authors.initials: FC
authors.lastname: Gobbi
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Paola Bruno de Araujo
authors.initials: PB
authors.lastname: Andreoli
mesh_terms: D000818:Animals; D019985:Benchmarking; D001938:Brazil; D004864:Equipment and Supplies; D019983:Guideline Adherence; D006801:Humans; D026741:Physical Therapy Modalities / Q000592:standards*; D015397:Program Evaluation / Q000379:methods*; D011785:Quality Assurance, Health Care / Q000379:methods*; D019984:Quality Indicators, Health Care; D015203:Reproducibility of Results