Monday, April 11, 2011

What is Quality healthcare ?

Everyone is talking about quality these days.
From Toyota to TJC- The Joint Commission, the meaning of quality is an elusive, ever moving target.
Quality and reputation takes a lot of time and effort to build, but it can often be damaged in a short time-
Be it Toyota, or Tiger Woods.

"Doing the right thing, at the right time, for the right person, and having the best possible result"
is a definition of quality healthcare used by the federal Agency for Healthcare Research & Quality (AHRQ).

According to the Institute of Medicine (IOM), quality healthcare has six elements.
I suggest a mnemonic: Quality healthcare is a STEEEP mountain to climb.

Safe—first do no harm
Timely—reduce harmful delays for both those who receive and those who give care
Effective—provide care based on current scientific knowledge and avoid underuse and overuse
Efficient—avoid waste
Equitable—provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status
Patient-centered— provide care that is guided by patient's values and needs

How do we measure quality ? Who is responsible for quality ?
These are the big questions to be explored next.

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