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Biomedical subjects

D M Nadzam

Publications and source records attributed to D M Nadzam.

At least 19 recordsLinked to original sources
PubMed1998

Measuring and improving the performance of health care providers: accreditation in the 21st century.

Outcomes data will become part of the Joint Commission on Accreditation of Healthcare Organizations' accreditation process. Accredited organizations will select a measurement system that they will use to submit data to the Commission. Data trends will be reviewed to determine response by the accreditor. The Joint Commission will work with organizations to assist with improvement opportunities. Accreditation decisions will continue to be based on standards. The Joint Commission's system, the IMSystem, is one of several systems available for use in accreditation activities.

Accreditation↗
PubMed1997

The benefits of continuous performance measurement.

Performance measurement is fast becoming a way of life for health care providers in this age of increased accountability and outcomes reporting. Health care organizations are well advised to carefully select measures and measurement tools to adequately meet the demands of others in a cost-effective and beneficial manner. A strategic plan and implementation of an effective performance measurement system will help to guide an organization to evaluate key processes and implement changes to improve patient care. In February 1997, the Joint Commission announced new accreditation requirements for hospital and long-term care organizations; these organizations must enroll in an acceptable performance measurement system by the end of 1997 and prepare to submit data to the Joint Commission for at least two clinical measures within the first quarter of 1999.

Cost-Benefit Analysis↗
PubMed1995

Framework for performance measurement of health care networks and health plans.

Emerging health networks are poised to play an important role in the future American health care delivery system. The trend toward vertical integration, coupled with growing purchaser and consumer demands for information about value, has created an increasingly chaotic measurement environment. This article describes a successful collaborative effort among providers, users, and purchasers of health services and developers of performance measurement tools and databases to develop principles and a framework for measuring the performance of health care networks. Eleven principles and five measurement categories were identified; seven clinical conditions were targeted for performance measurement.

Communication↗
PubMed1993

Data-driven performance improvement in health care: the Joint Commission's Indicator Measurement System (IMSystem).

BACKGROUND: Since 1986, the Joint Commission has worked to create an evaluation system that would remain standards based but would accent an organization's performance as well as its capability to provide care. One component is the Indicator Measurement System (IMSystem), which involves continuous data collection and periodic feedback about specific performance measures, or indicators. An indicator is a quantitative measure of an aspect of patient care. It is not a direct measure of quality; rather it is a screen or flag which indicates areas for more detailed analysis. METHODOLOGY: Sets of indicators, each set related to specific important health care functions such as perioperative care, are established by expert task forces and are then subject to two phases of testing. Alpha testing addresses face validity and feasibility of data collection and may result in indicator revision. In the beta phase, a large group of organizations test the indicators for validity, reliability, and usefulness in improving performance. OPERATIONAL ISSUES: In 1994, the IMSystem will contain ten indicators and participation by hospitals will be voluntary. Once the value of these data in the accreditation process has been demonstrated--possibly as early as 1996--participation will become an integral component of accreditation. Hospitals will transmit indicator data to the Joint Commission but no patient or physician identifiers will leave the hospital. The system will provide organizations with information they can use to monitor and improve their performance, while helping meet external needs for performance measurement.

Data Collection↗
PubMed1991

Development of the Joint Commission's indicators for monitoring the medication use system.

The Joint Commission on Accreditation of Healthcare Organizations, as part of the Agenda for Change, has directed extensive efforts toward the development and testing of patient care indicators. The medication use indicators are designed to target processes and outcomes of the drug use system as defined by five major components: 1) selection and prescribing, 2) preparation and dispensing, 3) administration, 4) monitoring and 5) systems management/control. The indicators focus on several aspects of the drug use process including: serum drug level monitoring, medication errors, adverse drug reactions, patient teaching, pharmacist interventions and the appropriateness of prescribing. The testing of indicators is currently underway at test-site hospitals and includes 2 major phases: Alpha and Beta. Alpha-testing is designed to assess the face validity and collectability of the indicators, while Beta-testing will evaluate data collection and analysis as well as the reliability of the indicators. These indicators are intended to serve as measures of aspects of patient care that can be used to guide and monitor the quality and appropriateness of health care delivery and to facilitate continuous improvement in care.

Clinical Protocols↗
PubMed1991

Development of medication-use indicators by the Joint Commission on Accreditation of Healthcare Organizations.

The development of indicators for monitoring medication use is described. The Joint Commission on Accreditation of Healthcare Organizations is establishing a national database for use in measuring performance. Initially, indicators were developed for specialties or clinical departments and for disease entities or procedures; now, indicators for key functions that cross departmental and specialty lines, such as medication use, are under development. An interdisciplinary core group constructed a medication-use flow chart depicting prescribing, dispensing, administering, and monitoring patient response; systems management/control was recognized as a fifth component. Sixteen processes were identified for which indicators were developed. Proposed indicators are now being tested in a small number of hospitals. The indicator data will enable institutions to identify areas for improvement. Although the Joint Commission will not use indicator rates per se to determine accreditation, it will ask an institution to provide an interpretation of indicator data that differ markedly from previous data or data for comparable institutions and to review its strategy for analyzing the rates. Use of indicator data will enhance the accreditation process by allowing for ongoing monitoring of particular aspects of performance between onsite surveys.

Algorithms↗
PubMed1988

Overtime payment methods: meeting staffing and staff needs.

Leaders in nursing service are examining factors to both attract nurses to their institutions and to retain the nurses in their institutions. The authors discuss one factor which studies have identified as influencing a nurse's decision to remain in a position. This factor is money. A project which provided this incentive at a large acute care facility is described.

Economics, Nursing↗