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Connections Between Quality Measurement and Improvement

Datos Bibliográficos

ID9104075
AutoresDonald M Berwick (0000-0001-9507-4157, Institute for Healthcare Improvement, autor de correspondencia), Brent James, Brent C James, Molly Joel Coye
Año2003
Volumen41
NúmeroSupplement
PáginasI-30-I-38
Fecha de publicación2003-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200301001-00004
PMID12544814
OpenAlexW2120946666
IdiomaEN
Citas recibidas37
Referencias citadas12

BACKGROUND: Measurement is necessary but not sufficient for quality improvement. Because the purpose of the national quality measurement and reporting system (NQMRS) is to improve quality, a discussion of the link between measurement and improvement is critical for ensuring an appropriate system design. OBJECTIVES: To classify approaches to the use of measurement in improvement into two different--although linked and potentially synergistic--agendas, or "pathways." To discuss the barriers encountered in each of these pathways and identify steps needed to motivate improvement in both pathways. RESEARCH DESIGN: Descriptive, conceptual discussion. FINDINGS: The barriers to the use of information to motivate change include, in Pathway I (selection), the lack of skill, knowledge, and motivation on the part of those who could drive change by using data to choose from among competing providers, and, in Pathway II (change in care delivery), the deficiencies in organizational and professional capacity in health care to lead change and improvement itself. CONCLUSIONS: Neither the dynamics of selection nor the dynamics of improvement work reliably today. The barriers are not just in the lack of uniform, simple, and reliable measurements, they also include a lack of capacity among the organizations and individuals acting on both pathways

Business · Health care · Knowledge management · Operations management · Performance improvement · Performance measurement · Political science · Process management · Quality (philosophy) · Quality management · Risk analysis (engineering) · Work (physics) · Computer Science · Engineering · Health Policy Implementation Science · Healthcare Quality and Management · Marketing · Nursing education and management

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Obras citantes distintas37
Citas por año1,42
Intervalo de citas2000 - 2025 (26)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 12
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