Process-Based Quality Management in Care: Adding a Quality Perspective to Pathway Modelling

Richter, Peggy; Schlieter, Hannes

doi:10.1007/978-3-030-33246-4_25

Cited by 5 publications

(2 citation statements)

References 36 publications

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“… 2 , 38 , 39 However, these indicators usually cannot be used to infer quality of care unless there is an a priori establishment of a cause-and-effect relationship between the process and the outcome of interest, 2 which is mostly warranted for the indicators in our study because we considered only those based on evidence and could be further appraised by the level of evidence of each one. Another reason for the overrepresentation might be the international favoring of process indicators to translate evidence into practice 38 , 39 and the utilization of recent methods of quality improvement, such as clinical pathways 40 or other process-oriented approaches. 41 …”

Section: Discussionmentioning

confidence: 99%

Quality of Care Indicators for Hospital Physical Therapy Units: A Systematic Review

et al. 2021

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Objective The purpose of this review was to identify quality indicators described in the literature that may be used as quality measures in hospital physical therapy units. Methods The following sources were searched for quality indicators or articles: Web of Science, MEDLINE, IBECS, Latin American & Caribbean Health Sciences Literature, Cumulative Index of Nursing and Allied Health, Academic Search Complete, SportDiscus, SciELO, PsychINFO, Consejo Superior de Investigaciones Cientificas, and Scopus databases; the Agency for Healthcare Research and Quality, National Health System Indicator Portal, Joint Commission on Accreditation of Healthcare Organizations, and Organisation for Economic Co-operation and Development websites; and the National Quality Forum’s measures inventory tool. Search terms included “quality indicator,” “quality measure,” “physiotherapy,” and “physical therapy.” Inclusion criteria were articles aimed at measuring the quality of care in hospital physical therapy units written in English, Spanish, French, or Portuguese. Evidence-based indicators with an explicit formula were extracted by 2 independent reviewers and then classified using the structure-process-outcome model, quality domain, and categories defined by a consensus method. Results Of the 176 articles identified, only 19 met the criteria. From these articles and from the indicator repository searches, 178 clinical care indicators were included in the qualitative synthesis and presented in this paper. Process and outcome measures were prevalent, and 5 out of the 6 quality domains were represented. No efficiency measures were identified. Moreover, structure indicators, equity and accessibility indicators, and indicators in the cardiovascular and circulatory, mental health, pediatrics, and intensive care categories were underrepresented. Conclusions A broad selection of quality indicators was identified from international resources, which can be used to measure the quality of physical therapy care in hospital units. Impact This review identified 178 quality-of-care indicators that can be used in clinical practice monitoring and quality improvement of hospital physical therapy units. The results highlight a lack of accessibility, equity, and efficiency measures for physical therapy units.

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Section: Discussionmentioning

confidence: 99%

Quality of Care Indicators for Hospital Physical Therapy Units: A Systematic Review

et al. 2021

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“…For each process, the input sheets were filled in by the domain experts of the working group and based on the current evidence as identified with the evidence review process. This information was then used to detail the single processes if necessary and to develop a process model of the patient pathway template using a BPMN.io modeling environment adapted to patient pathway specific requirements [23], [28] as presented in Figure 4. Quality indicators were included as blue circles and adaptation notes as comments to the corresponding pathway concepts.…”

Section: Demonstration -The Oncology Use Casementioning

confidence: 99%

Patient Pathways for Comprehensive Care Networks - A Development Method and Lessons from its Application in Oncology Care

Richter¹,

Schlieter²

2021

Proceedings of the Annual Hawaii International Conference on System Sciences

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Patient pathways are recognized as a valuable tool to support standardization, comparability, quality, and transparency of care processes in comprehensive care networks. Still, existing development approaches lack real practical guidance as well as an integration of the network and patient perspectives. Therefore, a usercentered and requirements-based approach was chosen to design a patient pathway development method. It defines a role model and procedural steps. The method's innovative character lies in the development of generic patient pathway templates to be adapted to national, regional, and local conditions of specific comprehensive care networks. The method was positively assessed in terms of demonstrating its applicability and the fulfilment of user requirements with a use case from oncology care -the development of a colorectal cancer patient pathway template. This work drives the standardization of patient pathway development and their large-scale implementation in comprehensive care networks, supporting the analysis, design, and optimization of healthcare processes.

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Diffusionsprozesse digitaler Interventionen erfolgreich gestalten

Schlieter,

Harst,

Otto

et al. 2022

E-Health-Ökonomie II

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Process-Based Quality Management in Care: Adding a Quality Perspective to Pathway Modelling

Cited by 5 publications

References 36 publications

Quality of Care Indicators for Hospital Physical Therapy Units: A Systematic Review

Quality of Care Indicators for Hospital Physical Therapy Units: A Systematic Review

Patient Pathways for Comprehensive Care Networks - A Development Method and Lessons from its Application in Oncology Care

Diffusionsprozesse digitaler Interventionen erfolgreich gestalten

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