Reporting of Quality Indicators and Improvement in Hospital Performance: The P.Re.Val.E. Regional Outcome Evaluation Program

Abstract

Reporting of performance data may have a positive but limited impact on quality improvement. The evaluation of quality indicators remains paramount for public accountability.

AHRQ Prevention Quality Indicators to assess the quality of primary care of local providers: a pilot study from Italy

“…Finally, we only assessed the relatively few diseases that were included in PQIs, and it will certainly be useful in the future to add some conditions to the analysis, especially those that have been examined and validated in previous studies on the Italian setting. 51,52 Italy, as well as several other countries, still misses a structured system to evaluate primary health care quality. For these quality assessment systems, it is crucial to achieve a high level of precision, to discriminate the performance of the entities that are responsible for the performance itself, and to align hospitalization rate indicators with measures of other contexts of care (cost, clinical management, satisfaction/experience 48 ) that are typically computed at a local level.…”

Emergency Department Management in Lazio, Italy

“…The description of regional emergency departments, with associated quality of service information, has been retrieved from statistical studies carried out by DEP-Lazio, which are based on regional and national evaluation programs for medical operations results. For more details, we refer the reader to [14,26].…”

“…We evaluate the effectiveness of each assignment by considering the quality of healthcare service for pathologies of interest. Each hospital can be classified according to a penalty coefficient based on the quality of care provided, as estimated by the indicators of outcome and process of the Regional Program for the Evaluation of Outcomes [14,26]. If, at the time of the request, the patient's symptoms are not clearly defined, a summary measure of hospital quality of care (taking into account some of the most relevant indicators and proceeding to their synthesis) is applied.…”

AHRQ prevention quality indicators to assess the quality of primary care of local providers: a pilot study from Italy

“…Fourth, it must be acknowledged that substantive structural differences exist between Italian and the US health care systems, 36 and the US PQI rates have been shown for merely descriptive purposes: a structured comparison between the countries would require extra data and analyses. Finally, we only assessed the relatively few diseases that were included in PQIs, and it will certainly be useful in the future to add some conditions to the analysis, especially those that have been examined and validated in previous studies on the Italian setting 51 , 52 …”