Abstract:
:This article describes the Joint Commission's implementation plans, experience, and results to date of incorporating performance measurement data into the accreditation process. These plans have evolved in response to changes in the health care environment, feedback from accredited organizations, and both technical and political obstacles encountered. During the late 1980s, the Joint Commission developed a national performance measurement system, the IMSystem, to incorporate information about the process and outcomes of care into the accreditation process. In 1995, the ORYX initiative was introduced to offer health care organizations significant flexibility in selecting a measurement system and measures while promoting organizational self-improvement and accountability. Recently, the plans have evolved to incorporate standardized core measures that are known to be valid and reliable. These initiatives have moved the field much closer to the day when quality assessment will reflect a comprehensive view of organizational performance, based, in part, on performance measurement data.
journal_name
Eval Health Profjournal_title
Evaluation & the health professionsauthors
Braun BI,Koss RG,Loeb JMdoi
10.1177/016327879902200301subject
Has Abstractpub_date
1999-09-01 00:00:00pages
283-97issue
3eissn
0163-2787issn
1552-3918journal_volume
22pub_type
杂志文章,评审abstract::This project was designed to improve the in-hospital management of Medicare beneficiaries with congestive heart failure (CHF). Eleven hospitals were studied using two indicators: (a) assessment of left ventricular (LV) function, and (b) use of angiotensin converting enzyme (ACE) inhibitors in patients with systolic dy...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879802100406
更新日期:1998-12-01 00:00:00
abstract::This article summarizes the development of the caregiver-provider relationship assessment (CPRA) designed to measure family caregivers' perceptions of relationship quality with health care providers. Using an online sample of family caregivers (n = 156), the patient reactions assessment (PRA) was adapted for use with ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711417859
更新日期:2012-03-01 00:00:00
abstract::In this concluding article, the authors describe factors that influence the international translation of programs. These include language, control over the translation process, local normative challenges to translation, program adaptation, and globalization. The authors suggest that systematic efforts at language tran...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278708320168
更新日期:2008-09-01 00:00:00
abstract::The treatment of Medicaid enrollees diagnosed with depression or schizophrenia was examined to determine whether adherence to treatment guideline was associated with health care financing strategy, clinical outcomes, and cost-effectiveness. Individuals in a fee-for-service condition were significantly more likely to r...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278708328744
更新日期:2009-03-01 00:00:00
abstract::The Clinical and Translational Science Award (CTSA) program was designed by the National Institutes of Health (NIH) to develop processes and infrastructure for clinical and translational research throughout the United States. The CTSA initiative now funds 61 institutions. In 2012, the National Center for Advancing Tra...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713499586
更新日期:2013-12-01 00:00:00
abstract::In this article, we review three innovative methods: multiform protocols, visual analog scaling, and the retrospective pretest-posttest design that can be used in evaluation research. These three techniques have been proposed for decades, but unfortunately, they are still not utilized readily in evaluation research. O...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/0163278718759396
更新日期:2018-06-01 00:00:00
abstract::People with disabilities comprise roughly 25% of the U.S. adult population yet remain underrepresented in mainstream public health and evaluation research. The lack of measures of common constructs that are validated in but not specific to this population may impede their inclusion. This article describes the use of U...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278719900530
更新日期:2020-01-20 00:00:00
abstract::This study compares five methods of ranking Likert ratings on frequency and severity scales. Data were drawn from an international online survey conducted as part of a practice analysis with 91 diplomates of the American Chiropractic Board of Radiology. A total of 129 clinical presentations had been rated on two scale...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711425041
更新日期:2012-12-01 00:00:00
abstract::This study evaluated health benefits of long-term participation in an employer-based wellness program, focusing on selected chronic disease risk factors. A repeated measures longitudinal time-series study was conducted of 8 years of existing prospectively collected annual data, including clinical measures of weight, b...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278710379222
更新日期:2011-03-01 00:00:00
abstract::Industrial improvement approaches such as Lean management are increasingly being adopted in health care. Synthesis is necessary to ensure these approaches are evidence based and requires operationalization of concepts to ensure all relevant studies are included. This article outlines the process utilized to develop an...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278718756992
更新日期:2019-09-01 00:00:00
abstract::This article argues for the increased involvement of people with severe mental illness and consumers of other health and mental health services in evaluation and performance improvement in the organizations from which they receive services. Among other reasons, consumers can bring a different perspective to the select...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278702025003003
更新日期:2002-09-01 00:00:00
abstract::Although oral examinations are widely used for making decisions regarding an individual's level of competence, they are frequently of limited reliability. A significant part of the error in oral performance ratings is due to the tendency for some evaluators to be lenient and others to be stringent in their assignment ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879101400107
更新日期:1991-03-01 00:00:00
abstract::When using patient self-report of processes of care as part of measuring quality performance, validity and reliability are important considerations. In this study, the congruence of patient report of recommendations of screening follow-up care was compared with record audit data. Survey data were collected from a rand...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705278273
更新日期:2005-09-01 00:00:00
abstract::Health care workers (n = 342) completed items examining their emotional experiences working with HIV-positive patients. Factor analysis produced two subscales: Personal Satisfaction and Emotional Stress. A subset of these care workers (n = 251) claimed increased stress and depression after 6 months. In a second study,...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879301600303
更新日期:1993-09-01 00:00:00
abstract::The authors compared three approaches to feedback of clinical audit findings relating to miscarriage in 15 Scottish maternity services (printed report alone; report plus action planning letter; report plus face-to-face facilitated action planning). Clinicians were surveyed to measure theory of planned behavior constru...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706297337
更新日期:2007-03-01 00:00:00
abstract::Survey response rates for physicians are falling generally, and surveys of physicians tend to have lower response rates than those of the general population. To maximize response, respondents are often given a choice of modes in which to respond. The aim of this article is to describe mode response patterns and identi...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278718807744
更新日期:2019-03-01 00:00:00
abstract::This article provides an analysis of the way in which placebo effects could be investigated and taken into account, supported by a description of some of the major articles that have been published on this topic. Based on conceptual, theoretical, and methodological issues, the authors highlight some of the reasons for...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/0163278703026002003
更新日期:2003-06-01 00:00:00
abstract::The movement of a group of chronically mentally ill clients among various facilities for residential care was described with a Markov probability model. The results of a goodness-of-fit test indicated that the model accurately captured the flow of clients among the state psychiatric hospital, the in-patient units, the...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878100400108
更新日期:1981-03-01 00:00:00
abstract::The medical schools of the United States are in crisis because of poor teaching methods, misdirected training of medical students, and failure to respond to the needs of the population. Much of the increased cost of medical care can be blamed on high technology and the type of training provided in the medical school. ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327878801100201
更新日期:1988-06-01 00:00:00
abstract::In any survey where some of the invited participants fail to respond estimates may be biased. The literature on survey nonresponse is substantial, and the intellectual focus has typically been on the nonresponse of individuals. An important yet less scrutinized area in the analysis of nonresponse is in organizational ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278717713569
更新日期:2017-01-01 00:00:00
abstract::The national evaluation of the federally funded Healthy Start program involved translating a design for a process and outcomes evaluation and standard maternal and infant data set, both developed prior to the national evaluation contract award, into an evaluation design and client data collection protocol that could b...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879601900307
更新日期:1996-09-01 00:00:00
abstract::Surveys of physicians are an important tool to assess opinions and self-reported behaviors of this policy-relevant population. However, this population is notoriously difficult to survey and plagued with low and falling response rates. In order to evaluate the potential import of response rate, we examine the presence...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711435542
更新日期:2012-12-01 00:00:00
abstract::There is currently limited information on the comparative effectiveness of the European Union(7)-potentially inappropriate medication (EU(7)-PIM) list and the Beers criteria for screening PIMs, of which PIMs are a significant concern, in the geriatric population of nursing home residents. This study aims to determine ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278719900653
更新日期:2020-01-22 00:00:00
abstract::This study identified previously reported facilitators and barriers to pharmacist-client communication and then evaluated their impact on the observed communication behaviors of pharmacists. Pharmacists (n = 100) completed a seven-page questionnaire collecting information on 11 variables that had been organized accord...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278703258104
更新日期:2003-12-01 00:00:00
abstract::A practice analysis, in which an appropriate sample of professionals is asked to describe what they do in their practices, is considered an essential part of the content-related validity evidence for licensure and certification tests. This article examines the precision of estimates of the mean frequencies for categor...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879501800103
更新日期:1995-03-01 00:00:00
abstract::Pharmacists are routinely providing reproductive health counseling in community pharmacies, but studies have revealed significant deficits in their competencies. Therefore, continuing pharmacy education (CPE) could be utilized as a valuable modality to upgrade pharmacists' capabilities. A randomized controlled trial w...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,随机对照试验
doi:10.1177/0163278713513949
更新日期:2015-09-01 00:00:00
abstract::Assessing bowel function (BF) in prostate cancer can help determine therapeutic trade-offs. We determined the components of BF commonly assessed in prostate cancer studies as an initial step in creating an item bank for clinical and research application. We analyzed six archived data sets representing 4,246 men with p...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705275338
更新日期:2005-06-01 00:00:00
abstract::The set of articles appearing in this issue of Evaluation & the Health Professions provides an in-depth examination of the validation process for licensing and certification test score decisions. The winter 1990 issue of Educational Measurement: Issues and Practice also contains an excellent set of articles about lice...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879401700208
更新日期:1994-06-01 00:00:00
abstract::It is generally believed that culturally competent clinical practice depends in part on the development of positive attitudes toward the care of immigrant patients. However, few tools exist to measure such attitudes in physicians. The authors operationalized ''culturally competent attitudes'' to include a high level o...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278710370157
更新日期:2010-12-01 00:00:00
abstract::This article reports a study of the process of selecting and evaluating general surgery residents. In personnel psychology terms, a job analysis of general surgery was conducted using the Critical Incident Technique (CIT). The researchers collected 235 critical incidents through structured interviews with 10 general s...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879301600105
更新日期:1993-03-01 00:00:00