A theoretical framework for holistic hospital management in the Japanese healthcare context.

Integration of generic indicators for quality management in hospital information systems

Reviews 미국, 캐나다, 영국의 재입원율 활용 현황 1 Readmission which reflects capacity to manage patients and general level of medical services has been known for one of the causes of medical expenditure due to inefficient service. Compared to disease-specific readmission, hospital wide readmission (HWR) is relatively easy to understand, and has merit to get over limitation of collateral medical services assessment; therefore, a growing interest in development and usage of readmission indicator as quality of care indicator focusing on all-disease is detected. In this study, we investigate current state of risk standardized readmission rate indicator used in the United States, the United Kingdom, and Canada, and examine the considerations when using readmission rate as quality indicator in Korea. Differences in risk-adjustment methods were showed among countries. The United States do not control race not to hide socio-demographic factors on readmission. Canada shows differentiation compared to other countries about reflecting community factors. All three-countries utilize readmission rate as monitoring quality of care rather than incentives or penalty due to the fact that readmission rate could not represent the whole quality of hospital and has a limitation at controlling socio-economic factors. Therefore, for usage readmission rate as quality indicator in Korea, preparing readmission classification standard for Korean medical environment and additional methods for acquiring information by using discharge summary is need. Moreover, continued discussion with clinical specialists is needed for obtain clinical reliability and validity.

Readmission Rate: Experience in USA, Canada and UK

This article describes efforts to design and automate a balanced performance indicator report to meet the needs of hospital and physician leaders. Indicator measurement reports provide clinical information but often do not provide other administrative data. An automation team developed business rules, standardized definitions, and developed a Web-based electronic application to report quarterly indicators. The efficiency and effectiveness of the automation project were measured and included report production time, data sources, indicators included, and statistical significance of indicator rates. Significant improvement in efficiency of report preparation and a decrease in resources used were demonstrated through this automation project, although variation existed among clinical services. Generic performance measures reports encompassing clinical and administrative data can improve the consistency and quality of reporting to the medical staff. The process provided insight for expanding the prototype.

Automation of Performance Measures Reporting

Evaluation of the improvements on pharmacy technicians' work practices after implementation of operational procedures

Fachinvariantes Qualitätsmanagement durch Informationsverarbeitung.

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Integration of generic indicators for quality management in hospital information systems

Fachinvariantes Qualitätsmanagement durch Informationsverarbeitung.