2011年3月28日

美国医院-临床质量信息报告--州和州以上层面

全美各个州都有针对医院层面的质量报告项目,经过识别后有25个州存在这种报告,但是其信息质量在州际间、报告的健康条件、过程、健康产出测评上出入很大。各州的报告特点见这里

而AHRQ为了协调这些口径和标准,作出了不少努力,其中MONAHRQ软件(a software product that enables organizations – such as state and local data organizations, Chartered Value Exchanges, hospital systems, and health plans – to input their own hospital administrative data and generate a data-driven Web site. )就是其中之一,这个软件可以产出交互性非常好的网站(前提是只要你输入数据就行),而软件整理出的就是关于医院和地区医护质量的报告和map。如:
  • quality of care at the hospital level,
  • health care utilization at the hospital level,
  • preventable hospitalizations at the county level, and
  • rates of conditions and procedures at the county level.
但是呢,现在还只看到三个州(Maine, Hawaii, Nevada)使用了这种软件。

Tips:
关于The Agency for Healthcare Research and Quality's (AHRQ), part of the U.S. Department of Health and Human Services, is the lead agency charged with supporting research designed to improve the quality of health care, reduce its cost, and broaden access to essential services. It's mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.
AHRQ was established in 1989 and formerly known as the Agency for Health Care Policy and Research. Reauthorizing legislation passed in November 1999 establishes AHRQ as the lead Federal agency on quality research. The website includes clinical practice guidelines, evidence reports and technical reviews.

Source:
State-Sponsored Public Reporting Of Hospital Quality: Results Are Hard To Find And Lack Uniformity  * Joseph S. Ross,  Health Aff December 2010 29:122317-2322; doi:10.1377/hlthaff.2010.0564
A Tool For Reporting Hospital Data On Care   * Anne Elixhauser, Health Aff March 2011 30:3538; doi:10.1377/hlthaff.2011.0205