Question

Describe and explain donabedians three criteria for quality assessment be sure to describe and provide example as support

Answer 1

Ans) The Donabedian Quality of Care Framework identifies ways to define, categorize, and measure quality using a 3-part procedure.
A. Structure
B. Outcome
C. Process

- Avedis Donabedian's early work in the definition and assessment of health care quality resulted in one of the most widely acknowledged models for measuring quality.

- Donabediandefined three approaches to assessing the quality of care indirectly by using:

• Structure measures:

- Indirectly assess care. They look at provider characteristics and physical/organizational resources.

- These measure the capability or potential for providing quality care. Structure measures are static; evaluated at a certain point in time.

- The facility, operational policies and procedures, technical capabilities, compliance with safety regulations, and competency assessment at the time of initial use are all examples of structure measures.

• Process measures:

- Focus on patient-provider interactions.

- Process-oriented measures examine a health care professional's decision-making process as they direct a specific course of treatment.

- At the organizational level, they might investigate procedures that determine operational decisions.

- Peer review (physician reviewing physician) of patients records that indicated problems with care or documentation, compliance with discharge planning procedures, and patient waiting time are all examples of process measures.

- Often times, process measures are used to evaluate compliance with clinical practice guideline recommendations.

• Outcome measures:

- Look at the end results.

- A common outcome measure in an acute care facility is mortality rates. Other common measures include patient and family satisfaction, adequate pain control, and adherence to a living will requirement.

- How many of you remember what the advance directive requirement is? That's right.

- The Patient Self Determination Act (PSDA) states that most hospitals, nursing homes, home health agencies and HMO's routinely provide information on advance directive at the same time as admission.

- This has become routine - have you noticed this question when you or someone you know was being admitted to a facility?