Consumer Protection in Healthcare (Trust (Transparency (Activity rates…
Consumer Protection in Healthcare
Summary Hospital-level Mortality Indicator
Mortality rates 30 days from discharge vs. expected
HES: Hospital Episode Stats: Duration of stay, responsible staff, Dx.
Activity rates (productivity)
Follow evidence-based guidelines
Manage chronically ill patients
Effective and effficient treatment
Improve functioning of patient
What makes good Quality healthcare?
3 International deficiencies in healthcare
Weak evidence base
Failure to measure outcomes.
Different practice: Different Drs treat similar pts differently
Improves outcomes: PROM
Processes of care changes
Cause of preventable death
Problems in Care
Never events: Serious events that should never happen if follow guidelines
Acts of Omission: Failure to treat with evidence
Acts of Commission: Incorrect treatment/management
Poor clinical monitoring
Inadequate fluid and drug management