Efficiency

QualityTools

Designing an Exchange: A Toolkit for State Policymakers 05/21/12

This legislative toolkit, from the National Academy of Social Insurance (NASI), can assist State policymakers with the design of health insurance exchanges, a key element of the Patient Protection and Affordable Care Act (ACA). It was developed by a panel of experts from a variety of disciplines and perspectives and builds on the model law released by the National Association of Insurance Commissioners (NAIC).

The toolkit includes legislative language with alternatives and...

Dartmouth Atlas Project 05/09/12

The Dartmouth Atlas Project Web site provides data and information on how medical resources are distributed and used in the United States. The project uses Medicare data to provide comprehensive information and analysis about national, regional, and local markets, as well as individual hospitals and their affiliated physicians. This research has helped policymakers, the media, health care analysts, and others improve their understanding of the health care system and forms the foundation for...

Quality Improvement Intervention Spread Planner 03/14/12

This Spread Planner provides guidance in developing a spread plan to move a new quality improvement effort forward. Each section of the planner contains specific questions that prompt those individuals responsible for spread to consider the actions needed to most effectively guide the spread process. The first section contains questions that are useful in beginning to plan for spread: Leadership for Spread and Set-Up for Spread. The second section includes additional issues to consider as...

Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals 03/13/12

This guide, for hospital administrators and emergency department leaders, provides step-by-step instructions for planning and implementing patient flow improvement strategies to ease emergency department crowding.

The information and resources are organized into the following sections:

  • The need to address emergency department crowding
  • Forming a patient flow team
  • Measuring emergency department performance
  • Identifying strategies
  • ...
Common Ground: Chronic Disease Management Toolkit 03/02/12

The Common Ground Project was designed to assist chronic disease and preparedness departments in public health agencies by documenting and defining business processes common to each of them and identifying the requirements for information systems that would support these processes. Nine chronic disease programs and six preparedness programs from local and State health collaborated to achieve consensus to describe their business processes and identify the requirements for information systems...

AHRQ Quality Indicators™ Toolkit for Hospitals 02/15/12

This toolkit is designed to help hospitals understand the Quality Indicators (QIs) from the Agency for Healthcare Research and Quality (AHRQ), and support the use of QIs to successfully improve quality and patient safety. The toolkit is a general guide to using improvement methods, with a particular focus on the QIs.

The AHRQ QIs use hospital administrative data to assess the quality of care provided, identify areas of concern in need of further investigation, and monitor...

Guide to Reducing Unintended Consequences of Electronic Health Records 02/02/12

This online guide, for health care providers, information technology specialists, and system administrators, helps in planning and avoiding possible problems when implementing and using an electronic health record (EHR). Developed to provide practical, troubleshooting knowledge and resources for all types of health care organizations, the guide is based on the research literature, other practice-oriented guides for EHR implementation and use, research by its authors, and interviews with...

Emergency Severity Index, Version 4: Implementation Handbook, 2012 Edition 01/19/12

The Emergency Severity Index (ESI) is a simple to use, five-level triage instrument that categorizes emergency department (ED) patients by evaluating both patient acuity and resources. The algorithm provides clinically relevant stratification of patients into five groups from 1 (most urgent) to 5 (least urgent). ED educators, clinicians, and managers can use this practical guide to develop and conduct an ESI educational program, implement the algorithm, and design an ongoing quality...

Telehealth Technology Assessment Center Toolkits 01/13/12

This collection of toolkits can help health care organizations become better informed consumers of telehealth technology. The interactive toolkits allow users to learn the fundamentals of how various technologies work, as well as how to assess them for use in telehealth programs.

The toolkits include:

  • Digital cameras
  • Desktop video applications
  • Electronic stethoscopes
  • Patient examination cameras
  • Technology assessment 101
  • ...
Diabetic Retinopathy Screening Practice Guide 01/04/12

This guide presents the practical aspects of developing a remote diabetic retinopathy screening (DRS) program along with general guidelines and recommendations for performing DRS based on experiences in community clinics in California.

It is organized into the following sections:

  • Introduction
  • The need for diabetic retinopathy screening programs
  • Guidelines for referring patients
  • Program validation—defining program goals and performance
  • ...

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