Indicators by Types
| Accessibility
of care |
The
ease with which patients can obtain the care that they need when they
need it. |
Number
of days between date patient called for an appointment and date of
appointment. |
All
new patients will be provided an appointment within two weeks. |
Automated scheduling
system.
Manual log
kept by scheduling staff.
|
| Appropriateness
of care |
The
degree to which the correct care is provided given the current state
of the art. |
Patient
with CD4 count under 500 on HAART. |
HAART
therapy will initiated based on current PHHS guidelines. |
Electronic
Health Record report Manual chart review. |
| Continuity
of care |
The
degree to which the care needed by patients is coordinated among practitioners
and across organizations and time. |
Dental
appointment provided to patient and documentation of kept appointment
noted in chart. |
All
patients will have an annual dental exam. |
Manual
log |
| Effectiveness
of care |
The
degree to which care (for example a procedure) is provided in the
correct manner (that is, without error). |
Number
of client/ patients that receive care and treatment that is congruent
with their diagnosis. |
Patient
charts will be randomly selected for review. |
Chart
sampling |
| Efficacy
of care |
The
degree to which a service has the potential to meet the need for which
it is used. |
Number
of patients that report improved condition of illness and satisfaction
with health care visit. |
All
patients will be given an opportunity to complete a wellness and satisfaction
survey. |
Review
records or surveys for improvement in health status and satisfaction
with health visit. |
| Efficiency
of care |
The
degree to which the care received has the desired effect with a minimum
of effort, expense, or waste. |
Cost
per service output or cost per service completion for each client/
patient in the clinic. |
At
the end of the year, the clinic will look at what monies were “allocated”
for services at the beginning of the year, and compare it with the
end of the year “actual cost.” |
Beginning
of the year program allocation plan and compare with end of year expended
costs Indicator. |
| Patient
perspective issues |
The
degree to which patients (and their families) are involved in the
decision-making processes in matters pertaining to their health and
the degree to which they are satisfied with their care. |
Where
appropriate, in assisting persons infected and affected with HIV/AIDS,
family members will be given an opportunity at every 4th or 7th visit
to fill out a questionnaire regarding the effectiveness of our engaging
them in the planning and decision-making of their love ones health
care. |
Twice
a year, family members and client/patient will answer a short questionnaire
on their perspective of their input in decision-making. |
Each
quarter collect information from questionnaires. |
| Safety
and the care environment |
The
degree to which the environment is free from hazard of danger. |
Number
of client/ patient and staff that report safety issues. |
Quarterly
review of incident reports. |
A
review of incident, accident, and grievance reports. |
| Timeliness
of care |
The
degree to which care is provided to patients when it is needed. |
Number
of patient complaints that deal with timeliness issue.s |
Number
of complaints, no shows and other pertinent information. |
Management
By Walking Around (MBWA) observations and satisfaction survey. |