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University of Phoenix Material

Quality Dimension and Measures Table

Open your web browser and research the six dimensions identified by the Institute of Medicine (IOM) that are used to measure high-quality care.

Complete the table below by identifying the dimension, describing its purpose, and providing a measurement example.

Cite at least 2 peer-reviewed, scholarly, or similar references and your textbook to support your information.


Dimension

Description

Measurement Example

safety

For this dimension, all healthcare systems should be safe in that they should not in any way cause harm to the individuals they are aimed at helping and improving. This aspect therefore presents that it is the responsibility of the care giver to ensure that the care he or she provides to the patients does not in any way cause harm to them.

The safety of a system can easily be assessed and determine through the general effect that it has on a patient. When a certain patient is being cared for by a nurse, but the care affects the patient negatively, such care cannot be considered safe.

effectiveness

The healthcare system should be effective in that it should provide knowledge that is scientific to all the individuals who can benefit from it. The system should also not major in the provision of knowledge to those who cannot benefit from it (AHRQ, 2017).

The system should be assessed in order to determine whether the information which it provides to different individuals is knowledge that benefits them. It should also be assed to determine whether it has the ability to address the needs of patient’s effectiveness.

Patient centered

The system should mainly be established with the main purpose being to help the patients which comprises of the reason why it is established. With this regard, organizations should enhance effectiveness of care provision completely by ensuring that the system is mainly concerned about.

An example of how the system can be assessed for this dimension is through case assessment where an important decision on a certain patient requires to be made. It should be assessed whether the system consults the patient on such a case before the main decision is made.

Timeliness

The health of an individual is a timely aspect which should be considered because when the patient is caused to wait for long hours without being provided with information, it would clear that the system is ineffective. In some occasions, the condition of the patient might get worse, simply because the healthcare system is not timely.

The timeliness of a system can be assessed and determined through a method like assessing the time it takes for the communication between the care givers and the patient on important matters. A system that takes more than two hours to communicate important development in a patient’s health condition to the patient cannot be considered timely.

Efficiency

The efficiency of the healthcare system is significantly important because it helps to reduce the cost that patients are required to pay for them to be provided with care. This is because when the system is efficient, it reduces the cost of aspects like equipment, capital, time and many other aspects, thus it has the ability to offer high quality services at low prices (Phelps, 2012).

The efficiency of the system can easily be assessed through the methods of the comparison of cost and quality of services offered. A highly efficient organization should be able to offer high quality services with low prices. The efficiency of the system enables care givers to have the ability of offering their services to the patients without changing them more.

Equitableness

The care that the systems provide should not in any way vary with regard to aspects of gender, ethnicity, economic and social status of individuals or the geographical locations of those individuals. With this regard, therefore, the system should ensure that it does not in any way include discriminatory aspects.

The issues regarding discrimination can be assessed through the means of assessing the individuals who are offered care within the system and identifying whether the quality and price of care offered to them lacks equity in any way.

References

AHRQ, (2017). The Six Domains of Health Care Quality: U.S. Department of Health & Human Services. Retrieved from https://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html

Phelps, L. (2012). Across the Chasm: Six Aims for Changing the Health Care System: Institute for Healthcare Improvement. Retrieved from http://www.ihi.org/resources/Pages/ImprovementStories/AcrosstheChasmSixAimsforChangingtheHealthCareSystem.aspx