Goldfield N, Villani J
3M/Health Information Systems, Wallingford, CT, USA.
Am J Med Qual. 1996 Spring;11(1):S35-8.
Billing or claims data, commonly referred to as administrative data, can be a valuable tool as the first step in a continuous quality improvement process. It is an inexpensive source of information which allows providers to identify opportunities for improvement in the process and the outcomes of health care delivery. The All Patient Refined/Diagnosis-Related Group case mix or severity-adjusted data represents one tool. The Practice Review System of Value Health Sciences is another. Comparative information is the first step, and the first step only in the quality improvement process. As such, to meet the needs of all continuous quality improvement customers, it is necessary to make this first step as reliable, yet inexpensive, as possible. Completing all the steps requires the use of a several measures over time.
计费或理赔数据，通常称为管理数据，作为持续质量改进过程的第一步，可能是一种有价值的工具。它是一种成本低廉的信息来源，能让医疗服务提供者识别医疗服务过程及结果中可改进的机会。所有患者精炼/诊断相关组病例组合或严重程度调整数据就是一种工具。价值健康科学的实践审查系统是另一种工具。比较信息只是质量改进过程的第一步，仅此而已。因此，为满足所有持续质量改进客户的需求，有必要使这第一步尽可能可靠且成本低廉。随着时间推移，完成所有步骤需要使用多种措施。
