Clark L L
Visiting Nurses Association, Western Pennsylvania, Butler, USA.
Outcomes Manag Nurs Pract. 1998 Jan-Mar;2(1):24-8.
Beginning in 1994, the Visiting Nurses Association, Western Pennsylvania, began to investigate incorporating an outcome measurement system within its organization for the purposes of marketing quality results, benchmarking achievements, and defining quality of care for both internal and external review groups. In the fall of 1995, this agency was accepted into the Outcome Based Quality Improvement (OBQI) Demonstration Project, also known as the Medicare Quality Assurance Project, which the Health Care Financing Administration has funded for the purpose of measuring clinical and utilization outcomes in the home care arena. This article reviews the processes the agency used to develop and incorporate the entire OBQI process into its systems, including the incorporation of the Outcome Assessment Information Set (OASIS). The OASIS is a set of outcome measurement questions developed by Dr. Peter Shaughnessy at the Center for Health Policy Research in Denver. The process also includes training of staff and development of forms, point-of-care software with a vendor, and plans of action for improving outcomes that have been quantified through OBQI efforts.
从1994年开始，宾夕法尼亚西部访视护士协会着手研究在其组织内纳入一个结果测量系统，目的是营销优质成果、对成就进行基准对比，以及为内部和外部审查团体界定护理质量。1995年秋，该机构被纳入基于结果的质量改进（OBQI）示范项目，该项目也被称为医疗保险质量保证项目，由医疗保健财务管理局资助，旨在衡量家庭护理领域的临床和使用结果。本文回顾了该机构用于将整个OBQI流程开发并纳入其系统的过程，包括纳入结果评估信息集（OASIS）。OASIS是丹佛健康政策研究中心的彼得·肖纳西博士开发的一组结果测量问题。该过程还包括员工培训、表格开发、与供应商合作开发即时护理软件，以及针对通过OBQI努力已量化的结果制定改进行动计划。
