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APHA Scientific Session and Event Listing
Session: Quality Improvement and Outcomes of Care on a National Scale
3334.0: Monday, November 06, 2006: 2:30 PM-4:00 PM
Oral
Quality Improvement and Outcomes of Care on a National Scale
Purpose: Identify the different type of language services used by pediatricians; List the Minimum Data Set Quality Indicators for the nursing homes; List the hypothesized relationships between social capital, employee outcomes, and patient quality of care and satisfaction; Describe the goals of the PROMIS initiative; List recommended process measures of the quality of inpatient care for patients with acute myocardial infarction. Relevance: Almost three-quarters of US pediatricians use untrained family member interpreters to communicate with patients and families with LEP. Pediatricians in regions with the highest proportions of persons with LEP are least likely to provide appropriate language services. Provision of language services should be improved as part of ongoing efforts to improve quality of care; special attention is needed to providing translated written materials to patients and reducing the use of family members as interpreters. While the needs of VA NHCU long-stay residents are growing more complex from FY03-05, the quality indicators have improved during the same period. We aim to share this annual national profile and facility-specific profiles with VA NHCUs and Veterans Integrated Service Networks. We believe that this information will help VA NHCUs to determine where emphasis needs to be placed to continue to improve long term care to veterans. This project is the first step in developing valid and reliable tools for measuring social capital in health care settings and applying them in interventions designed to facilitate coordinated action where trust, shared vision, and information sharing are critical. the PROMIS system will allow medical researchers and health professionals to validly and efficiently assess patient reported outcomes across a number of measurement domains. Use of this tool to routinely assess patient outcomes in a range of medical settings has substantial implications for health policy and quality improvement initiatives. The quality of inpatient AMI care for Medicare beneficiaries improved modestly for some but not all process measures, and related inpatient mortality declined somewhat. The variability of results across states and across measures over ~2 years identifies some areas of high-quality performance, along with areas where further improvement is potentially achievable.
Learning Objectives: 1. Identify the different type of language services used by pediatricians; 2. List the Minimum Data Set Quality Indicators for the nursing homes; 3. List the hypothesized relationships between social capital, employee outcomes, and patient quality of care and satisfaction; 4. Describe the goals of the PROMIS initiative; 5. List recommended process measures of the quality of inpatient care for patients with acute myocardial infarction.
Presider(s):Simon Piller, MD
2:30 PMA National Survey of Pediatricians' Use of Language Services for Families with Limited English Proficiency (LEP)
Dennis Z. Kuo, MD, Karen G. O'Connor, Glenn Flores, MD, Cynthia S. Minkovitz, MD, MPP
2:45 PMQuality Indicators in the Department of Veterans Affairs Nursing Home Care Units
Linda W. Tsan, MD, Chester Davis, ScD, John R. Pierce, MD
3:00 PMAssessing social capital and organizational environment in healthcare: A pilot study  [ Recorded presentation ]
Joseph Sudano, PhD, Aleece Caron, PhD, Melvin Smith, PhD, David Aron, MD, MS
3:15 PMMeasurement of Patient Reported Outcomes in Medical Practice and Research: Update on the NIH PROMIS Initiative  [ Recorded presentation ]
William Riley, PhD, Bryce Reeve, PhD
3:30 PMQuality of inpatient care provided for patients with acute myocardial infarction (AMI): Findings from the 2005 National Healthcare Quality Report (NHQR)  [ Recorded presentation ]
Darryl T. Gray, MD, ScD
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Medical Care
Endorsed by:Health Administration; Socialist Caucus; Vietnam Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA