Project
Access Health Delivery Indicators Report
OVERVIEW
What is Project Access Health Delivery indicators (PA
HeDeI) report?
Why Project Access Health Delivery indicators
(PA HeDeI) report is important?
CONTENT
PRESENTATION Narrative
and Slides in PDF Format
Project Access aims continually to
improve services for patients. Performance measurement is an essential
element of efficiency, helping physicians and managers identify scope
for improvement.
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What is Project Access Health
Delivery indicators (PA HeDeI) report?
The PA HeDeI is a comparative database that helps health
care providers to understand and improve their performance quality.
Health Delivery Indicators (He DeI) are measures by which
PA research partners analyze health status, health system performance
and characteristics among PA population.
Using a method to classify health services research, the
PA HeDeI report is organized in different areas: Structure, Process and
Outcomes.
The concepts of
• Effectiveness (benefits
of medical care measures by improvement in health),
• Efficiency (relationship between health improvement
and the resources required to produce them) and
• Equity (whether the benefits and burdens of medical
care are fairly distributed) might be viewed as intermediate outcomes
of the PA medical care delivery process.
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Why Project Access Health Delivery
indicators (PA HeDeI) report is important?
This quality analysis research tool assists leadership
in overseeing patient care quality, understanding facility performance,
and identifying opportunities for improve the program.
It also helps:
• Examine National and peer
group comparisons,
• Longitudinal trending,
• Assess the effects of health care program, policy choices and
data reliability,
• Guide future health care policy making
• Internal reporting
• Analyze and accurately measure outcomes with regard to community
access to care, utilization, and costs.
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CONTENT
The data is collected and analyzed every month. The Pilot
Study (April 2002 to March 2003) is considered as an average and used
for internal comparisons.
The graphs/reports are organized in three areas:
1) Structure
(view narrative and slides)
- Describes the organization and financing of the Project Access program
and the population served.
2) Process
(view narrative and slides)
- Describes the relationships between the patients and the providers
in the course of actual care delivery.
- Reported as utilization of medical care services and procedures.
- A surrogate marker of efficiency.
3) Outcomes (view
narrative and slides)
- Describes the ultimate outcome of the PA population health and well-being.
- A surrogate marker of effectiveness by examining the linkages between
structure and processes.
- Three surveys are used:
1) The standardized and validated SF-12 Short Form
Health Survey (4-week recall) to describe mental and physical health
status of adults and to measure the outcomes of health care services.
The SF-12 was used during the Pilot period and after the pilot year
changed to a SF8 Short Form Survey (4-week recall), a shorter option
for the same purposes. It is administrated at the enrollment and at
6 months of the enrollment.
SF-12 and SF8 scores: The PCS-12 or PCS-8 and MCS-12 or MCS-8
are scored using nor-based methods. Physical and mental regression weights
and a constant for both measures come form the general U.S population.
Both scales are transformed to have a mean of 50 and a standard deviation
of 10 in the general U.S population. The higher the scores the better
the outcome.
2) A non-validated Patient Satisfaction Survey developed by
PA research team, to evaluate PA
patients’ satisfation. It consists of 9 items, 5- point Likert
scale. Mail to every patient by mail
3) A non-validated Provider Satisfaction Survey developed by PA research
team to evaluate
the interaction with PA providers. It consists of 14 items, 5-point
Likert scale and 6 opened questions. It is sent to the PA Providers
every three months.
- Clinical outcomes indicators:
A pilot Community Diabetes Educator (CoDE) project
- Acollaborative diabetes education program to provide counseling on
an individual basis by a specially trained community health care worker.
The CoDE program delivers American Diabetes Association standards of
care. Hemoglobin A1C levels are tracked on a quarterly basis and the
results to date have been comparable to those achieved in the private
sector. Annual ophthalmology examinations have been provided by Project
Access physicians, and all patients have been screened for diabetic
nephropathy and lipid abnormalities. Quality of life has been assessed
utilizing a validated questionnaire upon entry into the program and
will be re-assessed annually
A pilot Community Mental health Educator (CoMHW)
- Emergency Department Study, a CDC investigation to evaluate the effectiveness
of Project Access on emergency department utilization, hospitalization,
and related costs in a major metropolitan hospital. Consented patients
enrolled in PROJECT ACCESS (Study case) are compared to a Control group
(patients not contacted or refused to participate).
- Return on Investment (ROI)
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