Covariates: A Case Study

The main purpose was to determine if the patients would have better outcomes. The study concluded

Quality of service should be one of the most important and well monitored goals for any medical facility, from your small town family doctor’s office, to nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors

Criteria: setting evaluation, contact was it direct or indirect, is patient a child or infant, service provided, is the patient established/new. Service level consist of three components, which is the history, exam, and decision made at the time of visit. Patient that has seen the doctor for three year is established. One that has not seen the doctor is new. There are four levels of making a decision. HPI factors relate to the issue the patients is dealing with. ROS factors relates to the sign of illness. PFSH factors deals with the history of the patient and history of the

The outcomes studied were the effect of routine screening on patient morbidity and mortality and effect on quality

1. the robustness of the literature in this area, both in terms of assessing quality of care

Florida Dept. of Health, Divs. of Medical Quality Assurance, Boards of Nursing and Medicine. (2006). Hsc.usf.edu. Retrieved 28 April 2017, from

Providers do not have any control over their patient population and hospitals attract specific patient groups based on the services they offer. Interpreting outcome data and rates, especially for different groups of patients may not be the best data to determine quality of care as these rates can also be tied to specific patient characteristics rather than care delivery. Also, comparison among these various groups will be considered to be unfair unless they are adjusted for risk. Including a case mix index is one way to account for the clinical complexity of procedures performed. Even though there are techniques to account for this variability, many of it can go unexplained and has the possibility of inaccurately ranking providers based on patient outcomes.

1. Create and interpret Commonwealth’s statement of cash flows for 2013. What information does it provide regarding the HMO’s sources and uses of cash over the past year?

A higher quality of care is the natural outcome from being able to make a better diagnosis and reduce errors.

The comorbid conditions of each hospital admission are measured by the Elixhauser index (Elixhauser et al., 1998). Approximately 37.9 percent of patients did

quality of care. It also requires a review of the process of care and changes in the patients

Based on the initial investigation, and after the discarding of error sources, I would recommend to the board to incorporate more social activities for the adults (Cooper & Schindler, 2014, p. 256). This is due to the seasoned members’ complaints on the lack thereof. After a poll was taken and the external validity was verified through scientific measurement, social activities seemed to be one of the biggest concerns for the tenured members. An index was created to further measure customer satisfaction of the younger group in regards to

Six studies were conducted in Midwestern hospitals (Carayon et al., 2007; DeYoung et al., 2009; Harrington et al., 2013; Ludwig-Beymer et al., 2012; Morriss et al., 2011; Seibert et al., 2014). One study was conducted in a western hospital in the United States (Hardmeier et al., 2014), one in New England hospitals (Richardson et al., 2012) and one study was conducted in a hospital in the Netherlands (Van Onzenoort et al., 2008). Two studies were conducted throughout the United States (Koppel et al., 2008; Mims et al., 2009). Of the thirteen studies, eleven were cross sectional observational studies while the remaining two were literature reviews (Keane, 2014; Young et al., 2010).

These measurements provide feedback of a patient’s experience with the care offered at a given hospital. These measurements assess a wide range of factors including interpersonal aspects of care, clarity of - and ease of access to - information provided by the physician, speed of medical staff’s response to the patient’s urgent care needs, among other factors. These measurements are used by patients in their subjective evaluation during their process of choosing a hospital for emergency care or

The data are collected from observation of over 100 patients’ visits, 50 of which were observed and audio taped. The research questions that are asked by Davidson are: