Studies examine effectiveness and cost-effectiveness of depression quality improvement programs in primary care

2008 ◽  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Cost Effectiveness ◽  
Improvement Programs ◽  
Quality Improvement Programs

Can Quality Improvement Programs for Depression in Primary Care Address Patient Preferences for Treatment?

Medical Care ◽  
2001 ◽  
Vol 39 (9) ◽  
pp. 934-944 ◽  
Author(s):  
Megan Dwight-Johnson ◽  
Jurgen Unutzer ◽  
Cathy Sherbourne ◽  
Lingqi Tang ◽  
Kenneth B. Wells
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Patient Preferences ◽  
Improvement Programs ◽  
Quality Improvement Programs

Cost-Effectiveness of Quality Improvement Programs for Patients With Subthreshold Depression or Depressive Disorder

2007 ◽  
Vol 58 (10) ◽  
pp. 1269-1278 ◽  
Author(s):  
Kenneth B. Wells ◽  
Michael Schoenbaum ◽  
Naihua Duan ◽  
Jeanne Miranda ◽  
Lingqi Tang ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Cost Effectiveness ◽  
Depressive Disorder ◽  
Subthreshold Depression ◽  
Improvement Programs ◽  
Quality Improvement Programs

scholarly journals Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care

JAMA ◽  
2000 ◽  
Vol 283 (2) ◽  
pp. 212 ◽  
Author(s):  
Kenneth B. Wells ◽  
Cathy Sherbourne ◽  
Michael Schoenbaum ◽  
Naihua Duan ◽  
Lisa Meredith ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Improvement Programs ◽  
Quality Improvement Programs

Effectiveness of Multifaceted Hospitalwide Quality Improvement Programs Featuring an Intervention to Remove Unnecessary Urinary Catheters at a Tertiary Care Center in Thailand

2007 ◽  
Vol 28 (7) ◽  
pp. 791-798 ◽  
Author(s):  
Anucha Apisarnthanarak ◽  
Kanokporn Thongphubeth ◽  
Sirinaj Sirinvaravong ◽  
Danai Kitkangvan ◽  
Chananart Yuekyen ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Care Center ◽  
Tertiary Care ◽  
Hospital Costs ◽  
Urinary Catheterization ◽  
Urinary Catheters ◽  
Improvement Program ◽  
Improvement Programs ◽  
Intervention Team ◽  
Quality Improvement Programs

Objective.To evaluate the efficacy of a multifaceted hospitalwide quality improvement program that featured an intervention to remind physicians to remove unnecessary urinary catheters.Methods.A hospitalwide preintervention-postintervention study was conducted over 2 years (July 1, 2004, through June 30, 2006). The intervention consisted of nurse-generated daily reminders that were used by an intervention team to remind physicians to remove unnecessary urinary catheters, beginning 3 days after insertion. Clinical, microbiological, pharmaceutical, and cost data were collected.Results.A total of 2,412 patients were enrolled in the study. No differences were found in the demographic and/or clinical characteristics of patients between the preintervention and postintervention periods. After the intervention, reductions were found in the rate of inappropriate urinary catheterization (mean rate, preintervention vs postintervention, 20.4% vs 11% [P = .04]), the rate of catheter-associated urinary tract infection (CA-UTI) (mean rate, 21.5 vs 5.2 infections per 1,000 catheter-days [P <.001]), the duration of urinary catheterization (mean, 11 vs 3 days [P < .001]), and the total length of hospitalization (mean, 16 vs 5 days [P < .001]). A linear relationship was seen between the monthly average duration of catheterization and the rate of CA-UTI (r = 0.89; P < .001). The intervention had the greatest impact on the rate of CA-UTI in the intensive care units (mean rate, preintervention vs postintervention, 23.4 vs 3.5 infections per 1,000 catheter-days [P = .01]). The monthly hospital costs for antibiotics to treat CA-UTI were reduced by 63% (mean, $3,739 vs $1,378 [P < .001]), and the hospitalization cost for each patient during the intervention was reduced by 58% (mean, $366 vs $154 [P < .001]).Conclusions.This study suggests that a multifaceted intervention to remind physicians to remove unnecessary urinary catheters can significantly reduced the duration of urinary catheterization and the CA-UTI rate in a hospital in a developing country.

scholarly journals BIAYA KUALITAS DAN KOMPQNENNYA PADA BAD AN USAHA PERAIH ISO 9000 DI KAWASAN INDUSTRI SIER DAN PIER

2005 ◽  
Vol 4 (1) ◽  
Author(s):  
Stefanus Budy Widjaja Subali ◽  
Yie Ke Feliana
Keyword(s):  
Quality Improvement ◽  
Iso 9000 ◽  
Cost Driver ◽  
Quality Costs ◽  
Activity Cost ◽  
Improvement Programs ◽  
Quality Improvement Programs

Quality has become an important competitive dimension for all organization. Recently, -the emphasis on quality has shifted from a source of strategic advantage to a compepetive necessity As the companies implement quality-improvement programs,one of those is. ISO 9000, a need arises to monitor and report on the progress of these programs. Managers r need to know about the quality costs and the component of quality costs. The component of quality costs include prevention, appraisal, internal failure and external failure costs. This article describes how the companies that were awarded ISO 9000 define the quality costs, what items to be included in the each component of quality costs and how the composition of each component of quality activity cost driver is.

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