Products and Process Quality Audits

1992 ◽  
pp. 135-148
Keyword(s):  
Process Quality

Home Health Agencies: Empirical Evidence on the Patient-Driven Groupings Model’s Expected Effects on Agency Reimbursements

2021 ◽  
pp. 108482232199038
Author(s):  
Elizabeth Plummer ◽  
William F. Wempe
Keyword(s):  
Ordinary Least Squares ◽  
Process Quality ◽  
Home Health ◽  
Least Squares Regression ◽  
Residual Variation ◽  
Health Agencies ◽  
Dual Eligible ◽  
Home Health Agencies ◽  
Seriously Ill Patients ◽  
Seriously Ill

Beginning January 1, 2020, Medicare’s Patient-Driven Groupings Model (PDGM) eliminated therapy as a direct determinant of Home Health Agencies’ (HHAs’) reimbursements. Instead, PDGM advances Medicare’s shift toward value-based payment models by directly linking HHAs’ reimbursements to patients’ medical conditions. We use 3 publicly-available datasets and ordered logistic regression to examine the associations between HHAs’ pre-PDGM provision of therapy and their other agency, patient, and quality characteristics. Our study therefore provides evidence on PDGM’s likely effects on HHA reimbursements assuming current patient populations and service levels do not change. We find that PDGM will likely increase payments to rural and facility-based HHAs, as well as HHAs serving greater proportions of non-white, dual-eligible, and seriously ill patients. Payments will also increase for HHAs scoring higher on quality surveys, but decrease for HHAs with higher outcome and process quality scores. We also use ordinary least squares regression to examine residual variation in HHAs’ expected reimbursement changes under PDGM, after accounting for any expected changes related to their pre-PDGM levels of therapy provision. We find that larger and rural HHAs will likely experience residual payment increases under PDGM, as will HHAs with greater numbers of seriously ill, younger, and non-white patients. HHAs with higher process quality, but lower outcome quality, will similarly benefit from PDGM. Understanding how PDGM affects HHAs is crucial as policymakers seek ways to increase equitable access to safe and affordable non-facility-provided healthcare that provides appropriate levels of therapy, nursing, and other care.

scholarly journals Developing a Novel Fuzzy Evaluation Model by One-Sided Specification Capability Indices

Mathematics ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1076
Author(s):  
Wei Lo ◽  
Chun-Ming Yang ◽  
Kuei-Kuei Lai ◽  
Shao-Yu Li ◽  
Chi-Han Chen
Keyword(s):  
Evaluation Model ◽  
Critical Value ◽  
Process Quality ◽  
Quality Characteristic ◽  
Fuzzy Membership Function ◽  
Environmental Damage ◽  
Quality Level ◽  
Fuzzy Evaluation ◽  
Radar Chart ◽  
Fuzzy Evaluation Model

When all of the one-sided specification indices of each quality characteristic reach the requirements of the process quality level, they can ensure that the process capability of the product meets the requirements of the process quality level. This study constructs a fuzzy membership function based on the upper confidence limit of the index, derives the fuzzy critical value, and then labels the fuzzy critical value on the axis of the visualized radar chart as well as connects adjacent critical points to shape a regular polygonal critical region. Next, this study calculates the observed value of the index to estimate and mark it on the axis for forming a visualized fuzzy radar evaluation chart. Obviously, this fuzzy evaluation model not only reduces the testing cost but also makes the quality level quickly meet the requirements of the specifications. Further, the radar chart can reduce the risk of misjudgment attributable to sampling errors and help improve the accuracy of evaluation by a confidence-upper-limit-based fuzzy evaluation model. Therefore, this easy-to-use visualized fuzzy radar evaluation chart is used as an evaluation interface, which has good and convenient management performance to identify and improve critical-to-quality quickly. Improving the quality of the process before the product is completed will also have the advantage of reducing social losses and environmental damage costs.

scholarly journals APPROACH FOR THE DEVELOPMENT AND APPLICATION OF TARGET PROCESS MODULE SETS

2021 ◽  
Vol 1 ◽  
pp. 531-540
Author(s):  
Albert Albers ◽  
Miriam Wilmsen ◽  
Kilian Gericke
Keyword(s):  
Product Development ◽  
Development Process ◽  
Process Management ◽  
Process Quality ◽  
Project Planning ◽  
Project Managers ◽  
Product Development Process ◽  
Design Processes ◽  
Adaptive Processes

AbstractThe implementation of agile frameworks, such as SAFe, in large companies causes conflicts between the overall product development process with a rigid linkage to the calendar cycles and the continuous agile project planning. To resolve these conflicts, adaptive processes can be used to support the creation of realistic target-processes, i.e. project plans, while stabilizing process quality and simplifying process management. This enables the usage of standardisation methods and module sets for design processes.The objective of this contribution is to support project managers to create realistic target-processes through the usage of target-process module sets. These target-process module sets also aim to stabilize process quality and to simplify process management. This contribution provides an approach for the development and application of target-process module sets, in accordance to previously gathered requirements and evaluates the approach within a case study with project managers at AUDI AG (N=21) and an interview study with process authors (N=4) from three different companies.

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