KLİNİK KALİTE ÖLÇÜM VE DEĞERLENDİRME SİSTEMİ BAŞLATMAK: TURKİYE ÖRNEĞİ

Türkiye Cumhuriyeti Sağlık Bakanlığı, Türkiye’de klinik kalite’nin gözlemlenmesi ve değerlendirilmesi için mevcut durumu analiz etmek ve klinik kalite’nin kalite ölçümü ve değerlendirmesi için bir proje başlatmıştır. Özel, kamu ve üniversite hastanelerinin ölçebilen ve gözlemleyebilen bir sistemin kurulması hedeflenmiştir. Proje’nin pilot çalışması için üç sağlık durumu belirlenmiş ve konu edilmiştir. Bu çalışmada bu proje’nin pilot çalışmasının adımları ve alınan dersler ortaya konulmuştur. Projenin değerlendirilmesi ve sonuçların raporlanması için daha ileri çalışmalar fayda sağlayacaktır

Initiating A Clinical Quality Measurement and Evaluation System: A Case Study From Turkey

Turkey Ministry of Health initiated a project to analyze current methods for the monitoring and evaluation of clinical quality in Turkey, and to develop a system for quality measurement and assessment of clinical quality. Establishment of a system that can measure and monitor clinical quality of private, university and MoH hospitals was targeted. For the pilot study of this project, three health conditions were chosen and subjected to monitoring and evaluation of clinical quality. In this study, steps of the pilot study of this project and lessons learned are presented. Further studies for evaluating the project and reporting the results would be beneficial

Keywords:

clinical quality measurement, clinical quality evaluation system system establishment for clinical quality evaluation,

PDF

___

Akdağ, R. (2009). Progress Report: Health Transformation Program in Turkey. MoH Publication No: 749, Ankara, Turkey.

Brennan N.M., Flynn M.A. Differentiating clinical governance, clinical management and clinical practice, Clinical Governance: An International Journal 2013:18:114-31. [CrossRef]

Canadian Institute for Health Information (2007). Quality of Care, https://www.cihi.ca/en/outcomes, Accessed at 15.10.2018

Center of Medicare and Medicaid Services (2017) Clinical Quality Measures Basics, https://www.cms.gov/regulations-and-guidance/ legislation/ehrincentiveprograms/clinicalqualitymeasures.html, Accessed at 09.10.2018

Dentler K., Ten Teije A., Cornet R., de Keizer N. (2012) Towards the Automated Calculation of Clinical Quality Indicators. In: Riaño D., ten Teije A., Miksch S. (eds) Knowledge Representation for Health-Care. KR4HC 2011. Lecture Notes in Computer Science, vol 6924. Springer, Berlin, Heidelberg [CrossRef]

England NHS Clinical Quality Measures (2017). https://www. england.nhs.uk/ourwork/tsd/data-info/open-data/clinical-services- quality-measures/, Accessed at 09.10.2018

Glasziou P., Ogrinc G., Goodman S. Can evidence-based medicine and clinical quality improvement learn from each other? Quality and Safety in Health Care 2011:20:i13-i17. [CrossRef]

National Quality Measures Clearinghouse (NQMC) https:// qualitymeasures.ahrq.gov/ Accessed at 09.10.2018

New Jersey Innovation Institute web site (2017). Clinical Quality Measures, http://njii.com/meaningful-use/cqm/ Accessed at 09.10.2018

Waelli M., Gomez M.L. Sicotte C., Zicari A., Bonnefond J.Y. , Lorino P.

OECD (2010), Health at a Glance: Europe 2010, OECD Publishing. [CrossRef]

OECD/The World Bank (2009), OECD Reviews of Health Systems: Turkey 2008, OECD Reviews of Health Systems, OECD Publishing, Paris, [CrossRef]

Sağlık Bakanlığı Klinik Kalite web site (2017a). Quality definitions http://www.saglik.gov.tr/EnKlinikKalite/belge/1-17700/definitions. html, Accessed at 09.10.2018

Sağlık Bakanlığı Klinik Kalite web site (2017b). Health facilities selected for pilot project http://www.saglik.gov.tr/EnKlinikKalite/ belge/1-17781/pilot-selected-health-facilities.html, Accessed at 09.10.2018

Sağlık Bakanlığı Klinik Kalite web site (2017c). Selection of institutions http://www.saglik.gov.tr/EnKlinikKalite/belge/1-20015/ selection-of-the-pilot-healthcare-institutions.html, 09.10.2018

Sağlık Bakanlığı Klinik Kalite web site (2017d). List of people in subgroups http://www.saglik.gov.tr/EnKlinikKalite/belge/1-17795/ pilot-implementation-subjects-and-sub-working-groups.html Accessed at 09.10.2018

Sağlık Bakanlığı Klinik Kalite web site (2017e). Standards and indicators http://www.saglik.gov.tr/EnKlinikKalite/belge/1-24366/ standards.html, Accessed at 09.10.2018

The LeapFrogGroup Compare Hospitals (2017). 2016 Survey results, http://www.leapfroggroup.org/compare-hospitals, Accessed at 09.10.2018

U.S Department of Health and Human Services Measures Inventory (2017) https://www.qualitymeasures.ahrq.gov/hhs/index.aspx, Accessed at 09.10.2018 Minvielle E. (2016). Keys to successful implementation of a French national quality indicator in health care organizations: a qualitative study, BMC Health Services Research, 16: 553 [CrossRef]