Quality Assessment
Code
8014
Academic unit
Escola Nacional de Saúde Pública
Department
Saúde Pública e Organizações de Saúde
Credits
3.0
Teacher in charge
Paulo Alexandre Faria Boto
Total hours
24
Teaching language
Português
Objectives
By the end of the unit, students should be able to:
– a) Discuss the current state of quality of health care;
– b) Describe the factors that might explain the current state;
– c) Discuss key concepts like Total Quality Management and Continuous Quality Improvement
– d) be familiar with Donabedian’s triad;
– e) Discuss the advantages and disadvantages of measures of structure, process and results;
– f) know the steps involved in developing performance measures;
– g) Be familiar with the principles underlying accreditation processes;
– h) Discuss how information Technologies can be used in quality assurance and improvement;
– i) Discuss the relations between payment schemes and quality, namely the concept of P4P;
– j) Be familiar with the concepts of error, adverse event and clinical risk;
– k) know the key areas to monitor in order to ensure patient safety;
– l) understand the role of patient satisfaction assessment;
– m) analyse critically satisfaction surveys;
– n) Discuss the challenges and success factors in change processes.
Subject matter
– Quality of health care: current status and causes
– Definition, theories and approaches
– Structure, processes and results
– The role of information technologies
– Quality and payment
– Safety and errors
– Satisfaction
– Managing change
Bibliography
– USA. IOM - Crossing the quality chasm : a new health system for the 21st Century. Washington, DC : Institute of Medicine, 2001.
– ANNUAL CROSSING THE QUALITY CHASM SUMMIT, 1, Washington, DC, January 6 -7, 2004 - A Focus on Communities. Washington, DC : Institute of Medicine, 2004.
– USA. IOM - To err is human : building a safer health system. Washington, DC : Institute of Medicine, November 1999.
– UK. DoH - Building a safer NHS for patients : implementing an organization with a memory. London : Department of Health, February 2007.
– UK. DoH - A first class service : quality in the new NHS. London : Department of Health, July 1998.
Teaching method
– Lectures
– Interactive sessions, with working groups and case studies
Evaluation method
– Attendance and class participation (10%)
– Discussion of articles (30%)
– Final individual evaluation (60%)