Quality assurance for a program of comprehensive care for older persons.
Kane, Robert L
Date of Pub
Blewett, Lynn A
Quality assurance (QA) for comprehensive programs like the Program of All-inclusive Care for the Elderly (PACE) requires a
special strategy. The assessment phase should be capable of looking across the usual subdivisions of care to recognize the
contributions of various disciplines, and to focus on the effects of that care on the patient. Measures should thus include
both problem-specific and patient-focused elements. The tracer technique which follows the care of specific problems provides
an opportunity to look at both the process and outcomes of care. An outcomes focus which looks at patient functioning as well
as condition-specific parameters can include specific sentinel events whose presence suggests untoward developments. Quality
assurance implies more than assessment. It represents a commitment to act responsibly on the information obtained to improve
the care rendered. It includes a strategy for proactive involvement where caregivers are prompted to consider pertinent information
in a timely fashion, and a retrospective remedial approach where the data are analyzed and presented in a format that can
be readily understood and which suggests next steps to improve care.
Aged : Ambulatory Care/standards : Comprehensive Health Care/standards : Frail Elderly : Health Services for the Aged/standards
: Human : Outcome and Process Assessment (Health Care)/organization & administration : Patient Advocacy/standards : Planning
Techniques : Prepaid Health Plans/standards : Quality Assurance, Health Care/organization & administration : Support, Non-U.S.
Gov't : Support, U.S. Gov't, Non-P.H.S. : United States