The evaluation of the objects in the work place and the impact of regulatory requirements.
Donabedian (1987, 2005) identified three foci of evaluation in appraising quality (1) structure or facilities that provide care, (2) process or how care is provided, such as a practice style or standard of care, and (3) outcomes or the end results of care.
Our text book list numerous additional studies that have built upon Donabedian theories, in consideration for our learning our text book of course, focuses on nursing care evaluation. The Nursing Role Effectiveness Model is based on Donabedian’s (1987) quality framework and has three major comp...
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...us, NQF 2362: Glycemic Control – Hyperglycemia, NQF 2363: Glycemic Control – Severe Hypoglycemia, NQF 2467: Adherence to ACEIs/ARBs for Individuals with Diabetes Mellitus, NQF 2468: Adherence to Oral Diabetes Agents for Individuals with Diabetes Mellitus. My clinic is a single physician practice, myself and one part time physician assistant. The other staff members consist of a medical assistant, receptionist and part time records clerk. The impact of these regulatory requirements, have their benefits and pitfalls, they have placed a cost burden on small practices in the purchase of EMR. However, the ability to record meeting of the measurements provides a small stipend each year. I feel the tracking measurements have improved the quality of care and the use of EMR continues to improve in the areas of data measurement tracking and more importantly user friendliness.
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