Developing clinical indicators for the secondary health system in India

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Harshad ThakurKanchan Mukherjee

Abstract

One of the prime goals of any health system is to deliver good and competent quality of healthcare. Through World Bank-assisted Maharashtra Health Systems Development Project, Government of Maharashtra in India developed and implemented clinical indicators to improve quality. During this, clinical areas eligible for monitoring quality of care and roles of health staff working at various levels were identified. Brainstorming discussion sessions were conducted to refine list of potential clinical indicators and to identify implementation problems. It was implemented in four stages. (a) Self-explanatory tool of record, standard operating procedures and training manual were prepared during tools preparation stage. (b) Pilot implementation was done to monitor the usefulness of indicators, document the experiences and standardize the system accordingly. (c) The final selection of indicators was done taking into consideration points like data reliability, indicator usefulness etc. For final implementation, 15 indicators for district and 6 indicators for rural hospitals were selected. (d) Transfer of skills was done through training of various hospital functionaries. Selection and prioritization of clinical indicators is the most cruci...Continue Reading

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Citations

Mar 19, 2015·International Journal of Health Care Quality Assurance·Özkan Yildiz, Onur Demirors
Mar 1, 2012·Asia-Pacific Journal of Clinical Oncology·Anthony P O'BrienMelissa J Bloomer
Feb 6, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Huda Al-KatheeriDiana Jamal
Dec 20, 2014·BMC Health Services Research·Tove SørensenLars Thomassen
May 1, 2019·Revista gaúcha de enfermagem·Amália de Fátima LucenaMelissa Prade Hemesath

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