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Minding the store: how IT impacts outcomes measurement.

R L Simpson1

  • 1McKessonHBOC, Atlanta, Georgia, USA.

Nursing Administration Quarterly
|April 15, 2000
PubMed
Summary

Measuring healthcare outcomes is crucial. This article explores the history, current initiatives like OASIS and ORYX, challenges, and the role of IT in healthcare outcomes assessment.

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Area of Science:

  • Health Services Research
  • Healthcare Informatics
  • Quality Improvement

Background:

  • The necessity of measuring healthcare outcomes is widely accepted.
  • Current outcomes assessment lacks a unified, collaborative approach.
  • Numerous fragmented initiatives exist across different healthcare sectors.

Purpose of the Study:

  • To trace the evolution and history of outcomes assessment in healthcare.
  • To identify and describe key current outcomes measurement initiatives.
  • To explore the challenges and future directions in outcomes measurement, including the role of IT.

Main Methods:

  • Historical review of outcomes assessment.
  • Description of prominent initiatives: OASIS (home health), QISMC (managed care), HCQIP (inpatient), ACQIP (ambulatory), and Joint Commission's ORYX.
  • Analysis of challenges and the impact of Information Technology (IT).

Main Results:

  • Outcomes assessment has a significant history, with various tools and systems emerging.
  • Key initiatives like OASIS, QISMC, HCQIP, ACQIP, and ORYX are operational but not integrated.
  • Significant challenges remain, necessitating further work and IT integration.

Conclusions:

  • A coordinated effort is needed to standardize and improve healthcare outcomes measurement.
  • Information Technology plays a vital role in supporting, analyzing, and advancing outcomes measurement.
  • Addressing current limitations will enhance the effectiveness and utility of healthcare quality assessment.

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