Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Quality screening and management using claims data in a managed care setting.

S Leatherman1, E Peterson, L Heinen

  • 1United Health-Care Corporation, Minneapolis, MN 55440-8001.

QRB. Quality Review Bulletin
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluation of predictive models to determine total morbidity outcome of feedlot cattle based on cohort-level feed delivery data during the first 15 days on feed.

Translational animal science·2022
Same author

Low-dose oral minoxidil increases hair density and thickness in androgenetic alopecia: a retrospective analysis of 60 patients.

Journal of the European Academy of Dermatology and Venereology : JEADV·2021
Same author

Comparing the clinical differences in white and black women with frontal fibrosing alopecia.

The British journal of dermatology·2021
Same author

Frontal fibrosing alopecia in males: demographics, clinical profile and treatment experience.

Journal of the European Academy of Dermatology and Venereology : JEADV·2019
Same author

Morphoea induced by treatment with interferon beta-1a.

The British journal of dermatology·2019
Same author

Risk stratification for the development of venous thromboembolism in hospitalized patients with cancer.

Journal of thrombosis and haemostasis : JTH·2018

Quality Screening and Management (QSM) analyzes healthcare using claims and administrative data to assess care quality against guidelines. This system identifies improvement strategies and enables performance comparisons for health plans.

Area of Science:

  • Healthcare Quality Improvement
  • Health Services Research
  • Health Informatics

Background:

  • Healthcare quality assessment is crucial for patient outcomes and cost-effectiveness.
  • Existing methods may not comprehensively analyze care delivery across enrolled populations.
  • Need for systematic approaches to evaluate and manage healthcare quality.

Purpose of the Study:

  • To introduce and describe the Quality Screening and Management (QSM) system.
  • To demonstrate QSM's utility in analyzing healthcare quality for enrolled populations.
  • To highlight QSM's role in identifying quality improvement strategies.

Main Methods:

  • Utilizes claims and administrative data, supplemented by medical record review.
  • Compares patient care against established practice guidelines for selected conditions.

Related Experiment Videos

  • Measures quality through incidence rates, process/outcome measures, adverse events, and preventive service use.

    • Main Results:

    • QSM analyzes healthcare delivery and reports quality indicators.
    • Results are linked to specific quality management actions for improvement.
    • Enables longitudinal and cross-sectional performance comparisons for health plans.

    Conclusions:

    • QSM provides a robust framework for assessing and managing healthcare quality.
    • The system supports data-driven decision-making for quality improvement initiatives.
    • Applicable to various health plan settings for enhancing patient care.