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Published on: January 11, 2020
Development of a dementia assessment quality database
Peter Johannsen1, Kasper Jørgensen, Alex Kørner
1Memory Clinic, Copenhagen University Hospital, Denmark. peter.johannsen@rh.regionh.dk
Aging & Mental Health
|January 29, 2011
Summary
Quality indicators from a dementia patient database help standardize care. Monitoring these indicators improves the evaluation process and clinical health services for dementia patients.
Area of Science:
- Healthcare Quality Improvement
- Clinical Informatics
- Neurology
Background:
- Rising focus on healthcare quality necessitates effective evaluation tools.
- Clinical quality indicators derived from databases are vital for assessing healthcare services.
- Dementia evaluation quality requires standardized monitoring.
Purpose of the Study:
- To evaluate the utility of clinical quality indicators in dementia care.
- To assess the effectiveness of a quality database in the secondary health system.
- To standardize and harmonize dementia evaluation processes.
Main Methods:
- Utilized a quality database for dementia evaluation in Denmark's secondary health system.
- Monitored seven process quality indicators for dementia evaluations.
- Included indicators such as evaluation timeliness, diagnostic work-up components (blood tests, Mini Mental State Examination [MMSE], brain scan), and anti-dementia drug prescription rates.
Main Results:
- The database, established in 2005, covers 30% of the Danish population.
- Routine diagnostic work-up including MMSE and brain scans is nearly universal.
- Variations in etiological diagnoses highlighted the need to harmonize diagnostic criteria and MMSE administration.
Conclusions:
- Clinical quality indicators derived from comprehensive patient data can standardize dementia evaluations.
- Harmonizing diagnostic criteria and assessment tools improves the quality of dementia care.
- Quality indicators are effective tools for enhancing clinical health services in dementia evaluation.
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