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Developing a nursing outcomes measurement tool
S Ditmyer1, B Koepsell, V Branum
1Pediatric Department Leader, Kaiser Permanente Medical Center, Oakland, CA, USA.
The Journal of Nursing Administration
|June 26, 1998
Summary
Healthcare quality measurement is evolving beyond traditional metrics. The new Health Status Outcome Dimensions (HSOD) instrument captures patient health effects, including functional status and psychosocial well-being, for better care evaluation.
Area of Science:
- Healthcare Management
- Patient Outcomes Research
- Health Informatics
Background:
- Traditional healthcare quality metrics (mortality, cost) lack patient health impact data.
- Evolving care models necessitate comprehensive quality assessment.
- Electronic medical records enable integrated administrative and health data.
Purpose of the Study:
- To describe the development of the Health Status Outcome Dimensions (HSOD) instrument.
- To introduce a novel method for defining healthcare quality based on patient health status.
- To address the need for measuring the effect of care delivery on patient health.
Main Methods:
- Development of the Health Status Outcome Dimensions (HSOD) instrument sponsored by nursing leaders.
- Inclusion of measures for functional status, knowledge, and engagement.
- Incorporation of patient and family psychosocial well-being.
Main Results:
- The HSOD instrument was developed to measure multifaceted aspects of patient health.
- It integrates health-related data with administrative variables.
- The instrument captures patient and family psychosocial well-being.
Conclusions:
- The HSOD instrument offers a more holistic approach to healthcare quality assessment.
- It addresses limitations of traditional administrative variables in defining quality.
- Future development aims to enhance outcome infrastructures with the HSOD instrument.