长期和后急性护理环境中的质量测量:叙述概述
Kalin Clifford1, Jennifer Devinney-Lavsa2, Lee Meyer3
11Jerry H. Hodge School of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, Texas.
The Senior care pharmacist
|July 5, 2025
概括
长期护理的药剂师需要新的质量措施 (QM),以根据基于价值的护理模式进行报销. 目前的指标没有捕捉到他们的临床贡献,阻碍了参与新的支付系统.
科学领域:
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 传统的药房补偿依赖于处方发行费用.
- 现代药房实践,特别是长期和急性后护理 (LTPAC),包括广泛的直接患者护理活动.
- 医疗保健系统正在从收费服务 (FFS) 转向以价值为基础的护理 (VBC) 模式.
研究的目的:
- 检查LTPAC环境中药剂师目前的质量指标 (QM) 的局限性.
- 确定需要在VBC模型中反映药剂师临床贡献的QM.
- 建议采取可行的步骤,开发特定于LTPAC的QM.
主要方法:
- 审查与LTPAC药房实践相关的现有质量措施.
- 分析当前QM与药剂师临床活动之间的差距.
- 审查美国药剂师顾问协会 (ASCP) 工作组的努力,以确定新的QM.
主要成果:
- 目前的QM不充分地捕捉了药剂师在LTPAC的直接患者护理服务的价值.
- 由于缺乏适当的质量管理机制,药剂师无法充分参与VBC退款.
- ASCP工作组确定了开发特定于LTPAC的QM的关键领域.
结论:
- 制定具体的质量措施对于将药剂师纳入基于价值的补偿至关重要.
- 解决质量管理的局限性将使药剂师能够证明其价值,并改善LTPAC中的患者结果.
- 需要采取可行的策略,为LTPAC药剂师创建和实施新的QM.
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