Nurses: Assuring Quality Care for all Populations. Leonard Davis Institute of Health Economics University of Pennsylvania Mary E. Foley, MS, RN President. Objectives. Identify concerns related to health care quality. Define nursing’s quality indicators
Leonard Davis Institute of Health Economics
University of Pennsylvania
Mary E. Foley, MS, RN
Only about 15% of all contemporary Clinical interventions are supported by objective scientific evidence that they do more good than harm.
In most instances, health care delivered to patients/clients is provided by an array of health care providers (occupational therapists, pharmacists, physicians, registered nurses, respiratory therapists, etc.).
The procedures and services currently recorded in reimbursement and utilization databases represent only a small portion of the care received by the patient/client.
It is vital to prove the relationship of nursing to quality care and cost efficiency in order to secure any share of future health care dollars.
An indicator which is sensitive to the input of Nursing Care.
1920‑40 1940‑1960 1960 1970‑80
Minimum Absence of Capacity Adherence
Standards Defects to Give to
Good Care Standards
Definition of Quality in the 1990s:
Meeting customers’ expectations;
“Doing the right thing and doing it well” (JCAHO, 1994);
Clinically effective, efficient, and affordable health services that are delivered satisfactorily.
Quality of Nursing Leadership
Personnel Policies and Programs
Professional Models of Care
Quality of Care
Consultation and Resources
Level of Autonomy
Community and the Hospital
Nurses as Teachers
Image of Nursing
Collegial Nurse-Physician Relationships
Orientation, inservice, continuing education, formal education and career development
Using the cost of data collection as a reason not to collect new data is inconsistent with our current understanding of the cost of poor care and the imperative to measure quality of care
. Shorter LOS is related to higher levels of overall staffing per NIW-
adjusted patient day.