Opening up the Black Box of Performance Measurement

2002 ◽  
Vol 15 (4) ◽  
pp. 29-31
Author(s):  
D. David Persaud ◽  
Lawrence Nestman

Health outcomes measurement has not fulfilled its potential. An important reason is the inability of the systems in place to properly utilize the information provided by outcome indicators to improve care. This paper describes a measurement framework that empowers healthcare professionals to act on information that is provided by using logical predetermined protocols. The benefits of this framework include enhanced evidence-based healthcare processes, organizational learning through knowledge generation and dissemination, and improved health outcomes.

Evaluation ◽  
2018 ◽  
Vol 24 (4) ◽  
pp. 475-495 ◽  
Author(s):  
Ben Baruch ◽  
Tom Ling ◽  
Rich Warnes ◽  
Joanna Hofman

Despite previous research, the field of counter-violent-extremism has not benefited significantly from evaluation. By comparison, and despite a number of challenges, the evidence-based healthcare movement has an established track record of using evaluation to develop practice. We seek lessons from the evidence-based healthcare movement about what it might take to develop evaluation capacity in the emerging field of counter-violent-extremism. Based on this, we offer a framework for measurement in counter-violent-extremism: the ‘Violent Extremism Evaluation Measurement Framework’. We map out states and manifestations associated with violent extremism and radicalisation, then suggest how to measure levels and changes in relevant attributes.


2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.


2021 ◽  
pp. 1357633X2110155
Author(s):  
Kristian Kidholm ◽  
Ida W Svendsen ◽  
Knud Yderstræde ◽  
Anne M Ølholm ◽  
Kathrine Rayce ◽  
...  

Background Increased use of telemedicine in the healthcare system is a political goal in Denmark. Although the number of hospital patients using interventions such as the video consultation has increased in recent years only a small proportion of the outpatient and inpatient visits involve telemedicine. The TELEMED database ( https://telemedicine.cimt.dk/ ) has been launched at the Center for Innovative Medical Technologies in Denmark to ensure that hospital managers and healthcare professionals have access to information about telemedicine services and their effectiveness. This article describes the development and the content of the TELEMED database. Methods A structured literature search was made in the PubMed Database for randomised controlled trials or observational studies with a control group that investigated the effect of telemedicine interventions for hospital patients. Data were extracted from each article on the clinical effectiveness, patient perceptions, economic effects and implementation challenges. As the database should only provide inspiration to healthcare professionals regarding possibilities for use of telemedicine, the risk of bias in the studies was not assessed. Results The literature search resulted in 2825 hits. Based on full text assessment, 331 articles were included for data extraction and assessment. These articles present telemedicine services used in 22 different medical specialities. Forty-eight percent of the studies found a positive, statistically significant clinical effect, while 47% showed no statistically significant difference. In 48% of the studies, patients’ experiences were examined and of these 68% found positive patient experiences. Fifty-four percent of the articles included information on the economic effects and, of these, 51% found reduction in healthcare utilization. In the majority of studies between two and four types of implementation challenges were found. Conclusions and recommendations: The TELEMED database provides an easily accessible overview of existing evidence-based telemedicine services for use by hospital managers and health professionals, who whish to to implement telemedicine. The database is freely available and expected to be continuously improved and broadened over time.


BMJ ◽  
2013 ◽  
Vol 346 (feb06 1) ◽  
pp. f766-f766 ◽  
Author(s):  
C. Heneghan ◽  
F. Godlee

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