Safety/Quality

Reduce the risk of harm from health care services by promoting the delivery of appropriate care that achieves the best quality outcome.

Identify the Threats
By 2010, patient safety event reporting will be standard practice in 90% of hospitals nationwide.

Outcome

FY 2006:
Continue use of NHQR, NHDR, PSIs to monitor changes in patient safety/quality.

FY 2005:
Continue supporting data standards and taxonomy development for improved event reporting, data integration, and data usability.

FY 2004:
Develop a data warehouse and vocabulary server to process patient safety event data.

Completed

SG-1/5
HP-17

Identify & Evaluate Effective Practices
By 2010, double the number of patient safety practices that have sufficient evidence available and are ready for implementation (use EPC report for baseline data).

Outcome

FY 2006:
Implement and evaluate best practice use of NHQR-DR Asthma Quality Improvement Resource Guide and Workbook for State Leaders in 2 to 5 States.

FY 2005:
5 health care organizations/units of State/local governments will evaluate the impact of their patient safety best practices interventions.
Implement and evaluate best practice use of NHQR-DR Diabetes Quality Improvement Resource Guide and Workbook for State Leaders in 2-5 States.

FY 2004:
6 health facilities or regional initiatives to implement interventions and service models on patient safety improvements will be in place.

Completed

SG-1/5
HP-17

Educate, Disseminate, and Implement to Enhance Patient Safety
By 2010, successfully deploy hospital practices such that medical errors are reduced nationwide.

Outcome

FY 2006:
15 additional States/major health care systems will have on-site patient safety experts trained through the PSIC program.

FY 2005:
15 additional States/major health care systems will have on-site patient safety experts trained through the PSIC program.

FY 2004:
10 States/major health care systems will have trained through the PSIC program.
5 health care organizations or units of State/local government will implement evidence-based proven safe practices.
Develop 4 NHQR-DR Knowledge Packs on quality for priority populations and care settings.
Conduct annual patient safety conference transferring research findings, products, and tools to users.

Completed (15 states and 13 hospitals/health care systems)

Underway

September 2004

SG-1/5
HP-17

Maintain Vigilance
By 2010, deploy and use measures of safety and quality for improvement in various care settings.
Report on national trends in health care quality.

Output

FY 2006:
Deliver fourth NHQR-DR and continue use of NHQR, NHDR, PSIs to monitor changes in patient safety/quality.

FY 2005:
Develop measures of patient safety culture (ambulatory and longer term care).

FY 2004:
Develop measures of patient safety culture (hospital-based).

Completed

SG-1/5
HP-17

* SG = Strategic Goal; HP = Healthy People