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Quality Measures: health care processes and outcomes


Evidence-based healthcare processes, and accurate assessment of patient-valued outcomes, are necessary for quality services. 

ROA have worked on methods for improving healthcare processes since 1990, as well as developing patient-centred outcome measures (see 'Measuring Quality of Life in Health', O'Connor 2004) and training others in healthcare improvement (see workshops in health outcome measurement and improvement). 

Selected projects

Improving the quality of rural healthcare in P.R. China. For HLSP/ the World Bank, and the Foreign Loans Office of P.R. China. Assessing and introducing improvements to the HVIII rural healthcare project, which includes strengthening existing facilities and equipment infrastructure in health centres/hospitals; improving capability of medical staff; developing uniform sets of standards; establishing specific quality indicators; strengthening organisational structure and managers ability to plan and evaluate. 2006/2007.

On being treated as a person: A review of non-physical interventions to improve outcomes for adolescents and young adults with cancer'.  Prepared with the support of Canteen, The Australian Organisation for Young People Living with Cancer. January 2006

Preparation of book 'Measuring Quality of Life in Health'  for Harcourt Brace UK/ Elsevier Science (published June 2004)

Development of a screening instrument to identify carer situations that might lead to adverse health effects for carer or care recipient: the Carer Assessment Project. For the Eastern Carer Support and Respite Service and the Royal Adelaide Hospital, S.A.   2003

World Health Organisation (WHO) Consultant on Health Outcomes Research
to the Ministry of Health, Government of Malaysia, to review and advise on the development of health outcomes research activities and help formulate short and long term strategies to promote and implement health outcomes research (September, 2001).  

Supervising health outcomes research projects for the Faculty of Medicine, University of New South Wales, including:
*  Development of an instrument for assessing severity of dysphagia (in progress);
*  Health-related quality of life of Chinese-born with diabetes (paper in preparation).
*  Cognitive effects of Cardiac Surgery (completed)

Development and administration of a 'Graduate Certificate in Health Services Management - Health Outcomes Measurement and Improvement' for the School of Health Services Management, Faculty of Medicine, University of New South Wales, Sydney.  2000. 

'Measurement of Quality of Life'
, two-day short course for Glaxo Wellcome Australia.  Head office Glaxo Wellcome Australia, Boronia, Victoria, Australia.  25, 26 July, 2000.

Measuring quality processes and outcomes.
Session conducted for the Cardiac Surgery - ICU Improvement Workshop, The International Roundtable, Sheraton Airport Hotel, Sydney NSW Australia, June 2000Click to download Powerpoint97 presentation

Development of the Asthma Medication Adherence Questionnaire (or AMAQ) to assess asthma medication adherence. For Glaxo Welcome Australia.  1999 - 2000 ongoing.

Conducting training in Measurement of Quality of Life, Health Status, and Patient Satisfaction in Manizales, Colombia, as a collaboration between the Catholic University of Manizales, Colombia, S.A., and the School of Health Services Management, University of New South Wales, Australia.  April, 2000.

Team-based rehabilitation medicine and the case-conference.
Review prepared for the Australian College of Rehabilitation Medicine. February, 2000

Development and presentation of a course in 'Measurement of Quality of Life, Health Status, and Patient Satisfaction'
for the School of Health Services Management, Faculty of Medicine, University of New South Wales, Sydney.  2000. 

Assessment of methods for identifying clients who would benefit from vocational rehabilitation
.   For CRS Australia. 1998. 

Development of CFQOL, an instrument to measure the effects of Cystic Fibrosis on a patient’s Quality of Life, and application of the measure to assess the effects of Pulmozyme.  For Roche Products P/L. 1997/98/99.

Development and validation of the Work Ability Tables, or WATs, a generic disability assessment instrument WATs now used by the Australian federal Department of Social Security (DSS) to allocate the $4 Billion per year Disability Support Pension.  1996. Report available on request.

Development of the Health Effects Scale or HES, to assess the health impact of housing and sanitation infastructure in Australian Aboriginal communities.  The HES is now used throughout Australia to guide infrastructure funding.  For the Aboriginal and Torres Strait Islander Commission (ATSIC).  1994.  Report available on request.

Issues in the Measurement of Health-related Quality of Life', Working Paper 30, NHMRC National Centre for Health Program Evaluation, July 1993.  The report analyses the requirements for developing a valid, sensitive measure of Quality of Life and reviews a range of generic instruments.  The full text, approximately 80 pages, is available on this site.

'National Benchmarking of Quality Indicators', an invited presentation to the Australian Private Hospitals Association (APHA) Quality Workshop, National Convention Centre, Canberra 13 October 1998.

'Measuring outcome quality: the importance of case-mix specific tools'.  Presentation to The Tenth Casemix Conference in Australia, Melbourne Convention Centre, Melbourne 6-9 September 1998.  Paper available on request.

'Custom-designing instruments to implement government and commercial decisions'. Presentation to 1998 Health Outcomes Conference. Rydges Lakeside, Canberra 7- 8 August,1998.  Report available on request.

'The Importance of using Case-mix Specific Tools when Measuring Health-related Quality of Life'.  Presentation to the 1998 Annual Conference of the Australian Health Economics Society.  Report available on request.

'A Critique of the AQoL'. Invited critique on the Australian Quality of Life Instrument, or AQoL, to the 1997 Conference of the Australian Health Economics Society, The University of Melbourne.

Advising Australia's key centre for health economics, the National Centre for Health Program Evaluation, on the development of a multi-attribute quality of life measure.

Development of the Second Edition of the Disability and Handicap Severity Scales, a revised instrument for the assessment of disability, directing the Disability and Handicap Working Party of the Accident Compensation Commission of Victoria, and the Victorian Accident Rehabilitation Commission.

'Health-related Quality of Life Measures need Content Validity'. Australian Health Review, 1992, 15 (2), 155-163.

'Impairment Assessment Review', directing the Impairment Assessment Review Committee of the Accident Compensation Commission of Victoria (ACC) and the Victorian Accident Rehabilitation Commission (VARC) in an examination of the instruments and processes used to assess medical impairment, disability, and handicap.

'The Development and Application of Health Status Measures as Guides to Government Funding', invited presentation to the Health Systems Research Division, Public Health Institute, Kuala Lumpur, Malaysia.

Advice to the Commonwealth Department of Health and Family Services on the Development and Application of Functional Health Status Measures.   1997; 1998.

Patient dependency systems: development of a model based on clinical and other indicators to allocate nursing resources to wards based on the nursing needs of patients.  Application of empirical modelling techniques to estimate need for nursing resources; conducted for Ballarat Base Hospital.  Prepared with Health Solutions P/L.


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