中部某醫學中心運用跨院輔導模式提升指標數據收集正確性

Implementation of Cross-hospital Counseling Model to Improve Accuracy of Index Data Collection at A Medical Center in Central Taiwan

提升臨床照護品質為醫療從業人員的使命與目標。然而，「品質指標」於提升醫療照護品質的工具中尤其重要。定期監測品質指標能快速有效得知現行醫療照護品質成效；由此可知，指標數據正確性會影響後續指標成效判定及後續改善計畫擬定與推行。本文以中部某醫學中心之「醫院品質績效量測指標系統與落實品質改善試辦計畫」群組醫院為對象，研究期間運用跨機構合作共享模式，輔導合作醫院建立指標定期提報機制、完成指標履歷撰寫及接受指標稽核，以提升數據收集正確性。其結果顯示指標提報完整率連續2年達100%、完成168份指標履歷、指標異常收案率由20.8%下降至0%。期望本文能提供醫療機構做為提升指標數據收集正確性參考。

Improving the quality of clinical care is a key mission and goal of medical professionals, and quality indicators are particularly crucial tools for achieving this objective. Regularly monitoring quality indicators is an efficient and effective method for managing the quality of medical care. The accuracy of indicator data influences the evaluation of subsequent indicators and the formulation and implementation of subsequent improvement plans. This study analyzed the group hospitals of a medical center that is based in Central Taiwan and adopted a pay-for-performance model. During the research period, a cross-institutional cooperation and sharing model was adopted to guide cooperative hospitals in establishing a consistent reporting mechanism for various indicators, completing indicator summaries, and undergoing indicator audits to improve data collection. The results revealed that an index reporting completion rate of 100% was achieved for 2 consecutive years, 168 indicator summaries were completed, and the rate of abnormal index cases decreased from 20.8% to 0%. This study can serve as a reference for medical institutions to improve the accuracy of their index data collection.