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ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR

Year 2019, Volume: 2 Issue: 2, 23 - 32, 31.12.2019

Abstract

Sağlık bakım hizmetlerinde elde edilen kalite ve hasta güvenliği seviyesinin bu hizmetlere ayrılan kaynaklarla aynı düzeyde artış göstermemesi birçok gelişmiş ve gelişmekte olan ülkede politika yapıcıların gündemini meşgul etmektedir. Özellikle de hasta güvenliğinin geliştirilmesi konusunda öteden beri uygulanagelen stratejiler arasında finansal stratejilerin son on yılda önemli bir gelişim gösterdiği söylenebilir. Bu doğrultuda Değer Bazlı Satın Alma anlayışı kapsamında gelişen Ödenmeyen Önlenebilir Olaylar Kavramı ve bu kavramın uygulamaya geçmiş hali olan Hastane Kaynaklı Durumlar modeli bu çalışmanın konusunu teşkil etmektedir. ABD merkezli olarak ortaya çıkan ve elde edilen başarılı sonuçlar dolayısıyla okyanus ötesi gelişmiş ve gelişmekte olan ülkelerde uygulama alanı bulan bu model, hasta güvenliğinin geliştirilmesi açısından Türkiye bağlamında önemli bir potansiyel barındırmaktadır.

References

  • Adedeji, O.M., 2012. An Evaluation of the Centers for Medicare & Medicaid Services’ Hospital Acquired Conditions ve Present on Admission Indicator Reporting Program. [Dissertation]. University of Texas.
  • Altındiş, S., Şimşir, İ., 2017. Hasta Güvenliğine Göre Geri Ödemede Başarili Bir Örnek: Hastane Kaynakli Durumlar, in: I. Uluslararası Hasta Güvenliği ve Sağlık Finansmanı Kongresi Bildiri Kitabı. pp. 239–45.
  • Anderson, G.F., Frogner, B.K., 2008. Health Spen-ding in OECD Countries: Obtaining Value Per Dollar. Health Aff. 27, 1718–1727. https://doi.org/10.1377/hlthaff.27.6.1718
  • Attachment to the Annual Progress Report to Congress National Strategy for Quality Improvement in He-alth Care (2011). Department of Heath and Human Services Care https://www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/nqsplans.pdf (24.06.2019).
  • Clement, J.P., Lindrooth, R.C., Chukmaitov, A.S., Chen, H.-F., 2007. Does the Patient's Payer Matter in Hospital Patient Safety? Med. Care 45, 131–138. https://doi.org/10.1097/01.mlr.0000244636.54588.2b
  • CMS Hospital Inpatient Quality Reporting Program Hospital-Acquired Condition Measures National Call (2011). https://www.cms.gov/Outreach-and-Educa-tion/Outreach/OpenDoorForums/downloads/032111SODFPresentationSlides.pdf (11.11.2017)
  • Coding [www document], t.y. URL https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding.html (30. 04.19).
  • Deniz, M.H., Hobikoğlu, E.H., 2011. Türkiye’ de “Değere Bağlı Sağlık Sistemi” Temelinde Kamu ve Özel Sektör Açısından Algılanan Hizmet Kalitesi, in: International Conference on Eurasian Economies. pp. 160–166.
  • Fisk, R.J., 2008. What are Never Events and Why do They Matter. Heal. Lawyer 21, 34.
  • Gerhardt, W., Korenda, L., Morris, D.M., Vadnerkar, G., 2015. The Road to Ralue-based Rare: Your Ri-leage may Vary. Deloitte Center for Health Soluti-ons.
  • Glance, L.G., Osler, T.M., Mukamel, D.B., Dick, A.W., 2008. Impact of the Present-on-Admission Indicator on Hospital Quality Measurement. Med. Care 46, 112–119. https://doi.org/10.1097/mlr.0b013e318158aed6
  • Hospital-Acquired Conditions (Present on Admission Indicator) [www document], t.y. URL https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html (30.04.19).
  • Hughes, J.S., Averill, R.F., Goldfield, N.I., Gay, J.C., Muldoon, J., McCullough, E., Xiang, J., 2006. Identifying Potentially Preventable Compli-cations Using a Present on Admission Indicator. Health Care Financ. Rev. 27, 63–82.
  • James, J., 2012. Health Policy Brief: Pay-for-Performance. Health Aff. 19, 1–5. https://doi.org/10.1377/hpb2012.19
  • Jarrett, N., Callaham, M., 2016. Evidence-Based Guidelines for Selected Hospital-Acquired Conditions. Final Report. RTI International Kavanagh, K.T., 2011. Financial incentives to promote health care quality: The hospital acquired conditions nonpayment policy. Soc. Work Public Health 26, 524–541. https://doi.org/10.1080/19371918.2011.533554
  • Kohn, L.T., Corrigan, J.M., Donaldson, M.S., 2000. To Err is Human: Building a Safer Health System, National Academy Press. Washington, D.C. https://doi.org/10.17226/9728 BUY
  • Kurutkan, M., Bayat, M., 2015. Hospital Acquired Conditions With Respect to Value- Based Purcha-sing ve Payback Payment Systems. Heal. Care Acad. J. 2, 155. https://doi.org/10.5455/sad.2015131452173750
  • LaBresh, K.A., Jarrett, N., Lux, L., 2011. Evidence-based Guidelines for Selected ve Previously Consi-dered Hospital- Acquired Conditions. RTI International.
  • Lee, G.M., Kleinman, K., Soumerai, S.B., Tse, A., Cole, D., Fridkin, S.K., Horan, T., 2012. Effect of Nonpayment for Preventable Infections in U.S. Hospitals. N. Engl. J. Med. 367, 1428–1437. https://doi.org/10.1056/NEJMsa1202419
  • Maio, V., Goldfarb, N.I., Carter, C., Nash, D.B.., 2003. Value-Based Purchasing: A Review of the Literature. The Commonwealth Fund.
  • Makary, M.A., Daniel, M., 2016. Medical error-the third leading cause of death in the US. BMJ 353, 1–5. https://doi.org/10.1136/bmj.i2139 Mello, M.M., Kelly, C.N., Brennan, T.A., 2005. of Patient Safety. J. Health Polit. Policy Law 30.
  • Morello, R.T., Lowthian, J.A., Barker, A.L., McGin-nes, R., Dunt, D., Brand, C., 2013. Strategies for improving patient safety culture in hospitals: A systematic review. BMJ Qual. Saf. 22, 11–18. https://doi.org/10.1136/bmjqs-2011-000582
  • Mullen, K.J., Frank, R.G., Rosenthal, M.B., 2010. Can you get what you pay for? Pay‐for‐performance and the Quality of Healthcare Providers. The Rand Journal of Economics. 41(1), 64-91.
  • National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From Nati-onal Efforts To Make Health Care Safer, 2016.URL: https://www.ahrq.gov/professionals/quality-patient-safety/pfp/2015-interim.html (24.06.2019)
  • Porter, M., 2011. Value Based Purchasing: A Defini-tion. National Business Coalition on Health.
  • Rosenstein, A.H., O’Daniel, M., White, S., Taylor, K., 2009. Medicare’s Value-Based Payment Initia-tives: Impact on ve Implications for Improving Physician Documentation ve Coding. Am. J. Med. Qual. 24, 250–258.https://doi.org/10.1177/1062860609332511
  • Rosenthal, J., Hanlon, C., 2009. Nonpayment for Preventable Events ve Conditions: Aligning State ve Federal Policies To Drive Health System Improvement. Natl. Acad. State Heal. Policy.
  • Rosenthal, M.B., 2009. What Works in Market-Oriented Health Policy? N. Engl. J. Med. 360, 2157–2160.
  • Ross, J., 2009. Understanding Never Events. J. PeriA-nesthesia Nurs. 24, 191–193. https://doi.org/10.1016/j.jopan.2009.03.007
  • Rowland, P., 2013. Power/Knowledge, Identity ve Patient Safety: Intersections of Patient Safety ve Professional Practice Discourses in a Canadian Acu-te Care Hospital. [Dissertation]. Fielding Graduate University.
  • Schuller, K., 2012. Effectiveness of Medicare’s Non-payment Policy on Hospital-Acquired Conditions. [dissertation]. University of South Carolina.
  • Shojania, K.G., Duncan, Bradford W. McDonald, K.M., Wachter, R.M., 2001. Making Health Care Safe: A Critical Analysis of Patient Safety Practices. AHRQ Publ. 01-E058.
  • Şimşir, İ., 2018. Geri Ödeme Mekanizmalarının Hasta Güvenliği Açısından Değerlendirilmesi (Bir Sistem Önerisi). [Yayımlanmamış Doktora Tezi]. Sakarya Üniversitesi.
  • Stanek, M., 2014. Quality Measurement to Support Value-Based Purchasing: Aligning Federal ve State Efforts. National Academy for State Health Policy, Washington, DC.
  • Wald, H.L., 2012. Prevention of Hospital-Acquired Geriatric Syndromes: Applying Lessons Learned from Infection Control. J. Am. Geriatr. Soc. 60, 364–366. https://doi.org/10.1111/j.1532-5415.2011.03848.x
  • White, K.M., Brown, J., 2009. “Present on Admis-sion” Impacts Everyone’s practice. Nurs. Manage. 2–6.
Year 2019, Volume: 2 Issue: 2, 23 - 32, 31.12.2019

Abstract

References

  • Adedeji, O.M., 2012. An Evaluation of the Centers for Medicare & Medicaid Services’ Hospital Acquired Conditions ve Present on Admission Indicator Reporting Program. [Dissertation]. University of Texas.
  • Altındiş, S., Şimşir, İ., 2017. Hasta Güvenliğine Göre Geri Ödemede Başarili Bir Örnek: Hastane Kaynakli Durumlar, in: I. Uluslararası Hasta Güvenliği ve Sağlık Finansmanı Kongresi Bildiri Kitabı. pp. 239–45.
  • Anderson, G.F., Frogner, B.K., 2008. Health Spen-ding in OECD Countries: Obtaining Value Per Dollar. Health Aff. 27, 1718–1727. https://doi.org/10.1377/hlthaff.27.6.1718
  • Attachment to the Annual Progress Report to Congress National Strategy for Quality Improvement in He-alth Care (2011). Department of Heath and Human Services Care https://www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/nqsplans.pdf (24.06.2019).
  • Clement, J.P., Lindrooth, R.C., Chukmaitov, A.S., Chen, H.-F., 2007. Does the Patient's Payer Matter in Hospital Patient Safety? Med. Care 45, 131–138. https://doi.org/10.1097/01.mlr.0000244636.54588.2b
  • CMS Hospital Inpatient Quality Reporting Program Hospital-Acquired Condition Measures National Call (2011). https://www.cms.gov/Outreach-and-Educa-tion/Outreach/OpenDoorForums/downloads/032111SODFPresentationSlides.pdf (11.11.2017)
  • Coding [www document], t.y. URL https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding.html (30. 04.19).
  • Deniz, M.H., Hobikoğlu, E.H., 2011. Türkiye’ de “Değere Bağlı Sağlık Sistemi” Temelinde Kamu ve Özel Sektör Açısından Algılanan Hizmet Kalitesi, in: International Conference on Eurasian Economies. pp. 160–166.
  • Fisk, R.J., 2008. What are Never Events and Why do They Matter. Heal. Lawyer 21, 34.
  • Gerhardt, W., Korenda, L., Morris, D.M., Vadnerkar, G., 2015. The Road to Ralue-based Rare: Your Ri-leage may Vary. Deloitte Center for Health Soluti-ons.
  • Glance, L.G., Osler, T.M., Mukamel, D.B., Dick, A.W., 2008. Impact of the Present-on-Admission Indicator on Hospital Quality Measurement. Med. Care 46, 112–119. https://doi.org/10.1097/mlr.0b013e318158aed6
  • Hospital-Acquired Conditions (Present on Admission Indicator) [www document], t.y. URL https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/index.html (30.04.19).
  • Hughes, J.S., Averill, R.F., Goldfield, N.I., Gay, J.C., Muldoon, J., McCullough, E., Xiang, J., 2006. Identifying Potentially Preventable Compli-cations Using a Present on Admission Indicator. Health Care Financ. Rev. 27, 63–82.
  • James, J., 2012. Health Policy Brief: Pay-for-Performance. Health Aff. 19, 1–5. https://doi.org/10.1377/hpb2012.19
  • Jarrett, N., Callaham, M., 2016. Evidence-Based Guidelines for Selected Hospital-Acquired Conditions. Final Report. RTI International Kavanagh, K.T., 2011. Financial incentives to promote health care quality: The hospital acquired conditions nonpayment policy. Soc. Work Public Health 26, 524–541. https://doi.org/10.1080/19371918.2011.533554
  • Kohn, L.T., Corrigan, J.M., Donaldson, M.S., 2000. To Err is Human: Building a Safer Health System, National Academy Press. Washington, D.C. https://doi.org/10.17226/9728 BUY
  • Kurutkan, M., Bayat, M., 2015. Hospital Acquired Conditions With Respect to Value- Based Purcha-sing ve Payback Payment Systems. Heal. Care Acad. J. 2, 155. https://doi.org/10.5455/sad.2015131452173750
  • LaBresh, K.A., Jarrett, N., Lux, L., 2011. Evidence-based Guidelines for Selected ve Previously Consi-dered Hospital- Acquired Conditions. RTI International.
  • Lee, G.M., Kleinman, K., Soumerai, S.B., Tse, A., Cole, D., Fridkin, S.K., Horan, T., 2012. Effect of Nonpayment for Preventable Infections in U.S. Hospitals. N. Engl. J. Med. 367, 1428–1437. https://doi.org/10.1056/NEJMsa1202419
  • Maio, V., Goldfarb, N.I., Carter, C., Nash, D.B.., 2003. Value-Based Purchasing: A Review of the Literature. The Commonwealth Fund.
  • Makary, M.A., Daniel, M., 2016. Medical error-the third leading cause of death in the US. BMJ 353, 1–5. https://doi.org/10.1136/bmj.i2139 Mello, M.M., Kelly, C.N., Brennan, T.A., 2005. of Patient Safety. J. Health Polit. Policy Law 30.
  • Morello, R.T., Lowthian, J.A., Barker, A.L., McGin-nes, R., Dunt, D., Brand, C., 2013. Strategies for improving patient safety culture in hospitals: A systematic review. BMJ Qual. Saf. 22, 11–18. https://doi.org/10.1136/bmjqs-2011-000582
  • Mullen, K.J., Frank, R.G., Rosenthal, M.B., 2010. Can you get what you pay for? Pay‐for‐performance and the Quality of Healthcare Providers. The Rand Journal of Economics. 41(1), 64-91.
  • National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From Nati-onal Efforts To Make Health Care Safer, 2016.URL: https://www.ahrq.gov/professionals/quality-patient-safety/pfp/2015-interim.html (24.06.2019)
  • Porter, M., 2011. Value Based Purchasing: A Defini-tion. National Business Coalition on Health.
  • Rosenstein, A.H., O’Daniel, M., White, S., Taylor, K., 2009. Medicare’s Value-Based Payment Initia-tives: Impact on ve Implications for Improving Physician Documentation ve Coding. Am. J. Med. Qual. 24, 250–258.https://doi.org/10.1177/1062860609332511
  • Rosenthal, J., Hanlon, C., 2009. Nonpayment for Preventable Events ve Conditions: Aligning State ve Federal Policies To Drive Health System Improvement. Natl. Acad. State Heal. Policy.
  • Rosenthal, M.B., 2009. What Works in Market-Oriented Health Policy? N. Engl. J. Med. 360, 2157–2160.
  • Ross, J., 2009. Understanding Never Events. J. PeriA-nesthesia Nurs. 24, 191–193. https://doi.org/10.1016/j.jopan.2009.03.007
  • Rowland, P., 2013. Power/Knowledge, Identity ve Patient Safety: Intersections of Patient Safety ve Professional Practice Discourses in a Canadian Acu-te Care Hospital. [Dissertation]. Fielding Graduate University.
  • Schuller, K., 2012. Effectiveness of Medicare’s Non-payment Policy on Hospital-Acquired Conditions. [dissertation]. University of South Carolina.
  • Shojania, K.G., Duncan, Bradford W. McDonald, K.M., Wachter, R.M., 2001. Making Health Care Safe: A Critical Analysis of Patient Safety Practices. AHRQ Publ. 01-E058.
  • Şimşir, İ., 2018. Geri Ödeme Mekanizmalarının Hasta Güvenliği Açısından Değerlendirilmesi (Bir Sistem Önerisi). [Yayımlanmamış Doktora Tezi]. Sakarya Üniversitesi.
  • Stanek, M., 2014. Quality Measurement to Support Value-Based Purchasing: Aligning Federal ve State Efforts. National Academy for State Health Policy, Washington, DC.
  • Wald, H.L., 2012. Prevention of Hospital-Acquired Geriatric Syndromes: Applying Lessons Learned from Infection Control. J. Am. Geriatr. Soc. 60, 364–366. https://doi.org/10.1111/j.1532-5415.2011.03848.x
  • White, K.M., Brown, J., 2009. “Present on Admis-sion” Impacts Everyone’s practice. Nurs. Manage. 2–6.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

İsmail Şimşir This is me

Publication Date December 31, 2019
Published in Issue Year 2019 Volume: 2 Issue: 2

Cite

APA Şimşir, İ. (2019). ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR. Sağlıkta Kalite Ve Akreditasyon Dergisi, 2(2), 23-32.
AMA Şimşir İ. ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR. SKAD. December 2019;2(2):23-32.
Chicago Şimşir, İsmail. “ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR”. Sağlıkta Kalite Ve Akreditasyon Dergisi 2, no. 2 (December 2019): 23-32.
EndNote Şimşir İ (December 1, 2019) ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR. Sağlıkta Kalite ve Akreditasyon Dergisi 2 2 23–32.
IEEE İ. Şimşir, “ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR”, SKAD, vol. 2, no. 2, pp. 23–32, 2019.
ISNAD Şimşir, İsmail. “ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR”. Sağlıkta Kalite ve Akreditasyon Dergisi 2/2 (December 2019), 23-32.
JAMA Şimşir İ. ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR. SKAD. 2019;2:23–32.
MLA Şimşir, İsmail. “ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR”. Sağlıkta Kalite Ve Akreditasyon Dergisi, vol. 2, no. 2, 2019, pp. 23-32.
Vancouver Şimşir İ. ÖDENMEYEN ÖNLENEBİLİR OLAYLAR VE HASTANE KAYNAKLI DURUMLAR. SKAD. 2019;2(2):23-32.


BİLİMSEL VE ETİK SORUMLULUK

Dergimize gönderilen çalışmalarda tüm yazarların akademik-bilimsel olarak doğrudan katkısı olmalıdır. Dergi ile iletişim görevini yapan yazar, tüm yazarlar adına yazının son halinin sorumluluğunu taşır.

Yazar/lar tarafından “İnsan” öğesinin içinde bulunduğu tüm çalışmalarda Helsinki Deklerasyonu Prensipleri’ne uyulduğu ve “Hayvan” öğesi kullanılan çalışmalarda ise Guide for the Care and Use of Laboratory Animals  prensipleri doğrultusunda çalışmalarında hayvan haklarını koruduklarını belirtilmelidir. Olgu sunumlarında hastanın kimliğinin ortaya çıkmasına bakılmaksızın hastalardan “Bilgilendirilmiş Olur” (informed consent) alınmalıdır.

Eğer makalede direkt-indirekt ticari bağlantı veya çalışma için maddi destek veren kurum mevcut ise yazarlar; kullanılan ticari ürün, ilaç, firma vb. ile ticari hiçbir ilişkisinin olmadığını ve varsa nasıl bir ilişkisinin olduğunu (konsültan, diğer anlaşmalar), editöre sunum sayfasında belirtmelidirler.

Makalede “Etik Kurul Onayı” alınması gerekli ise; yazarlar etik kurul izni-onayı aldıklarını beyan etmelidir.