Measurement of variation in health care and its application to quality improvement must begin with the identification
and articulation of:
When prioritizing quality improvement initiatives, which of the following should take the highest priority?
For example, if you are using a survey to gather patient satisfaction feedback by email, you would not send a survey t
o ever y patient. You would start by sending surveys t o roughly 50 percent of the patients an see how many are
returned. This limited survey allows you to determine the response rate. Assume that 25 percent of these patients
return the surveys. The next task is to determine how representative of the total population these respondents are. To
test this question, you need to develop a profile of the total population. Typically, this profile is based on standard
demographics such as gender, age, type of visit, payer class, and whether the respondent is a new or returning
patient. If the distribution of these characteristics in the sample is similar (within 5 percent) to that found in the total
population, you can be comfort able t hat your sample is reasonably representative of the population. If the
characteristics of the sample and the population show considerable variation, however, you should adjust your
sampling plan. This example clarifies that:
Using the Information below, which patient population Is at the highest risk tor tailing?
Which of the following would provide the best information to a Quality Council interested in evaluating the effectiveness of quality improvement teams that were chartered during the past year?
