Guided Notes

Clinical Quality Analytics

Quality frameworks (structure, process, outcome), HEDIS, CMS Star Ratings, eCQMs, hospital quality programs, gap lists and supporting improvement teams.

Structure, process, outcome

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The Donabedian framework classifies quality measures: • Structure — resources and setup (nurse staffing ratios, certified stroke center). • Process — what is done (A1c tested, aspirin given for heart attack, sepsis bundle completed). • Outcome — results for patients (mortality, readmissions, infections, A1c control, patient experience). Analysts track all three: processes are easier to change; outcomes matter most to patients.