![]() ![]() Several health care quality indicators are based on measurement of a patient's performance or self-reported performance of functional tasks. 11 While a relatively new area of research and effort in medical care, in general, provider profiling through the development of quality indicators has been done in long-term care, 5, 6 managed care, 7 and hospital inpatient and outpatient clinic settings. ![]() 1 – 10 Measuring health care quality (ie, outcomes assessment) and comparing providers’ performance using those measures of quality (ie, provider profiling) are important strategies for making providers accountable for the care they provide. Over the past decade, there has been a proliferation of efforts to benchmark providers against national averages, as well as external quality assessment initiatives spearheaded by third-party payers that use clinical databases to evaluate, publicly report, or reward provider performance. ![]() The authors conclude that quality of care measurement and ranking procedures that do not use similar methods may produce findings that may be misleading.īenchmarking and other quality assessment and reporting efforts often rely on the results of observational research designs. The authors demonstrate that crude differences in clinic outcomes and service utilization tend to be inflated compared with the differences that are statistically adjusted for selected threats to internal validity. An example is given from a recent study comparing physical therapy clinic performance in terms of patient outcomes and service utilization with and without the use of these methods. Threats to internal validity, including potential confounding, patient selection bias, and missing data, are discussed along with statistical methods commonly used to address these limitations. This perspective article discusses the advantages and limitations of using observational research to evaluate quality of care and provider performance in order to inform clinicians, researchers, administrators, and policy makers who want to use data to guide practice and policy or critically appraise observational studies and benchmarking efforts. Outcomes assessment is commonly done using observational research designs, which makes it important for those involved in these endeavors to appreciate the underlying challenges and limitations of these designs. The Green Flag Award scheme, managed by environmental charity Keep Britain Tidy under licence from the government’s Department for Levelling Up, Housing and Communities, recognises and rewards well-managed parks and green spaces, setting the benchmark standard for the management of green spaces across the United Kingdom and around the world.Many clinics and payers are beginning programs to collect and interpret outcomes related to quality of care and provider performance (ie, benchmarking). The staff and volunteers do so much to ensure that it maintains the high standards of the Green Flag Award and everyone involved should feel extremely proud of their achievement.” “Brunel’s campus in Uxbridge is a vital green space for the community in West London, bringing people together and providing opportunities to lead healthy lifestyles. Keep Britain Tidy’s Green Flag Award Scheme Manager Paul Todd MBE said: “I would like to congratulate everyone involved at Brunel University London in achieving a Green Flag Award. Our Grounds team richly deserve this award.” ![]() “It takes care and dedication to keep our well-used green spaces looking so good. It’s not only great for students and staff, but also for people visiting from the local community or further afield. The news that the Uxbridge campus has achieved the accreditation is testament to the hard work and dedication of the team that care for the green space so that everyone can enjoy it.Ĭommenting on the win for the Brunel Grounds team, Stuart Bonney, Brunel’s Director of Estates Development and Infrastructure, said: “We really value the oasis of greenery we have here on campus: our Quad, the River Pinn and plenty of trees and lawn. The Green Flag Award is the benchmark international standard for publicly accessible parks and green spaces in the UK and around the world.Īs a result of this year’s awards, 2,216 parks – the largest number since the scheme began 27 years ago – are proudly preparing to raise their flags. Brunel University London is celebrating after receiving a Green Flag Award for its lush and leafy Uxbridge-based campus – the seventh time the prestigious accolade has been bestowed upon it. ![]()
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