Quality care outcomes can be measured in several ways including patient readmission rates, length of stay, and morbidity and mortality. These outcome measures place pressure on healthcare systems and can impact patient satisfaction, costs, and the risk of hospital-acquired infections if not addressed properly. Evaluating sustainability of quality improvement initiatives is important for ongoing management of these outcomes over time.

1. Outcomes of Quality care

2. What is quality of care?
Patient
Readmission
focused
Length of Morbidity &
stay Mortality
Outcome measures

4. 2 Minutes In the life of a real nurse

5. Patient focused
Establish patient &
Empowerment family
partnerships
Safety
Education
Support disclosure
Coordination of care & truth around
medical error
Respect
Partnership Meet the changing
needs of individual
Participation patients
Autonomy

6. Readmission
Primary contact
Places pressure
Patient Satisfaction on all systems
Costs
Efficiency Does not support
patient centred
Care co-ordination care
Education Education/access
to primary care
Pressure on the system facilities

7. Length of stay
Patient Satisfaction Higher risk of
hospital acquired
Planning infection
Financial Burden Affects both the
Hospital &
microsystem
Co-ordination of care
Patient
Hospital Acquired Infection satisfaction

8. Morbidity & Mortality
Morbidity is often a
Mortality is generally
contributing factor to
accepted as an adverse
increasing the risk of
outcome of care
Mortality
Satisfaction within the
microsystems are
generally affected
negatively by the impact
of Morbidity & Mortality

9. What next?
ARTICLE
Evaluating the Sustainability of a Quality
Improvement Initiative
Karen Homa, Ph.D.

10. The Process – How did we get here?
Isolation and
Brainstorming
Orientation delegation of
and organisation
search topics for further
of information
research