Quality Management Module for Peer Review

Quality Management is a process by which the appropriateness and effectiveness of medical care is evaluated. It is used to identify indications for intervention, analyze undesirable outcomes of treatment, assess functionality after intervention, and identify opportunities for improvement. Improvement in the quality of medical care can be measured by presenting care providers with specific opportunities to improve and by monitoring their progress over time.

The Quality Management module is an automated and efficient quality event data collection, reporting, and analysis tool. Quality issues that occur on a patient such as clinical complications, unexpected outcomes, and medical management issues can be documented, attributed to individual physicians, and tracked through a peer review process. The Quality Management module also supports user-defined fields to supplement the data collection process. Final disposition of the event can be accessed immediately in detailed standard or user-defined reports, graphs and profiles or followed over time to establish patterns and trends.

Specific areas of quality concern such as transfusions, critical care, medical record clinical pertinence, drug usage, obstetrics, and neonatal care are addressed in separate functions in the Quality Management subsystem, each with the ability to create user-defined fields for supplemental data collection.

Features and Benefits

Quality events, reviewer comments, and the significance of the outcome to the patient are attributed to multiple physicians, medical staff specialties, and services
Review quality indicators in profiles or graphs and sort by physician, services, or specialty
Ensuing reviews are tracked through the peer review process to final disposition and standard of care assignment
Track the review process simultaneously from multiple committees to final resolution
Question and comment templates for physician review are user-defined to facilitate the peer review process
Prepare for committee and department meetings with rules-based identification of pending review
Peer review worksheets are available for department or service review and can be attached to medical staff meeting minutes
User-defined SmarTrack™ Rules alert quality reviewers to readmissions or other user-defined criteria
Review processes and indicator trending for blood, drug, surgery, critical care, obstetrics, and neonatal
Analyze cases by procedure, diagnosis, DRG, or other user-defined criteria
Customize automated quality indicators and profiles

"Licking Memorial Hospital in Newark, Ohio has been able to tap into the flexibility of the MIDAS+ system. We are able to monitor our community case management population, even if they are not already in the system. Also, when we want to collect new data and there isn't already a module for it, you can create your own focus module!"

Debbie L. Murphy
CPHIMS, Director of Process Improvement,
Licking Memorial Hospital,
Newark, OH