Outcomes Assessment

  1. U.S. health care spending growth _______ in 2008
  2. Spending growth _______ for nearly all health care goods and services, particularly for hospitals.
  3. Prescription drug spending growth __________ from 4.5 percent to a percent in 2008.
  4. Drug prices ________ in 2008.
  5. Hospital spending growth ________ a certain percent in 2008. But was slowest rate sicne 1998.
  6. Winning approval for new drug development takes on average how long?
    15 years
  7. A ________ is a result of a process
  8. A ________ is a result that achieves the goal of the process.
    good outcome
  9. This is the attempt to identify, measure, and evaluate the end results of health care services.
    Outcomes research
  10. Goal for health care process

    Improving blood pressure and blood gas readings is?
    Improving patient's physiologic status
  11. Goal for health care process

    Premature death, secondary infections, return hospitalizations is doing what?
    Avoiding adverse effects of care
  12. Goal of health care process

    Shortness of breath and pain ?
    Reduce the patient's signs and symptoms
  13. Goal of health care process

    Ability to ambulate or climb stairs, anxiety about health, ability to work?
    To improve the patient's functional status and well-being
  14. Goal of health care process

    Good relations with staff and facilities?
    To achieve patient satisfaction
  15. Goal of health care process

    Avoid unnecessary treatments or diagnostic tests?
    To minimize the cost of care
  16. Goal of health care process

    To recruit new patients?
    To maximize revenues
  17. Three main categories of outcomes of medical care?


  18. Medical events that occur as a result of the condition or its treatment?
    Clinical outcomes
  19. The direct, indirect, and intangible costs compared with consequences of a medical intervention?
    Economic outcomes
  20. The patient function and well-being or health related quality of life
    Humanistic outcomes
  21. Why Outcomes (5 reasons)?
    • Public Policy- no one questioned Rx in old days
    • Purchaser demand- people want to know there is a value exchange. As choosing you as my pharmacist what's the value-what can you do for me?
    • Quality assurance- Assure the quality of what we do. When take prescription have to ensure quality.
    • Clinical Research- Efficacy and Effectiveness (does it do its job in a routine care basis).
    • Computerized Medical Record-depends on documentation. Some don't "talk" to each other.
  22. The systematic, quantitative observation, at a point in time, of outcome indicators.
    Outcomes measurement
  23. The repeated measurement over time of outcome indicators in a manner that permits causal inferences about what produced the observed patient outcomes.
    Outcomes monitoring
  24. The use of information and knowledge gained from outcome monitorying to achieve optimal patient outcomes through improved clinical decision making and service delivery.
    Outcomes management
  25. To describe in quantitative terms the impact of routinely delivered care on patients' lives.
    Reasons for Assessing Outcomes
  26. To establish a more accurate and reliable basis for clinical decision making (by clinicans and patients, 3rd party payers).
    Reasons for Assessing Outcomes
  27. To evaluate the effectiveness of care and to identify opportunities for improvement.
    Reasons for Assessing Outcomes
  28. To guard against dimishing quality in the service of increasing efficiency.
    Reasons for Assessing Outcomes
  29. Medications can have an important effect on patient outcomes and the use of other health care resources.
    Why Pharmacists
  30. Pharmacists are in a key position to assume a prominent role in the assessment of medications on patient outcomes and total health care.
    Why Pharmacists
  31. Pharmacists can and must be proactive in evaluating the quality and value of pharmaceutical care.
    Why Pharmacists
  32. Pharmacists must quantify cost savings achieved by providing pharmaceutical care.
    Why Pharmacists
  33. It has been suggested that health care purchasers in the future will use outcomes management to reward efficiency and effectiveness in the health care system.
    Why Pharmacists
  34. The description and analysis of the cost of drug therapy to health care systems and society.
  35. Pharmacoeconomic research identifies, measures, and compares the ______ and _______ of pharmaceutical products and services.
    Costs, Consequences
  36. Pharmacoeconomics uses _____ for examining the _______ of alternative drug therapies and other medical interventions.
    tools, impact
  37. The interest in ________ the value of medicines and services combined with economic concerns has led to this new field.
  38. Questions Pharmacoeconomics can help address?
    • -What drugs should be invluded on Medicaid formulary?
    • -What is the best drug for a particular patient?
    • -What is the best drug for a pharmaceutical manufacturer to develop?
    • -What is the benfit of a clinical pharmacy service?
    • -What are the patient outcomes of various treatment modalities?
  39. Potential Benefits of Pharmacoeconomics for Pharmacists?
    -Assess the value of the services and products pharmacists provide

    -Assist in choosing between competing treatment alternatives

    -Provide data necessary to make better medication uage decisions

    -Balance cost with quality and paitent outcome
  40. The magnitude of resources consumed.
  41. The monetary value of resources consumed in the care process.
  42. Costs associated with a medical intervention.
    Direct Medical Costs
  43. Hospital Care
    Direct Medical Cost
  44. Professional Services
    Direct Medical Cost
  45. Drugs and Supplies
    Direct Medical Cost
  46. Costs, other than direct costs borne by patients and their families as a direct results of illness or treatment.
    Direct nonmedical costs
  47. Transportation to site
    Direct nonmedical
  48. Lodging for family during treatment
    Direct nonmedical
  49. hiring help for home care
    direct nonmedical
  50. The cost of reduced productivity resulting from illness or treatment.
    Indirect costs
  51. Lost wages
    Indirect costs
  52. unpaid family assistance in the home
    indirect cost
  53. Hard to quantify, Costs related to pain and suffering.
    Intangible costs
  54. Impaired physical functioning
    Intangible cost
  55. decreased mental function
    Intangible costs
  56. The effects, outputs, outcomes of the service or drug therapy.
  57. The was from which the evaluation will be undertaken
Card Set
Outcomes Assessment