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Monitoring and assessing the quality of care for youth: developing an audit tool using an expert consensus approach.

Puszka S, Nagel T, Matthews V, Mosca D, Piovesan R, Nori A, Bailie R - Int J Ment Health Syst (2015)

Bottom Line: Audit items comprise key measures of processes and outcomes of care for Indigenous youth, as determined by the expert reference group.Pilot testing and user feedback highlighted the importance of feasibility and context-specific considerations in tool development and design.The youth health audit tool provides a first step in monitoring, assessing and improving the way Indigenous primary healthcare services engage with and respond to the needs of youth.

View Article: PubMed Central - PubMed

Affiliation: Menzies School of Health Research, PO Box 41096, Casuarina, NT 0810 Australia.

ABSTRACT

Background: The mental health needs of young people are often inadequately met by health services. Quality improvement approaches provide a framework for measuring, assessing and improving the quality of healthcare. However, a lack of performance standards and measurement tools are an impediment to their implementation. This paper reports on the initial stages of development of a clinical audit tool for assessing the quality of primary healthcare for Australian Indigenous youth aged 12-24 including mental health services provided within primary care.

Methods: Audit items were determined through review of relevant guidelines, expert reference group consensus opinion and specific inclusion criteria. Pilot testing was undertaken at four Indigenous primary healthcare services. A focus group discussion involving five staff from a health service participating in pilot testing explored user experiences of the tool.

Results: Audit items comprise key measures of processes and outcomes of care for Indigenous youth, as determined by the expert reference group. Gaps and conflicts in relevant guidelines and a lack of agreed performance indicators necessitated a tool development process that relied heavily on expert reference group advice and audit item inclusion criteria. Pilot testing and user feedback highlighted the importance of feasibility and context-specific considerations in tool development and design.

Conclusions: The youth health audit tool provides a first step in monitoring, assessing and improving the way Indigenous primary healthcare services engage with and respond to the needs of youth. Our approach offers a way forward for further development of quality measures in the absence of clearly articulated standards of care.

No MeSH data available.


Related in: MedlinePlus

Audit tool development process.
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Fig4: Audit tool development process.

Mentions: The audit tool underwent four major phases of development as the ERG considered an initial draft and results from pilot testing and user feedback processes (Figure 4). Time taken to complete the audit and user feedback on the length of the tool provided impetus to further prioritise audit items. The original One21seventy criteria for determining the inclusion of audit items (Figure 3) required refinement for the purpose of the youth health audit tool. Further prioritisation of audit items was determined by the ERG according to best practice service delivery for the prevention, screening or treatment for risk factors and conditions identified as priority issues for the health and wellbeing of IndigenousFigure 4


Monitoring and assessing the quality of care for youth: developing an audit tool using an expert consensus approach.

Puszka S, Nagel T, Matthews V, Mosca D, Piovesan R, Nori A, Bailie R - Int J Ment Health Syst (2015)

Audit tool development process.
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4499912&req=5

Fig4: Audit tool development process.
Mentions: The audit tool underwent four major phases of development as the ERG considered an initial draft and results from pilot testing and user feedback processes (Figure 4). Time taken to complete the audit and user feedback on the length of the tool provided impetus to further prioritise audit items. The original One21seventy criteria for determining the inclusion of audit items (Figure 3) required refinement for the purpose of the youth health audit tool. Further prioritisation of audit items was determined by the ERG according to best practice service delivery for the prevention, screening or treatment for risk factors and conditions identified as priority issues for the health and wellbeing of IndigenousFigure 4

Bottom Line: Audit items comprise key measures of processes and outcomes of care for Indigenous youth, as determined by the expert reference group.Pilot testing and user feedback highlighted the importance of feasibility and context-specific considerations in tool development and design.The youth health audit tool provides a first step in monitoring, assessing and improving the way Indigenous primary healthcare services engage with and respond to the needs of youth.

View Article: PubMed Central - PubMed

Affiliation: Menzies School of Health Research, PO Box 41096, Casuarina, NT 0810 Australia.

ABSTRACT

Background: The mental health needs of young people are often inadequately met by health services. Quality improvement approaches provide a framework for measuring, assessing and improving the quality of healthcare. However, a lack of performance standards and measurement tools are an impediment to their implementation. This paper reports on the initial stages of development of a clinical audit tool for assessing the quality of primary healthcare for Australian Indigenous youth aged 12-24 including mental health services provided within primary care.

Methods: Audit items were determined through review of relevant guidelines, expert reference group consensus opinion and specific inclusion criteria. Pilot testing was undertaken at four Indigenous primary healthcare services. A focus group discussion involving five staff from a health service participating in pilot testing explored user experiences of the tool.

Results: Audit items comprise key measures of processes and outcomes of care for Indigenous youth, as determined by the expert reference group. Gaps and conflicts in relevant guidelines and a lack of agreed performance indicators necessitated a tool development process that relied heavily on expert reference group advice and audit item inclusion criteria. Pilot testing and user feedback highlighted the importance of feasibility and context-specific considerations in tool development and design.

Conclusions: The youth health audit tool provides a first step in monitoring, assessing and improving the way Indigenous primary healthcare services engage with and respond to the needs of youth. Our approach offers a way forward for further development of quality measures in the absence of clearly articulated standards of care.

No MeSH data available.


Related in: MedlinePlus