Affiliations: Informatics Institute, Department of Cybersystems and
Information Security (CSIS), Auburn University at Montgomery, Montgomery, AL
36124 USA | M.D., Associate Professor of Medicine, University of
Alabama at Birmingham (UAB), Baptist Medical Center South, Montgomery AL 36116
USA
Abstract: This applied research paper implements a practical methodology
about how to assess and improve patient-centred quality of care in the light of
nationwide healthcare quality mandate to disseminate and utilize results for
the "most bang for the buck". Patient-centred quality of care risk assessment
and management are inseparable aspects of healthcare in a hospital, yet both
are frequently overlooked. In the State of Alabama, a 2004 study by the Kaiser
Family Foundation found substantial dissatisfaction with the quality of
healthcare as well as other related national reports and managing insurance
companies. The primary author's automated software, Risk-O-Meter (RoM),
supported by a simulation analysis to verify the analytical outcomes, will
provide a patient-centred metric of hospital health-care risk, and risk
mitigation advice for vulnerabilities and threats associated with automated
management of healthcare quality in a hospital or clinic. The RoM will be
demonstrated to assess and enhance quality in the case of an ambulatory or
non-ambulatory patient seeking healthcare at local hospitals. The Risk of
Service (RoS) metric out of a 100% will be followed up by a remedial
cost-optimized game-theoretic analysis about how to mitigate an undesirable
risk to a tolerable level by determining what first priority precautions to be
taken. The primary goal of this survey paper is to evaluate a random sample of
15 subjects' questionnaires from various corners of the State of Alabama so as
to indicate the practical applicability of this software with tangible results.
These questionnaires have been examined by the RoM automated software algorithm
resulting with conclusive risk measures and what to do toward a cost-effective
risk mitigation and remedial action.
