The Science Journal of the American Association for Respiratory Care

2006 OPEN FORUM Abstracts

THE EVALUATION OF QUALITY ASSURANCE AND THE SERVICE DOMAIN IN CARDIAC AND PULMONARY REHABILITATION

P.D. Hoberty, EdD, RRT, Respiratory Therapy Division, School of Allied Medical Professions, The Ohio State University, Columbus, Ohio.

Background: Little is known about the quality assurance methods used in cardiac and pulmonary rehabilitation. Also, little is known about to what extent the service domain is evaluated and what methods are employed. Knowledge of what is being done in these regards may facilitate programs effectively and efficiently measuring these parameters.

Methods:
A written questionnaire was mailed to 1/3 of the programs (approximately 400) in both cardiac and pulmonary rehabilitation listed in the AACVPR Program Guide 2004. The survey included questions that would add to the knowledge of the extent of practice and methods. 12 components of quality assurance were listed and 14 components of patient satisfaction were assessed as to frequency of use. It was pilot tested and revised.

Results:
The usable return rate was 48%. Program directors of both types of programs claimed daily formal assessment of most of the 12 areas listed for quality assurance. The three highest being the assessment of adverse events, safety and patient satisfaction. The lowest use was in the areas of efficiency, timeliness and continuity of care. The service domain was assessed at a rate comparable to the other three: health, clinical and behavioral domains. Patient satisfaction was the most commonly assessed component of the service domain with more than 90% of both types of programs measuring program effectiveness, overall program quality and friendliness of staff. Managers most commonly sighted the acquisition of new equipment as an end result of patient satisfaction assessment.

Conclusions:
There was surprising similarity to the results from programs in cardiac and pulmonary rehabilitation.Quality assurance is very frequently assessed in both. Concern for adverse events, safety and patient satisfaction predominate.

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