Table 3 Outcomes of implementation of quality indicators by centre (% of positive answers)
From: Quality indicators in headache care: an implementation study in six Italian specialist-care centres
Bologna | Firenze | Modena | Padova | Roma Campus Bio-Medico | Roma La Sapienza | |
|---|---|---|---|---|---|---|
A1. Duration of complaint recorded | 100 | 88 | 98 | 100 | 90 | 100 |
A2a. Diagnosis recorded | 100 | 98 | 100 | 100 | 98 | 100 |
A2b. ICHD terminology used | 100 | 98 | 100 | 100 | 97 | 100 |
A3. Working diagnosis at first visit recorded | 100 | 98 | 100 | 100 | 98 | 100 |
A4. Definitive diagnosis or appointment for review | 100 | 98 | 100 | 100 | 100 | 100 |
A5. Routinely diagnostic review during follow-up (physicians) | 100 | 100 | 100 | 100 | 100 | 100 |
A6. Diagnostic diaries available (physicians) | 100 | 75 | 100 | 100 | 100 | 100 |
B1a. Waiting-list times are recorded in database | 0 | 0 | 0 | 0 | 0 | 0 |
B1b. Formal triage system exists (physicians) | 100 | 75 | 100 | 100 | 100 | 100 |
B2a. Mean time per visit – 1st visits (minutes) | 49 | 34 | 33 | 26 | 33 | 32 |
B2a. Mean time per visit – follow up visits (minutes) | 29 | 17 | 28 | 22 | 29 | 20 |
B2b. Satisfaction with time per visit (patients) | 97 | 90 | 87 | 95 | 97 | 92 |
B2c. Satisfaction with time per visit (physicians + HCPs) | 100 | 83 | 100 | 100 | 100 | 100 |
B3. Frequency of symptoms is recorded | 100 | 97 | 82 | 100 | 100 | 100 |
B4. Prescribed drugs (names, doses and quantities) are recorded | 100 | 95 | 87 | 100 | 100 | 100 |
B5a. Access route to psychological therapies exists (physicians) | 0 | 100 | 0 | 100 | 100 | 100 |
B5b. Utilisation of psychological therapies is recorded | n/a | n/a | n/a | n/a | 100 | 100 |
B6a. Instrument for disability assessment is available (physicians) | 0 | 75 | 80 | 100 | 0 | 0 |
B6b. Instrument for disability is appropriate in the setting (physicians) | n/a | 75 | 80 | 100 | n/a | n/a |
B6c. Disability is recorded | 0 | 0 | 0 | 0 | 0 | 0 |
B7a. Follow-up appointment dates appear in central service records | yes | yes | yes | yes | yes | yes |
B7b. Follow-up diary/calendar is available (physicians) | 100 | 100 | 100 | 100 | 100 | 100 |
C1. Referral pathway from primary care exists (physicians) | 100 | 100 | 100 | 100 | 0 | 100 |
C2. Urgent referral pathway exists (physicians) | 100 | 100 | 100 | 0 | 100 | 100 |
D1. Patient is satisfied with information given | 97 | 90 | 85 | 93 | 95 | 97 |
D2. Patient is satisfied with reassurance given | 85 | 85 | 82 | 87 | 87 | 95 |
E1a. Patient is satisfied with cleanliness and comfort | 87 | 52 | 80 | 83 | 95 | 92 |
E1b. Physicians and HCPs are satisfied with cleanliness and comfort | 67 | 50 | 100 | 100 | 100 | 100 |
E2. Patient is satisfied with welcome | 83 | 68 | 88 | 90 | 98 | 88 |
E3a. Mean waiting time – 1st visits (minutes) | 15 | 9 | 11 | 10 | 8 | 11 |
E3a. Mean waiting time – follow up visits (minutes) | 15 | 9 | 20 | 5 | 5 | 25 |
E3b. Patient is satisfied with waiting times | 70 | 73 | 70 | 73 | 82 | 68 |
E3c. Physicians and HCPs are satisfied with waiting times | 11 | 50 | 57 | 80 | 80 | 100 |
F1. Patient is satisfied with overall management | 83 | 80 | 78 | 90 | 95 | 90 |
G1. Protocol to limit wastage exists (physicians) | 100 | 25 | 100 | 100 | 100 | 100 |
G2. Record of input costs exists (physicians) | 100 | 50 | 100 | 0 | 100 | 100 |
G3. Policy to ensure equal access exists (physicians) | 100 | 100 | 100 | 100 | 100 | 100 |
H1a. An outcome measure (HURT or similar) exists (physicians) | 0 | 0 | 40 | 100 | 0 | 0 |
H1b. Outcomes are recorded | 0 | 0 | 0 | 100 | 0 | 0 |
H2a. An outcome measure (HALT or similar) exists (physicians) | 0 | 75 | 80 | 0 | 0 | 0 |
H2b. Outcomes are recorded | 0 | 0 | 0 | 0 | 0 | 0 |
H3a. An outcome measure (WHOQoL or similar) exists (physicians) | 0 | 0 | 0 | 0 | 0 | 0 |
H3b. Outcomes are recorded | 0 | 0 | 0 | 0 | 0 | 0 |
I1. Prescribed drugs (names, doses and quantities) are recorded | 100 | 95 | 87 | 100 | 100 | 100 |
I2a. Serious adverse events are recorded | 0 | 0 | 0 | 0 | 0 | 0 |
I2b. Protocol for reporting serious adverse events exists (physicians) | 100 | 75 | 100 | 100 | 100 | 100 |