2. • The realization of goals and objectives is
based on the accuracy of the judgements
and inferences made by decision-makers
at every stage. To arrive at a good
decision the test, measurements and
evaluation are being used in all situations.
Thus evaluation has become a part and
parcel of every system to determine the
achievement of goals in a given period.
3. • Evaluation: Evaluation is an act or
process that allows one to make a
judgement about the desirability or
value of a measure.
• self evaluation: Self evaluation is an
evaluation of one's own abilities and
failings
4. • Peer evaluation: Peer evaluation is a
process by which one's colleagues
assess his quality and accuracy.
• Patient satisfaction: Patient
satisfaction is defined as the extent of
the resemblance between the
expected quality of care and the
actual received care.
5. • The term evaluation is derived
from the word valoir which means
“to be worth”. Thus evaluation is
the process of judging the value or
worth of an individual‟s
achievements or characteristics.
6. • It is an act or process that involves
the assignment of a numerical index
to whatever is being assessed.
• Evaluation is an act or process that
allows one to make a judgement
about the desirability or value of a
measure.
7. DEFINITION
• Self evaluation is defined as judging
the quality of one‟s work, based on
evidence and explicit criteria, for the
purpose of doing better work in the
future.
8. • Self evaluation is defined as looking
at progress, development and
learning to determine what has
improved and what areas still need
improvement. Usually involves
comparing a "before" situation with a
current situation.
-Riley guide
9. • Self evaluation is an evaluation of
one's own abilities and failings
- Reverse dictionary
10. • To encourage continuing self-
evaluation and reflection and to
promote an ongoing, innovative
approach.
• To encourage individual professional
growth in areas of interest to the
employee
11. • To improve morale and motivation by
treating the employee as a
professional in charge of his or her
own professional growth.
• To encourage collegiality and
discussion about practices among
peers in an organization
• To support employees as they
experiment with approaches that will
move them to higher levels of
performance
12. • Increased confidence in their own
learning, in trying out new ideas, in
changing their practice and in their
power to make a difference.
13. • Enthusiasm for collaborative working,
despite initial anxieties about being
observed and receiving feedback
• Improved team-work and greater
flexibility in their use of their skills
• Increased awareness of new
techniques and greater insight into
thinking
• Enhanced planning skills to ensure
more effective task management.
14. • Staff annual professional review
procedures
• Observation can involve experts; can be
informal or formal procedures. Feedback
from such observation is very valuable, but
must be handled sensitively
• Checklist: provides guidance for collection
of relevant evidence used to determine the
merits, worth or significance of a self
16. INTRODUCTION
• In response to the public„s clamor for
improved care quality, some nursing
organizations instituted peer review as one
method for increasing nurses
accountability for effective decision-
making and interventions
17. • Peer evaluation is a process by which
one's colleagues assess his quality and
accuracy.
• Peer review is a process by which
employees of the same rank, profession,
and setting evaluate one another‟s job
performance against accepted standards.
- O‟ Loughlin and Kaulbach
18. • An organized effort whereby practicing
professionals review the quality and
appropriateness of services ordered or
performed by their professional peers.
- American Nurses Association
19. • Short but objective method
• Trained observers
• Constructive feedback for faulty
development
• Open communication and trust
20. • Direct observation
Observation is the most frequent method
used. The peer-observer may be only
passively present, or may be actively
engaged in the class while still serving the
observation process. Selecting a peer
observer can be difficult.
• Evaluation of course materials
22. • The peer evaluation process may be
developed using three phases of
establishing a peer review
programme:
I. Familiarization
II. Utilization
III. Internalization
24. • Improves team work
• Encourage group members
involvement and responsibilities
• Encourage peers to reflects on their
role and contribution to the process of
group work.
25. • Focuses on the development of
judgement skills
• Provides more relevant feed back to
the students as it is generated by
their peers.
• Give opportunities for the hidden
leaders to be selected
26. • Threats to friendship bias
• Time consuming
• Artificially inflated.
• Peers feels ill equipped to undertake the
assessment.
• Reluctance to make judgement regarding
their peers
28. • Consumers of health care services demand
quality care. Patient satisfaction has been
used as an indicator of quality services
provided by health care personnel. The most
important predictor of patients overall
satisfaction with hospital care is particularly
related to their satisfaction with nursing care.
In recent years, the focus on consumerism in
a highly competitive environment has led to
increased interest in measuring patient
satisfaction with health care
29. • Patient satisfaction is defined as a health
care recipients reaction to salient aspects
of the context, process, and result of their
service experience.
- Pascoe (1983)
• Patient satisfaction is defined as the extent
of the resemblance between the expected
quality of care and the actual received
care.
- Scarding (1994)
30. NEED FOR EVALUATING
PATIENT SATISFACTION
• Data about patient satisfaction equips
nurses with useful information about
the structure, process and outcome of
nursing care.
• It is a requirement for therapeutic
treatment and is equivalent to self
therapy.
31. • Postal Surveys – Questionnaires
Questions must be carefully designed
so that they are clear concise and
relevant
32. • Cost effective.
• Specific segments can be easily
targeted.
• Wider sample distribution possible.
• Encourages high response rate.
• Visuals may be used.
• Little bias.
33. • Patient/client anonymity.
• Respondents given time to complete.
• Can use validated survey
instruments.
• Qualitative comments can be
included.
• Can be administered by independent
external agencies.
34. • Difficulties associated with procuring
an accurate list of client/patient
details.
• No opportunity for explanation or
follow up questions.
• Potential to excludes sections of the
population.
35. • Provides limited opportunities for
large numbers of community
members to participate in the
process.
• Does not allow for the exchange of
ideas and discussion.
• Reliability dependent on timing.
36. • A structured document, using closed
or open ended questions that can be
self administered or interviewer
administered.
• Designed to elicit Patient/client
feedback on certain dimension of
quality / aspects of care.
37. • Agenda can be set by Organisation.
• Allows for collation of both qualitative
and quantitative data.
• Relatively inexpensive.
• Qualitative comments can be
included.
38. • Questions must be carefully designed so
that they are clear concise and relevant.
• The choice of response options can affect
how people think and respond to
questions.
• Generally require software support to
record results.
• Potential to excludes sections of the
population.
39. • Evaluation of the programs and activities
of various departments including
outpatient care, inpatient care, overall
health education activities of the hospital
• Evaluation of the various resources
available in the hospital for effective
health care
40. • Evaluation of effectiveness of hospital
personnel including medical, paramedical,
nursing as well as non-medical employees of
the hospital.
• Services are relevant to the needs of the
population it serves.
Patient satisfaction with nursing care is
important for any health care agency
because nurses comprise the majority of
health care providers and they provide care
for patients 24 hours a day.
41. • The utilization review program includes
determining appropriate hospital length of
stay and necessary treatments for various
illnesses and conditions and reviewing
patient medical records on admission
and at intervals during hospitalization to
ensure that the patient receives
appropriate care.
42. • Utilization review is an assessment of the
appropriateness and economy of an admission
to a health care facility or a continued
hospitalization. The length of the hospital stay
also is compared with the average length of
stay for similar diagnoses.
- Mosby's Medical Dictionary, 8th ed.
43. • The main aim is to curb the exploding
health care costs with conservative use of
hospitalization and expensive diagnostic
and treatment procedures.
• They work in liason with a business
organization to provide healthcare
services to the organization‟s employees
at discounted rates.
44. • Cost containment to limit each patient„s
diagnostic and treatment measures to the
fewest, least expensive procedures that
will relieve patient symptoms, avert costly
complications, and return the patient to
fullest possible function in the shortest
time possible.
45. • A utilization review nurse is a registered
nurse who reviews individual medical cases
to confirm that they are getting the most
appropriate care. These nursing
professionals can work for insurance
companies, determining whether or not care
should be approved in specific situations,
and they can also work in hospitals
46. • A Bachelor‟s Degree in Nursing; five (5)
years of clinical care or nursing
experience; OR an equivalent combination
of education and experience AND (2) two
years experience Utilization Review.
Certification in Utilization Review or
Utilization Management is preferred
47. • Obtains and evaluates medical records for
in-patient admissions to determine if
required documentation is present.
• Obtains appropriate records as required
and initiates Physician Advisories as
necessary for unwarranted admissions.
• Conducts on-going reviews and discusses
care changes with attending physicians
and others.
48. • Formulates and documents discharge plans.
• Provides on-going consultation and
coordination with multiple services within the
hospital to ensure efficient use of hospital
resources
• Identifies pay source problems and provides
intervention for appropriate referrals
• Coordinates with admitting office to avoid
inappropriate admissions.
49. • Coordinates with clinic areas in scheduling
specialized tests with other health care
providers, assessing pay source and
authorizing payment under Medically
Indigent Adult program as necessary.
• Reviews and approves surgery schedule
to ensure elective procedures are
authorized.
• Coordinates with correctional facilities to
determine appropriate use of elective
procedures, durable medical goods and
other services.
50. • Performs utilization review in accordance
with all state mandated regulations.
Maintains compliancy with regulation
changes affecting utilization management.
Reviews patients‟ records and evaluates
patient progress. Performs continuing
review on medical records and
identification and need of on-going
hospitalization.
51. • Obtains and reviews necessary medical
reports and subsequent treatment plan
requests to conduct review Reviews and
validates physician‟s orders, reports progress
and unusual occurrences on patients. Ensures
appropriate and cost-effective healthcare
services to patients.
• Documents review information in computer.
Communicates results to claims adjusters.
Enters billing information for services.
Prepares information for notification letters for
providers and employees.
52. • Records and reports all information within
scope of authority Performs administrative
duties; receives, logs in and files a variety
of reports, client charts, client interactions
and other documents. Performs other
duties as assigned or required.