Developing quality of care and resource utilization indicators to evaluate a mobile health outreach service (HAMSMaRT) in the Hamilton urban core
Local registry in low-resource settings in Hamilton collecting basic information about an existing community-based clinical program to screen and manage high-risk individuals in the community (homes or community clinics). The registry includes two arms: (1) individuals in hospital in Hamilton undergoing inpatient addiction treatment; and (2) individuals in the community who experience barriers to participating in standard health care delivery settings and processes.
To develop an evidence-based set of indicators that will be used to assess the impact of the HAMSMaRT mobile outreach service on quality of care and health resource use in order to improve the services provided. The specific objectives are to:
Observational – registry
For the retrospective chart review: Identify potential disease-specific quality of life indicators.
For the descriptive analysis: Identify major drivers of health resource use in the cohort and identify potential indicators of health system use.
For the qualitative study: Identify patient-centred quality of care indicators. For the Delphi study: Identify a final set of indicators from the groups identified in the retrospective review, retrospective analysis, and qualitative study.
Tim O’Shea, JD Schwalm