Quality medicine initiative

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Quality
Medicine Initiative (IQM)
legal form Registered association
founding 2008
founder 15 hospital carriers
Seat Berlin
motto "Consistently transparent"
main emphasis Improving the quality of treatment in the hospital and patient safety
method Calculation of quality indicators, publication of the results and implementation of peer reviews
Action space Germany and Switzerland
Members 500 German and Swiss acute clinics
Website www.initiative-qualitaetsmedizin.de

The Quality Medicine Initiative ( IQM ) is a cross- agency and transnational association founded in 2008 in which around 500 hospitals from Germany and Switzerland are currently committed to improving quality in medicine and patient safety.

founding

Fifteen hospital operators joined forces in 2008 and the Quality Medicine Initiative e. V. (IQM) founded. The founding initiators include the Helios Kliniken GmbH, the Johanniter GmbH non-profit society for social institutions, the Hannover Medical School (MHH), the MTG Malteser Trägergesellschaft gGmbH, the SRH Kliniken GmbH, the Carl Gustav Carus University Hospital Dresden at the TU Dresden, the association Professional association clinics, the University Hospital Basel and the Berlin Medical Association . The Charité - Universitätsmedizin Berlin, Damp Holding AG, Gesundheit Nordhessen Holding AG, Klinikum Saarbrücken gGmbH, Klinikum St. Elisabeth Straubing GmbH and Ludwig-Maximilians-Universität München were added as further founding members in 2009.

Quality methodology

The IQM methodology for improving medical quality is based on three principles to which the IQM members voluntarily commit themselves:

  • Measurement of the quality of medical results based on routine data
  • Transparency through publication of the quality results
  • Improving the quality of medical treatment through peer reviews

IQM uses quality indicators from routine data to calculate the quality of results. The so-called IQI (Inpatient Quality Indicators) are determined from the billing data of the hospitals (§21 KHEntgG data set in Germany and BFS data set in Switzerland) and the medical documentation data contained therein (ICD ‐ 10, OPS). In this way, information from the hospitals' performance is recorded and the quality of care is measured as a result. Country-adapted versions of the inpatient quality indicators are available for Germany (G-IQI), Switzerland (CH-IQI) and Austria (A-IQI).

The results are published on the websites of the member clinics in German, English and French. Statistically conspicuous results lead to interdisciplinary and interprofessional peer reviews being carried out in the corresponding hospitals. As part of these peer reviews, doctors and nurses trained in accordance with the curriculum of the German Medical Association analyze selected files from inpatients on-site in the clinics in accordance with defined criteria for possible optimization potential. This potential for optimization is discussed in a friendly dialogue with the clinics visited and possible quality-assuring improvement measures are formulated.

partner

IQM works with stakeholders from the healthcare sector:

  • The G-IQI / CH-IQI are being further developed at the Institute for Technology and Management (ITM) of the TU Berlin with the participation of IQM members, specialist societies and the Swiss Federal Office of Health
  • Medical societies and health insurances participate in the further development of the methodology of the quality indicators on the basis of routine data
  • BMG Austria is a funding partner of IQM
  • The FOPH Switzerland cooperates and supports the further development of the quality indicators
  • IQM contributes to the AOK Scientific Institute (WIdO) as part of the further development of cross-sector quality measurement
  • The German Medical Association and other state medical associations support the implementation of peer reviews
  • H + The Hospitals of Switzerland is committed to establishing the IQM methodology in Switzerland

Publications

  • F. Dormann, J. Klauber, R. Kuhlen (Eds.): Quality Monitor 2019, ISBN 978-3-95466-403-0
  • F. Dormann, J. Klauber, R. Kuhlen (Eds.): Quality Monitor 2018, ISBN 978-3-95466-348-4
  • Maria Eberlein-Gonksa, Jörg Martin, Josef Zacher (eds.): IQM manual - consistently transparent - quality with routine data !, MWV Berlin, 2nd edition, 2017, ISBN 978-3-95466-115-2
  • Jörg Martin, Oda Rink, Josef Zacher (eds.): IQM manual - consistently transparent, MWV Berlin, 1st edition, 2014, ISBN 978-3-95466-063-6
  • Yearbook Quality Medicine / Initiative Quality Medicine, MWV, 2010–2012, continued as a monograph under the title: Handbuch IQM

Individual evidence

  1. Thomas Mansky, Ulrike Nimptsch, Andre Cools, Friedhelm Hellerhoff: G-IQI | German Inpatient Quality Indicators Version 5.1. Structural Development and Quality Management in Healthcare Technical University Berlin, July 2017, accessed on April 20, 2018 (German).
  2. Quality indicators of the Swiss acute hospitals. (No longer available online.) Archived from the original on July 14, 2018 ; accessed on April 20, 2018 . Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.bag.admin.ch
  3. Result quality measurement | BMSGK. Retrieved April 20, 2018 (German).
  4. Oliver Boy et al: Curriculum Medical Peer Review. In: German Medical Association. German Medical Association, 2013, accessed on April 20, 2018 (German).
  5. ^ Interprofessional Peer Reviews. (No longer available online.) Formerly in the original ; accessed on April 20, 2018 .  ( Page no longer available , search in web archivesInfo: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice.@1@ 2Template: Dead Link / www.hplus.ch  
  6. Quality Monitor 2018 (pdf, 9.84 MBytes)