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Wiley InterScience

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Reflections on a Decade of Outcomes Management in Women's Services
Susan Houston, RN, PhD, CNAA 1 Robin Fleschler, RN, MSN, CNS, Perinatal NP 2 , Rosemary Luquire, RN, PhD 3
  1 Susan Houston is an assistant vice president, clinical management and outcomes research, at St. Luke's Episcopal Hospital, Houston, TX.   2 Robin Fleschler is a clinical nurse specialist and perinatal nurse practitioner. She is a doctoral candidate at the University of Texas at Austin School of Nursing.   3 Rosemay Luquire is the senior vice president, patient care, and chief quality officer at St. Luke's Episcopal Hospital, Houston, TX.
 Address for correspondence: Susan Houston, RN, PhD, CNAA, St. Luke's Episcopal Hospital, 6720 Bertner Ave., Houston, TX 77030.
Copyright 2001 by NAACOG, a division of the American College of Obstetricians and Gynecologists
KEYWORDS
Cesarean • Outcomes • Reimbursement • Risk • Women

ABSTRACT

Outcomes management was theorized as a strategy for redesigning and continually enhancing interdisciplinary health care processes through the use of outcomes measurements. Regardless of the rapidly changing and oftentimes turbulent health care environment, this strategy successfully facilitated positive outcomes in one women's service for 10 years. Outcomes affected during these years included reduction in cost per case, length of stay, infant prematurity, and cesarean delivery rates.


Accepted: August 2000

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1552-6909.2001.tb01525.x About DOI

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