Quality assurance (QA) has become an important aspect in monitoring the quality of care provided by health care organizations. Used initially as a method for monitoring inpatient care, QA is now firmly establishing itself in outpatient care. Results of an informal survey of Army optometry clinics demonstrated that modern QA procedures are not being fully utilized. Based upon the requirements of the Joint Commission on Accreditation of Healthcare Organizations and the Army, a comprehensive QA program was developed for Army optometry. This program included methods for the monitoring and evaluation of care, the peer review of medical records, and the measuring of patient satisfaction. Sample indicators, criteria, and threshold levels were developed. A patient satisfaction survey and all materials needed for data collection were also designed. The optometry QA program was tested successfully at a major Army medical center with minimal complications. This program, with only minor modification, would serve as a useful model for any optometry clinic interested in beginning a QA program.
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