Quality control and quality assurance of medical committee performance in the Israel Defense Forces

Abstract

The paper highlights methods that can be used to assess disability screening, sports medicine committees and primary care setting procedures.

Cardiac anomalies and associated comorbidities in a large adolescent population

“…At the end of their medical process, a medical profile and appropriate Functional Classifications Codes (FCCs) describing the medical status and its severity, are assigned to each recruit and stored in a computerized database (Appendix 2). The FCCs are similar to the International Classification of Diseases (ICD) coding, but also include an element of occupational classification [12]. Definitions of the relevant common medical conditions are described in Appendix 3.…”

“…To ensure a uniform medical baseline, we focused on conscripts who completed the medical profiling process at the age of 16-19 years, and had valid height and weight measures. Only the northern recruitment center of Israel was chosen due to its stringent assessment and reliability of its medical data collection [12], [13], [14].…”

“…The general non-cardiac conditions examined comprised most of the non-cardiac disease encountered among the study population [12]. While we expected to verify established relationships, more importantly, we evaluated the association between each medical condition and the cardiac anomaly group, while adjusting for the other medical conditions thereby generating a relative risk.…”

From a Quality Assurance and Control System for Medical Processes, Through Epidemiological Trends of Medical Conditions, to a Nationwide Health Project

“…Reports also allow a comparison between the performance of the medical personnel within and between the recruitment centers and across a longitudinal time axis. Furthermore, since medical profiles and FCCs are indicators of medical conditions among recruits, an epidemiological investigation of the profile distribution and prevalence of FCCs can be performed, providing inter-and intra-recruitment center analysis (Chaiter et al, 2010). This valuable information can be related to or crossed with gender, geographical area, country of origin, ethnicity, socio-economic background, education, and morbidity trends in the general population in Israel and other countries.…”

“…The medical profile reflects the recruit's current health status and is used by the Personnel Directorate to assign a military position that is consistent with that health status. Similar to coding systems like the International Classification of Diseases (ICD), Medical FCCs describe disorders, their severity, and determine the profile (Chaiter et al, 2010).…”