Measuring Healthcare What to Measure and Why Alexandra Blaha

Leadership Determines What to Measure What aspects of the organization are critical to its success? What expenses are most and least profitable? How can excellent patient outcomes be achieved efficiently and economically? What variables influence patient satisfaction? 12/27/2018 AMSB

Measures Define Quality Care Measures should establish benchmarks for preventative processes Sterilization, fall prevention, reducing LOS Define your measure Collect data to monitor trends Compare against benchmarks Analyze data 12/27/2018 AMSB

Measures Inform Financial Decisions Data drives decisions Tracking the right data can offer leadership important information LOS and Readmission When leadership understands clinical care, financial decisions are not made in a void 12/27/2018 AMSB

Measures and Purchasing Decisions Intelligent decisions cannot be made without an understanding of the other expenditures and the impact on patient outcomes Leadership has to determine the relative value to the organization 12/27/2018 AMSB

Measures and Patient Safety Collected for accreditation National programs assess and improve the quality of healthcare CMS, IHI 100,000 patient lives, National Patient Safety Goals initiative of JCAHO 12/27/2018 AMSB

Quality Methodology for Performance Improvement PDCA Cycle Six Sigma 12/27/2018 AMSB

Developing a Performance Improvement Plan Develop a prioritization matrix to help decision makers evaluate competing issues for performance improvement Many projects are mutually exclusive 12/27/2018 AMSB

Monitoring Variation from the Standard Internalize each standard and do it right before expensive events or complications occur Measuring variation allows for leadership to develop criteria with which to objectify the distance between the gold standard of care and actual practice 12/27/2018 AMSB

Understanding Patient Flow Leadership must create the most productive way to monitor patient flow via measures To attract patients care must be competent Breakdown the silos and view the patient along the continuum of care 12/27/2018 AMSB