1. The Basics of Performance Measurement for Quality Improvement: An Example From the Field Betty Cabrera, M.Ed. and Sharon Walker, Ph.D. UT Southwestern Medical Center at Dallas DFAN/Youth Angle – Part D

2. Introduction UT Southwestern Medical Center Dallas Part D (8 subcontracts + UT) since 1989  Clinical (3)  Support Services (4)  Outreach/Education (1) Youth Initiative Part D (8 subcontracts + UT) - 2001  Clinical (3)  Support Services (2)  Outreach Casefinding/Education (4)

3. Evolution at UT Our Reasons for Measuring Care Indicator Scope  Where we started  How we progressed  Also looked at psychological/ emotional health  Sometimes indicators come to you

4. Network Indicator Priorities (Part D) Network spanning indicators Data system indicators Information is everywhere  Are you asking the right questions to retrieve the information that can benefit your service(s)?

5. Improvability Key At UT Is this indicator within our control?  Have we identified the influencing factors of indicator performance? (environment, resources, personnel, etc.)  Can the performance rate realistically be improved given the limitations of services and population?

6. Buy-In (Indicator Definition) Tips 1.Be inclusive (of staff and consumers) when developing an indicator to create ownership Respect what agencies are currently doing 2.Set specific and manageable time-frames in indicator definitions 3.Not adding to a time burden 4.Analyze and provide feedback in a timely manner 5.Enthusiasm is key

7. Tips for the Electronic Era Not having a fully operational data collection system doesn’t exclude the use of program evaluation questionnaires, patient & provider satisfaction surveys, review of activity calendars…

8. Frequency Test/Retest = Seasonal variation  When you trend over time, seasonal patterns of access become apparent. Service availability can be adjusted accordingly.

9. National HIVQUAL Data Reports Network agencies and providers see where local services “fit” in the national picture. Are we meeting or exceeding national standards? Having local “brag rights” is a Network ego booster!

10. Lessons Learned: 1. Start small use information that is available. 2. Provide results as quickly as reasonable don't wait until the end of the year. 3. Celebrate success even if they are small. 4. KISS

11. Contact Information Betty Cabrera – betty.cabrera@childrens.combetty.cabrera@childrens.com Sharon Walker- sharonwalker@generationscenter.org