1. Measuring Healthcare What to Measure and Why
Alexandra Blaha

2. 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

3. 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

4. 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

5. 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

6. 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

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

8. 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

9. 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

10. 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