1. Module 4 Part 2 Selecting Measures
Adapted from:
The Institute for Healthcare Improvement (IHI), the Agency for Healthcare Research and Quality (AHRQ), and the Health Resources and Services Administration (HRSA) Quality Toolkits

2. Objectives Select measures for each AIM
Identify types of measures (outcome, process, balancing/structure)
Discuss the development of a family of measures for each aim, and access to data associated with those measures

3. Establishing Measures
Model for Improvement: How will we know that a change is an improvement?
Measurement is a critical part of testing and implementing changes
Measures tell a team whether the changes they are making actually lead to improvement
Measurement for improvement should not be confused with measurement for research

4. Selecting Measures
Why are well defined measures important?

5. What does the concept defining data measures mean?
Defining Measures
What does the concept defining data measures mean?
Data definitions
Observed data points / subjective
Patient-reported data / subjective
Measured data points / objective

6. Steps in Defining Measures
Defining what will be measured
Different types of measures comprise a “family”
Outcome
Process
Balancing or Structure

7. Include a Family of Measures
Using a family of measures
Rationale is to represent all areas of the quality of a problem
Defining a “family” of measures
Selecting a family of measures

8. Types of Performance Measures
Outcome
Process
Structure

9. Family of Measures Type of Measure Description Care Transition FOM
Outcome
Are the care interventions effective? Patient outcome, voice of the customer, system performance, length of stay, etc.
Medication reconciliation is accurate
Type of Measure
Description
Care Transition FOM
Outcome
Are the care interventions effective? Patient outcome, voice of the customer, system performance, length of stay, etc.
Medication reconciliation is accurate
Process
Are the steps in care delivery process working according to IOM STEEP quality criteria? Safe, timely, efficient, effective, equitably, patient-centered processes?
RN used skill-based teaching method at discharge in 100% of patients
Type of Measure
Description
Care Transition FOM
Outcome
Are the care interventions effective? Patient outcome, voice of the customer, system performance, length of stay, etc.
Medication reconciliation is accurate
Process
Are the steps in care delivery process working according to IOM STEEP quality criteria? Safe, timely, efficient, effective, equitably, patient-centered processes?
RN used skill-based teaching method at discharge in 100% of patients
Balancing
Using different clinical units, patient populations, or system characteristics to assess impact of a change
Cost of medication reconciliation process is neutral

10. Select measures for each AIM Include a FAMILY of operational measures
Summary
Select measures for each AIM
Include a FAMILY of operational measures
Outcome
Process
Balancing / Structure