1. Hospital Reports: A CEO’s Perspective Presented to: 2004 alPHa Annual Conference June 14 th, 2004

2. Presentation Overview Why Undertake Such an Initiative What Exactly is a Hospital Report What Lessons Have We Learned What Advice Can Be Shared

3. Why? To Support Quality Improvement Efforts in Hospitals To Help People in Ontario Better Understand the Performance of Hospitals To Support Accountability Requirements

4. What? Four Partners Ontario Hospital Association Ministry of Health and Long Term Care Canadian Institute of Health Information University of Toronto Hospital Report Research Collaborative

5. Four Reports Acute Care Emergency Complex Continuing Care Rehabilitation

6. Four Areas of Hospital Performance System Integration & Change Clinical Utilization & Outcomes Patient Satisfaction Financial Performance and Condition

7. System Integration & Change Organization’s Ability to Adapt to Change Information Technology Hospital-Community Relations Work Processes

8. Clinical Utilization & Outcomes Access to Hospital Services Clinical Efficiency Quality of Care

9. Patient Satisfaction Perceptions of Overall Quality of Care Outcomes of Care Unit-Based Care

10. Hospital Report – Acute Care Summary

11. Hospital Report Emergency Care Summary

12. Financial Performance & Condition Financial Health Efficiency Management Practices Human Resource Allocations

13. Lessons Learned Extremely Valuable Easy to Collapse Under Weight of Data Streamlined Reporting Timeliness and Quality of Data Support to Participants Everybody Wins

14. Advice Do It!! Remember, You Can’t Be Perfect Know Your Objective(s), and Frame Tools Accordingly Commit for the Long Term Keep the Dust Off Use it as QI Tool, NOT for Unit to Unit Comparisons