QUALITY MEASURES
If you were to set out with the goal of measuring overall quality and safety in a given healthcare organization, where would you begin? Any number of measures contribute to the picture. According to the Donabedian model, quality measures fall into three groups: those that deal with the structure (i.e., the setting in which care is provided), the process (i.e., how the care is provided), and the outcome (i.e., what resulted from care). To get a complete picture of quality, all three types of measures should be included.
For this Discussion, you will practice selecting quality measures. You will then use those measures in next week’s Module 2 Assignment as you build a quality dashboard.
To Prepare
- Review the Community General Hospital Case Study presented in the Learning Resources.
- Research quality and safety measures using the links provided in the Case Study document and in the Learning Resources.
- Consider the priority areas for measurement for Community General Hospital.
Based on the case study, identify 6–8 measures for inclusion in a dashboard for the Community General Hospital Board. What organizational, national, and regulatory factors contributed to your decision to focus on these areas? Describe what you would expect to learn from measurement and evaluation of your identified priority areas. Be specific and provide examples.
Required Readings
Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Burlington, MA: Jones and Bartlett.
Chapter 2, “Factors Influencing the Application and Diffusion of CQI in Health Care” (“From Triple Aim to Quadruple Aim” and “Quadruple Aim,” pp. 41–42 only)
Miyake, D. (n.d.). 25 healthcare metrics & KPIs to begin tracking todayLinks to an external site.. Retrieved from https://www.clearpointstrategy.com/25-healthcare-metrics-kpis/
Balestracci, D. (2007). Think you know balanced scorecards? Think again. Quality DigestLinks to an external site.. Retrieved from https://www.qualitydigest.com/sept07/departments/spc_guide.shtml
Agency for Healthcare Research and Quality. (2016). Select health care quality measures for a consumer reportLinks to an external site.. Retrieved from https://www.ahrq.gov/talkingquality/measures/index.html
NHS ACT Academy. (n.d.). A model for measuring quality careLinks to an external site.. Retrieved from https://improvement.nhs.uk/documents/2135/measuring-quality-care-model.pdf
- Institute for Healthcare Improvement. (n.d.b). Model for improvement: Establishing measuresLinks to an external site.. https://www.ihi.org/resources/how-to-improve/model-for-improvement-establishing-measures
Centers for Medicare and Medicaid Services. (n.d.). Instructions to develop a dashboardLinks to an external site.. Retrieved from https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/QAPI/downloads/InstrDevDshbddebedits.pdf
Feeley, D. (2017, November 28). The triple aim or the quadruple aim? Four points to help set your strategyLinks to an external site.. Retrieved from http://www.ihi.org/communities/blogs/the-triple-aim-or-the-quadruple-aim-four-points-to-help-set-your-strategy
Document: Community General Hospital Case Study (Word document)Download Community General Hospital Case Study (Word document)
- Walden University Academic Skills Center. (n.d.b). Statistics skills in Microsoft ExcelLinks to an external site.. Retrieved from https://academicguides.waldenu.edu/academic-skills-center/microsoft-office/excel
See “Charts” and “Pivot Tables.”
- Walden University Academic Skills Center. (n.d.a). Microsoft PowerPoint resourcesLinks to an external site.. Retrieved from https://academicguides.waldenu.edu/academic-skills-center/microsoft-office/powerpoint
Microsoft Office. (2017). Create and share a dashboard with Excel and Microsoft GroupsLinks to an external site.. Retrieved from https://support.office.com/en-gb/article/create-and-share-a-dashboard-with-excel-and-microsoft-groups-ad92a34d-38d0-4fdd-b8b1-58379aae746e