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Quality Improvement, Measurement, Reporting

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Jenna Finnery

on 4 December 2014

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Transcript of Quality Improvement, Measurement, Reporting

Quality
Institute of Medicine

Private, not-for-profit organization that provides science-based platforms on healthcare
10 Principles for the National Quality Strategy (NQS)
Achieve Strategy's 3 Aims:
1) Better care
2) Healthy people
3) Care that is affordable
Does Health IT Improve Quality Care?
RESOURCES
Quality Improvement, Measurement, Reporting
Group 5: Jenna Finnery, Shiwani Desai, Karen Patel, Sonali Patel
A Perception
Quality Improvement (QI):
Processes and systems utilized when expectations are not met
Clinical Quality Measures (CQMs):
Tools that monitor and track the quality and effectiveness of health care services
Quality Reporting:
Data from hospitals regarding services

Data that can be analyzed to identify areas of care that need improvement or track progress using data over time
Provides financial incentives for healthcare institutions
Linked with delivery of services
Based on the expectations of the stakeholder
Dynamic
Developed a standard definition of healthcare quality in accordance with numerous stakeholders:
"Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge."
Launched the
Health Care Quality Initiative
: A continuous effort aimed at assessing and improving quality of care
6 Dimensions Needing Improvement
Equitable:
Patient Centered:
Timely:
Safe:
Efficient:
Effective:

Best care for everyone
Reflect patient values
Care when the patient needs it
Help not harm
Avoid waste
Based on science; has potential to help
Measuring and Reporting CQMs helps to ensure health care systems are meeting these functions
Clarke, C.B. Concept 1, Slide 3, Bullet Points 1-4. [Powerpoint]. Retrieved From: https://sakai.luc.edu/portal/site/HSM_340_01W_2470_1146/page/6e809220-dd49-4ab8-8df1-12761703a29d
CMS. (18 September 2014). Clinical Quality Measures Basics. CMS.gov: Centers For Medicare & Medicaid Services. Retrieved From: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/ClinicalQualityMeasures.html
CMS.(13 September 2013). Hospital Inpatient Quality Reporting Program. CMS.gov: Centers For Medicare & Medicaid Services. Retrieved From: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalRHQDAPU.htmli
tzgibbon, K. Week 13, Slide 1, Bullet Points 1-4. [PowerPoint]. Retrieved From: https://sakai.luc.edu/portal/site/HSM_386_002_5665_1146/page/250ed756-9158-4d82-8a57-665842e89cdb
Clarke, C.B. Concept 2, Slide 12, Bullet Points 1-7. [Powerpoint]. Retrieved From:
https://sakai.luc.edu/portal/site/HSM_340_01W_2470_1146/page/6e809220-dd49-4ab8-8df1-12761703a29d
(CMS, 2014)
(CMS, 2013)
National Academy of Sciences. (8 May 2013). Crossing the Quality Chasm: The IOM Healthcare Quality Initiative. The Institute of Medicine. Retrieved From: http://www.iom.edu/Global/News
%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-Care-Quality-Initiative.aspx
(National Academy of Sciences, 2013)
(IOM, 2014)
(Clark, 2014)
10 Principles
1) Person centeredness & family engagement
2) Specific health considerations
3) Eliminating disparities in care
4) Aligning the efforts of public & private sectors
5) Quality improvement
6) Consistent national standards
7) Primary care will become a bigger focus
8) Coordination will be enhanced
9) Integration of care delivery
10) Providing clear information
(Principles for the NQS, 2014).
Developed by the department of Human & Health Services, and part of the ACA
Measuring & Reporting
Make informed choices and pursue best available care
Gives feedback to address issues and improve care

HOW IS QUALITY MEASURED/REPORTED?
Patient satisfaction surveys
Certifications
Recognition
BALANCED
SCORECARDS
Customer satisfaction
Learning and growth
New Improvements
Health IT Plan
HIT as tool
Immediate actions stakeholders take to improve safety
Medical Office Survey on Patient Safety
Provides staff opinion
Example questions
Clinical Quality Measures
Provides a standardized way to measure processes, experiences, and outcomes
National Strategy Domains
3 Main Points!!!
Averting medical errors
Stats
Study
Improving communication
EHR
Patient Portals
Greater Efficiency
Costly
Time Efficient
Not enough to own a certified EHR, have to provide evidence to CMS that it is used effectively
(Fitzgibbon, 2014)
Stage 1 Meaningful Use
Patient and family engagement
Patient safety
Care coordination
Population/public health
Efficient use of health care resources
Clinical process/effectiveness
Stakeholders in HIT
Purchasers
Consumers
Providers
YES
at least 3 NATIONAL
6 OTHER

Medicare and Medicaid EHR Incentive Programs:
9 all together


Provide financial incentives for meaningful use of EHR technology to improve patient care
Recommended Core
9 ADULT POPULATION
9 PEDIATRIC POPULATION
Clinical Quality Measures have to be reported each year in order to receive an incentive
Goal : Utilize to benefit the patient!
Clarke, C.B. Concept 2, Slide 12, Bullet Points 1-7. [Powerpoint]. Retrieved From: https://sakai.luc.edu/portal/site/HSM_340_01W_2470_1146/page/6e809220-dd49-4ab8-8df1-12761703a29d
Clarke, C.B. Concept 1, Slide 3, Bullet Points 1-4. [Powerpoint]. Retrieved From: https://sakai.luc.edu/portal/site/HSM_340_01W_2470_1146/page/6e8220-dd49-4ab8-8df1-12761703a29d
Clarke, C.B. Concept 2, Slide 3, Bullet Point 1. [Powerpoint]. Retrieved From: https://sakai.luc.edu/portal/site/HSM_340_01W_2470_1146/page/6e809220-dd49-4ab8-8df1-12761703a29d
“Clinical Quality Measures Basics.” (18 September 2014). CMS.gov: Centers For Medicare & Medicaid Services. Retrieved From: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/ClinicalQualityMeasures.html
“Does Health Information Technology Improve quality of care?” (1 July 2011). Robert Wood Johnson Foundation. Retrieved From: http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2011/rwjf71333
Fitzgibbon, K. Week 13, Slide 1, Bullet Points 1-4. [PowerPoint]. Retrieved From: https://sakai.luc.edu/portal/site/HSM_386_002_5665_1146/page/250ed756-9158-4d82-8a57-665842e89cdb
“Health IT and Patient Safety: Building Safer Systems for Better Care.” (August 2011). National Center for Biotechnology Information (NCBI). Retrieved From: http://www.ncbi.nlm.nih.gov/books/NBK189652/
“Health Information Technology Patient Safety Action & Surveillance Plan.” (2 July 2013). HealthIT.gov. Retrieved From: http://www.healthit.gov/policy-researchers-implementers/health-it-and-safety
“Hospital Inpatient Quality Reporting Program.” (13 September 2013). CMS.gov: Centers For Medicare & Medicaid Services. Retrieved From: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalRHQDAPU.html
“Improving Patient Safety/Quality with Health Information Technology Implementation.” (May 2013) Agency for Healthcare Research and Quality (AHRQ). Retrieved From: http://healthit.ahrq.gov/ahrq-funded-projects/improving-patient-safetyquality-health-information-technology-implementation
“Medical Office Survey on Patient Safety Culture.” (2014). Agency for Healthcare Research and Quality (AHRQ). Retrieved From: http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/
National Academy of Sciences. (8 May 2013). Crossing the Quality Chasm: The IOM Healthcare Quality Initiative. The Institute of Medicine. Retrieved From: http://www.iom.edu/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-Care-Quality-Initiative.aspx
NCQA. (n.d.). Retrieved From: http://www.ncqa.org/HomePage.aspx
“Principles for the National Quality Strategy.” (2014). National Quality of Strategy. Retrieved From: http://www.ahrq.gov/workingforquality/nqs/principles.htm
“Stakeholders Roles & Needs.” (n.d.) eHealth Initiative. Retrieved From: http://www.ehidc.org/hie-toolkit/setting-up-a-governance-structure/stakeholders-roles-needs
SELECTION PROCESS
Improve health outcomes
Fitzgibbon, K. Week 13, Slide 1, Bullet Points 1-4. [PowerPoint]. Retrieved From:
https://sakai.luc.edu/portal/site/HSM_386_002_5665_1146/page/250ed756-9158-4d82-8a57-665842e89cdb
Morbidity/mortality
Public health priorities
Health disparities
costs
Patient/caregiver engagement
Relevant
Data driven
Recommended core
IMPROVEMENTS
MEASUREMENTS
REPORTING
MEASURING
REPORTING
QUALITY
IMPROVEMENT
BETTER
HEALTHCARE
ANY
QUESTIONS?
?
?
?
?
?
?
?
?
ACCREDITATION
Meeting national quality standards in patient care and patient safety
Doing the right things and doing them well
PATIENT SATISFACTION
SURVEYS
Feedback to improve provider care
[physician, nurse, staff, etc.]

CERTIFICATION/RECOGNITION
Recognizing specific programs that are doing an outstanding job quality wise
Physician & Hospital Quality Certification
Ranked #6
nationally
for orthopedics
center
Financial performance
Internal quality practices
HOSPITAL REPORT CARDS
Illinois Hospital Report Card & Consumer Guide to Health Care
Quality
Safety
Patient satisfaction
Services
Nursing staff
Pediatric quality
Consumers become more informed and make better choices
Accreditation
Hospital reports cards
Balanced scorecards
Full transcript