 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Nikolas Matthes, MD, PhD, MPH, Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 406, Baltimore, MD 21205-1999, 410-540-5052, nmatthes@jhsph.edu
The Quality Indicator Project, a large performance measurement system for hospitals, has introduced clinical performance measures in over 290 hospitals in nine countries in Asia and Europe in partnership with local organizations. The presentation is both qualitative and quantitative. The qualitative part analyzes the process of performance measure implementation, concepts of data analysis and reporting. The quantitative presents data from local, regional, and international comparative analysis of clinical performance data and critically assesses comparative analysis and non-comparative analysis including statistical process control. First the presentation focuses on the implementation of the system in these different health policy settings in the context of internal and external accountability, accreditation and outlines the challenges including setting up local infrastructure, convincing hospital leadership, assuring physician buy-in, expert support, and adjusting to the local culture. Second the presentation summarizes approaches to data analysis including internal data analysis, comparative reporting – local, regional, and international – and statistical process control and it is relationship to internal improvement efforts. Based on the data of over 290 hospitals key indicators such as readmissions, returns to the intensive care unit, patient falls, and surgical prophylaxis are selected to illustrate the challenges of data collection. We outline different approaches to data analysis presenting comparative data on these indicators from Asia and Europe and discussing the strengths and weaknesses of these approaches. Finally, we describe benchmarking initiatives in the field of patient falls and care in the intensive care units to show how clinical performance measurement can serve as a catalyst for local and regional collaboration for quality improvement efforts.
Learning Objectives:
Keywords: Quality of Care, Performance Measurement
Related Web page: www.internationalqip.com
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: International Quality Indicator Project
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employment, International Coordinator of the International Quality Indicator Project