Use of Internal Performance Measurement to Guide Improvement Within Medical Groups
| Autor: | Mark W. Friedberg, Peggy G. Chen, Michael I. Harrison, Laura Raaen, Linda R. Bergofsky, Russ Mardon, Denise St. Clair |
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| Rok vydání: | 2018 |
| Předmět: |
Quality management
Process management Leadership and Management media_common.quotation_subject education Interviews as Topic 03 medical and health sciences 0302 clinical medicine Ambulatory care Patient experience Humans Organizational Objectives Performance measurement Quality (business) 030212 general & internal medicine health care economics and organizations Qualitative Research media_common Quality Indicators Health Care 030503 health policy & services Quality Improvement United States Data sharing Outcome and Process Assessment Health Care Costs and Cost Analysis Group Practice Performance improvement 0305 other medical science Psychology Qualitative research Information Systems |
| Zdroj: | Joint Commission journal on quality and patient safety. 45(7) |
| ISSN: | 1938-131X |
| Popis: | Background Public reporting of provider performance currently encompasses a range of measures of quality, cost, and patient experience of care. However, little is known about how medical groups use measures for performance improvement. This information could help medical groups undertake internal measurement while helping payers, policy makers, and measurement experts develop more useful publicly reported measures and quality improvement strategies. Methods An exploratory, qualitative study was conducted of ambulatory care medical groups across the United States that currently gather their own performance data. Results Eighty-three interviews were conducted with 91 individuals representing 37 medical groups. Findings were distilled into three major themes: (1) measures used internally, (2) strategies for using internal measurement for performance improvement, and (3) other uses of internal measurement. Medical groups used both clinical and business process measures, including measures from external measure sets and internally derived measures. Strategies for using internal measurement for quality improvement included taking a gradual, iterative approach and setting clear goals with high priority, finding workable approaches to data sharing, and fostering engagement by focusing on actionable measures. Measurement was also used to check accuracy of external performance reports, clarify and manage conflicting external measurement requirements, and prepare for anticipated external measurement requirements. Respondents in most groups did not report a need to assess costs of internal measurement or the capacity to do so. Conclusion Despite challenges and barriers, respondents found great value in conducting internal measurement. Their experiences may provide valuable lessons and knowledge for medical group leaders in earlier stages of establishing internal measurement programs. |
| Databáze: | OpenAIRE |
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