FASStR: A Framework for Ensuring High-Quality Operational Metrics in Healthcare
| Autor: | Kenneth J. Klassen, Craig M. Froehle, Elham Torabi, Michael J. Magazine, Tugba Cayirli, Denise L. White, Michael J. Ward |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Process management
media_common.quotation_subject MEDLINE Efficiency Organizational Article 030218 nuclear medicine & medical imaging law.invention 03 medical and health sciences 0302 clinical medicine law Health care Medicine Humans Quality (business) Statistic media_common Quality Indicators Health Care Retrospective Studies Iterative and incremental development 030504 nursing business.industry Health Policy Reproducibility of Results United States Data Accuracy Benchmarking CLARITY 0305 other medical science business Performance metric Delivery of Health Care Healthcare system Forecasting |
| Zdroj: | Am J Manag Care |
| Popis: | Objectives Poorly defined measurement impairs interinstitutional comparison, interpretation of results, and process improvement in health care operations. We sought to develop a unifying framework that could be used by administrators, practitioners, and investigators to help define and document operational performance measures that are comparable and reproducible. Study design Retrospective analysis. Methods Health care operations and clinical investigators used an iterative process consisting of (1) literature review, (2) expert assessment and collaborative design, and (3) end-user feedback. We sampled the literature from the medical, health systems research, and health care operations (business and engineering) disciplines to assemble a representative sample of studies in which outpatient health care performance metrics were used to describe the primary or secondary outcome of the research. Results We identified 2 primary deficiencies in outpatient performance metric definitions: incompletion and inconsistency. From our review of performance metrics, we propose the FASStR framework for the Focus, Activity, Statistic, Scale type, and Reference dimensions of a performance metric. The FASStR framework is a method by which performance metrics can be developed and examined from a multidimensional perspective to evaluate their comprehensiveness and clarity. The framework was tested and revised in an iterative process with both practitioners and investigators. Conclusions The FASStR framework can guide the design, development, and implementation of operational metrics in outpatient health care settings. Further, this framework can assist investigators in the evaluation of the metrics that they are using. Overall, the FASStR framework can result in clearer, more consistent use and evaluation of outpatient performance metrics. |
| Databáze: | OpenAIRE |
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