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Clinical measures framework

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How to commission for improving health outcomes: an introduction to... A novel method for measuring health care system performance: experience from QIDS in the Philippines. Measures of Health Literacy: Workshop Summary. About their use of the database. One can conclude from these responses that the data are difficult to access or use, with the one exception being the response of the statistician (Researcher #1). A better option than what now exists is to house the database in a standard statistical program rather than an obscure program that few know how to use.

Most attempting to use the database have not had the perseverance to find the data needed, even though those data might exist. Furthermore, a quick reference guide is needed, not an 882-page instruction booklet. The responses also indicate a lack of confidence in the validity of the data. In general, Weiss concluded, researchers find the data hard to obtain or use, and they do not trust the data. Andrew Pleasant, Ph.D. Rutgers University Health literacy is an important and powerful tool for improving health. A number of different tools are available that are meant to address health literacy. IHME | Institute for Health Metrics and Evaluation. Science of Improvement: Establishing Measures. Measurement is a critical part of testing and implementing changes; measures tell a team whether the changes they are making actually lead to improvement. Measurement for improvement should not be confused with measurement for research. This difference is outlined in the table below.

See also: Tips for Effective Measures. The Whole System Measures, a set of health system performance measures, keyed to the six dimensions of quality outlined by the Institute of Medicine in the Crossing the Quality Chasm report — safe, effective, patient-centered, timely, efficient, and equitable — that can be used to evaluate the overall performance of a health system. Three Types of Measures Use a balanced set of measures for all improvement efforts: outcomes measures, process measures, and balancing measures. Outcome Measures How does the system impact the values of patients, their health and wellbeing? Process MeasuresAre the parts/steps in the system performing as planned? Sample Measures Example 1: Health Quality Measures NZ - Home. The IHI Triple Aim. The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance.

It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”: Improving the patient experience of care (including quality and satisfaction);Improving the health of populations; andReducing the per capita cost of health care. Why the Triple Aim? The US health care system is the most costly in the world, accounting for 17% of the gross domestic product with estimates that percentage will grow to nearly 20% by 2020.

[Source: National Healthcare Expenditure Projections, 2010-2020. Centers for Medicare and Medicaid Services, Office of the Actuary.] Approach In most health care settings today, no one is accountable for all three dimensions of the IHI Triple Aim. Concept Design Benefits to an Approach in Line with the IHI Triple Aim. A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost.

How to cite this paper: Stiefel M, Nolan K. A Guide to Measuring the Triple Aim: Population Health, Experience of Care, and Per Capita Cost. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012. (Available on www.IHI.org) In 2008 Don Berwick, Tom Nolan, and John Whittington first described the Triple Aim of simultaneously improving population health, improving the patient experience of care, and reducing per capita cost. A useful system of measurement for the Triple Aim is essential to this work. This white paper provides a menu of suggested measures for the three dimensions of the Triple Aim.

Whole System Measures. How to cite this paper: Martin LA, Nelson EC, Lloyd RC, Nolan TW. Whole System Measures. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2007. (Available on www.IHI.org) This IHI white paper describes and promotes the use of a system of metrics, called the Whole System Measures, to measure the overall quality of a health system and to align improvement work across a hospital, group practice, or large health care system.

The Institute for Healthcare Improvement and colleagues developed the Whole System Measures, a balanced set of system-level measures, to supply health care leaders and other stakeholders with data that enable them to evaluate their health systems’ overall performance on core dimensions of quality and value, and that also serve as inputs to strategic quality improvement planning.