Process and Outcome Measures
Lynne Hall
10-24-12
State why Process Measures are important to data gathering
Outline the use of Process Measures
Process and Outcome Measures Objectives
CMS has changed the format of what is expected from Critical Access and Small Rural Hospitals
GHAREF HEN must submit evidence of participation in all 10 Core Events
CAH’s and Small Rural hospitals will now need to change their focus to include the 10 Core Events
What is expected for Measures for GHA HEN:
Z Hospital does not provide services related to this HAC
0 Providing services to which the HAC is relevant, but is not participating
1 Engaged in work related to HAC, but not submitting data
2 Engaged in work related to HAC AND submitting data
3Outstanding improvement or sustained high performance (data for validation submitted to HEN)
4Potential mentor hospital - achieved highest possible level, now pushing for related care improvement
Scoring of HEN CAH’s and Small Rural Hospitals
PERCENT OF RURAL HOSPITALS AT STATUS 2, 3 or 4Participating and Submitting Data
PERCENT OF RURAL HOSPITALS AT STATUS 0 OR 1
Not Participating or Not Submitting Data
Percent of Rural Hospitals at Status 3 or 4Outstanding Performance
Understanding process and outcome measures is one key factor
Getting your teams together to look at problem areas
Know your data and how to collect and access it
Celebrate success All teach – all learn
How can we move forward?
Processes lead to Outcomes Both are important Measure both in healthcare
How do you determine what is a process measure and what is an outcome
measure?
To determine if a process is stable Manage the process measures To determine if the processes that lead to
the outcomes are functioning effectively and efficiently
Process measures tend to be real time
Process Measurement
There will always be inherent variation in every system component
Because all the work is accomplished in processes, it is possible to obtain measurements of key performance indicators
Process Measurement
By definition it is the results of processes Offers findings that can used to adapt,
improve, and become more effective Outcome measures tend to tell us if our
process is working
Outcome Measures
Process: How the system works Outcome: The final product, results
Quick Version
I drive to work: Process Measures:
What route did I take to work? How did I arrive: bus, train, car? When did I leave?
Simple Example
I drive to work: Outcome Measures:
How many times did I make it to work on time? How long did it take me to drive to work?
Simple Example:
Diabetic Patient Process Measures:
How often does the patient correctly give themselves insulin?
Does the diabetes team visit all in-patient diabetics?
Clinical Example
Diabetic Patient Outcome Measures:
Is A1C within range for diabetic patient? How often are the readmitted for the same
diagnosis?
Clinical Example
The following are either process measures or outcome measures:
1. Number of CHF patients that visit the ED?
2. What percentage of staff have received their flu vaccine?
3. How many of your diabetic patients receive yearly foot exams?
4. How many of smokers have quit smoking?
Test your knowledge:
Process and Outcome measures are both important in looking at your measurements
There will always be variability with your system – this is normal to an extent Watch for outliers or special causes for data
variance
Conclusion:
1. Go to www.gha.org
2. Hover over Quality and Health
3. Click Hospital Engagement Network
Submitting EED Data
1. Click on Learning Collaborative
Submitting EED Data
1. Click on OB Adverse Events
Submitting EED Data
1. Click on meetings
Submitting EED Data
1. Click on Data Measurement collection tool Early Elective Deliveries
Submitting EED Data
Submitting EED Data