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A motivation for the widespread adoption of certain standards by the health care industry.
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The Immutable Principles of
Quality and Accountability
Get All You Can from
All You’ve Got
April 2009 (C) 2009 Michael P. Meier 2
Responsibility
Someone is ultimately responsible
for the condition of any given resource.
April 2009 (C) 2009 Michael P. Meier 3
Opportunity to Affect
Othershave the opportunity
to affectthe condition
of the resource.
April 2009 (C) 2009 Michael P. Meier 4
Processes
Processes usedhave the ability
to affectthe conditionof a resource.
April 2009 (C) 2009 Michael P. Meier 5
Standards
Standardsdefine
processes.
April 2009 (C) 2009 Michael P. Meier 6
Assurance
Standards provide assurancesregarding the condition
of a resource.
April 2009 (C) 2009 Michael P. Meier 7
Except
Standards which are not followedprovide no assurances.
April 2009 (C) 2009 Michael P. Meier 8
Vision Statement
The U.S. health care industry will adopt a set of standards specifying metrics on which they will invite comparison. All health care delivery systems, payers and vendors selling into health care will be accountable for adherence to these standards.
April 2009 (C) 2009 Michael P. Meier 9
Goal(s)
Ensure comparabilityl Reduce Costsl Eliminate re-workk Guarantee data/information qualityn Reduce or eliminate Risk caused by
a Poorly understood datad Inappropriate use of data
April 2009 (C) 2009 Michael P. Meier 10
Objective(s)
Eliminate process and data inconsistencies
s Eliminate repeated validation of datae Improve confidence as measured by
c Audit resultsc Mitigation tasks
c Automate data feeds (in and out)
April 2009 (C) 2009 Michael P. Meier 11
Today’s Situation
n Leadership aligned (to objectives)e Management (gingerly) approaching
alignmente Governance
e Structures in placea Capabilities (tools, repositories, functions,
roles) defined and in placen Process standards missing
April 2009 (C) 2009 Michael P. Meier 12
How Did We Get Here?
e Shewhart, Deming, Juran, Statistical Process Control
e Beginning about 19801 Software Engineeringr Information Engineering
n Focus on processn Measurementn Improvement
n Consistency and predictabilityp Appeal to management (almost everyone)mEXCEPT programmers and physicians
April 2009 (C) 2009 Michael P. Meier 13
Options
Get everyone onto the dance flooro Physicians understand workflows Administrators understand costn Programmers understand process
r These are different ways of expressing the same concept
e Look at the horizon—not at your feet
April 2009 (C) 2009 Michael P. Meier 14
Avoid Tripping
April 2009 (C) 2009 Michael P. Meier 15
Worse Things Than Tripping
April 2009 (C) 2009 Michael P. Meier 16
In a hurry…
Or
Unnecessary risk
April 2009 (C) 2009 Michael P. Meier 17
A Standard
The (topographical) contour mapa Contour linesa Colorsa Notation
a Help in risk avoidance
April 2009 (C) 2009 Michael P. Meier 18
Using Standards
Figure out where you are
Pinpoint where you are going
o Decide the best way to get there
We are here
You are here
April 2009 (C) 2009 Michael P. Meier 19
Recommendation
Standards must be defined fore Measurement
e what is a “meter”, “gram”, “complication”?” Process
” An auditing process (certification) must be definede Similar to ISO 900x
0 The “gold standard” must be used
April 2009 (C) 2009 Michael P. Meier 20
Summary
If we adopt universal standardse We will be able to compare resultst Best practices become portablee Improvement happens
e If we continue as we ares No comparisons are possibler Costs increase
April 2009 (C) 2009 Michael P. Meier 21
While I am busywith little things,
I am not required to do greater things.
St. Francis de Sales
April 2009 (C) 2009 Michael P. Meier 22
WhiteLake Data Management
Michael P. Meier
http://www.m2dxtx.com
http://bi-keep-it-simple.blogspot.com
(507) 273-9742 (cell)
