The Quality Measurement Journey - Sikker Patient
The Quality Measurement Journey - Sikker Patient
The Quality Measurement Journey - Sikker Patient
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Every concept can have many measures<br />
Concept<br />
Hand Hygiene<br />
Medication Errors<br />
Ventilator Associated<br />
Pneumonias (VAPs)<br />
Potential Measures<br />
Ounces of hand gel used each day<br />
Ounces of gel used per staff<br />
Percent of staff washing their hands<br />
(before & after visiting a patient)<br />
Percent of inpatients with C.Diff<br />
Percent of errors<br />
Number of errors<br />
Medication error rate<br />
Percent of patients with a VAP<br />
Number of VAPs in a month<br />
<strong>The</strong> number of days without a VAP<br />
Compliance with the ventilator bundle<br />
Source: R. Lloyd. <strong>Quality</strong> Health Care: A Guide to Developing and Using Indicators. Jones and Bartlett, 2004.<br />
©Copyright 2011 IHI/R. Lloyd<br />
Three Types of Measures<br />
(a Family of Measures)<br />
• Outcome Measures: Voice of the customer or patient.<br />
How is the system performing What is the result<br />
• Process Measures: Voice of the workings of the<br />
system. Are the parts/steps in the system performing as<br />
planned<br />
• Balancing Measures: Looking at a system from<br />
different directions/dimensions. What happened to the<br />
system as we improved the outcome and process<br />
measures (e.g. unanticipated consequences, other<br />
factors influencing outcome)<br />
©Copyright 2011 IHI/R. Lloyd<br />
Institute for Healthcare Improvement
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