The Quality Measurement Journey - Sikker Patient
The Quality Measurement Journey - Sikker Patient
The Quality Measurement Journey - Sikker Patient
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Potential Set of Measures for Improvement<br />
in the Accident & Emergency (ER)<br />
Topic<br />
Outcome<br />
Measures<br />
Process<br />
Measures<br />
Balancing<br />
Measures<br />
Improve waiting<br />
time and patient<br />
satisfaction in<br />
the ER<br />
Total Length of<br />
Stay in the ER<br />
<strong>Patient</strong><br />
Satisfaction<br />
Scores<br />
Time to<br />
registration<br />
<strong>Patient</strong> and staff<br />
comments on flow<br />
% patient receiving<br />
discharge<br />
materials<br />
Volumes<br />
% Leaving<br />
without being<br />
seen<br />
Staff satisfaction<br />
Financials<br />
Availability of<br />
antibiotics<br />
©Copyright 2011 IHI/R. Lloyd<br />
Balancing Measures: Looking at the<br />
System from Different Dimensions<br />
• Outcome (quality, time)<br />
• Transaction (volume, no. of patients)<br />
• Productivity (cycle time, efficiency,<br />
utilisation, flow, capacity, demand)<br />
• Financial (charges, staff hours, materials)<br />
• Appropriateness (validity, usefulness)<br />
• <strong>Patient</strong> satisfaction (surveys, customer<br />
complaints)<br />
• Staff satisfaction<br />
©Copyright 2011 IHI/R. Lloyd<br />
Institute for Healthcare Improvement