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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

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