2.2.1 How is Hospital Performance Measured?

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Del curso dictado por University of Minnesota

Healthcare Delivery Providers

133 calificaciones

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University of Minnesota

Healthcare Delivery Providers

133 calificaciones

Curso 2 de 5 en SpecializationHealthcare Marketplace

Welcome to the exciting world of Healthcare Delivery Providers! This second course in the Healthcare Marketplace Specialization will help you understand the various providers of healthcare across the U.S. delivery continuum. We will explore the unique value proposition of the various providers- from hospitals and clinics to physicians to community based providers. We will dissect this important value chain using various lenses such as- site of care delivery, people who provide the care and payers who pay for care. You will also learn about the challenges facing these providers and the innovations they are creating in order to help transform this important industry. I will use readings such as a case study and videos to make this learning more experiential for you, so that you can see and feel the world of healthcare delivery. I will also explain the various acronyms and specialized terms used in healthcare, so that you become more proficient and familiar with the language. Given the fact that Healthcare is one of the largest industries in the U.S. and growing at an rapid pace, it is critical that current and future leaders understand the internal and external drivers that are shaping this industry. Current and future leaders will need to constantly innovate in order to sustain this industry into the future- by creating value for the end customer and the entire population, as well as increasing engagement of the humans who work within this industry. Get ready to take a deep dive into the complex ocean that is U.S. healthcare delivery- and make sure your oxygen tank is securely fastened!

De la lección

HOSPITALS: COMMUNITY & SPECIALTY

In this module I will lead you into the exciting and rapidly changing world of the Acute Care Hospitals. We will discuss the various types of hospitals in the US including community hospitals and specialized hospitals. We will also dissect the hospital as an organization through the lenses of org structure, humans, services and performance measurement. Throughout this module I will also cover the challenges facing the hospitals in the US and the innovations that they are leading through continuous quality improvement.

2.2.1 How is Hospital Performance Measured?8:25

2.2.2 Measuring Clinical Quality12:11

2.2.3 Measuring Patient Satisfaction10:09

2.2.4 Measuring Hospital Financials11:10

Conoce a los instructores

Dr. Rahul Koranne
Faculty
Carlson School of Management, Department of Finance

This is the Healthcare Delivery Providers,

part of the Healthcare Marketplace Specialization.

This is Module 2.2.1, Measuring Hospital Performance.

The learning outcomes for this lecture are that we will understand the high-level

themes along which hospital performance is measured.

And also review some internal and external measurement frameworks.

Value based purchasing, accountable care organizations.

So here's the familiar Triple Aim.

So the IHI Triple Aim right here, and then the fourth Quadruple Aim.

So I really want you to start thinking about the measurement for

all of the healthcare delivery providers along these four axes.

So in Experience of Care, there is the clinical quality,

and there is the patient satisfaction.

So it's actually two different metrics, right, in Experience of Care.

In Per Capita Cost, that's the financials.

The Caregiver or Employee Resiliency.

And then the orientation towards Population Health, or

the measurement of performance or value creation for the attributed members

of the population that a healthcare system or a hospital takes care of.

So we'll dig into this more, but the first domain of

hospital measurement comes along at the Hospital Quality Measures.

So here's the hospital.

There's various measurement paradigms, which are divided up into metrics.

And then those are posted on a hospital compare website so

that the end customer can view them and make decisions about the hospital.

So that's the overarching framework of the hospital quality measurement system.

We will discuss this more in the next lecture, but

I wanted to start introducing you to the Hospital Value Based Purchasing Program,

where there are different types of metrics, either process or outcomes.

And those measures determine how much the hospital gets paid.

They are reported up into the federal government centers for

Medicare and Medicaid, and then the hospital reimbursement or

payment is adjusted based upon the performance.

The second important domain

around which hospital performance is measured is the patient experience.

We will discuss more the VBP in the next lecture,

the Value Based Payment methodology.

But the patient experience is measured again through the HCAHPS

that we have discussed in the previous lectures.

So it is a survey methodology that is collected by a third party,

based upon the patients that were discharged from the hospital.

And then those surveys are aggregated and sent in for

analysis by the federal government.

Let's do a brief quiz here.

The third domain of measurement is obviously financials.

So the efficiency metrics, or cost reduction, or expense reduction metrics.

And the various types of measurements here could either be external measurements,

and we will discuss those, either through the governmental agencies,

or through commercial insurance companies, or through accountable care organizations.

Or it could be internal financial metrics of revenue over expenses,

and to calculate the margin or the bottom line.

Another important measure for

hospital performance is the engagement of the staff.

And we'll discuss this a little bit here, so

let's say the hospital org chart that we've discussed,

there's all the CEOs, the CXOs and then here's all the physicians and

here's all the nurses, And other staff.

And it is very important to get an idea of the employee base.

So all of these employees, are they satisfied with their work?

What is the churn or turnover rate?

How engaged are they in the strategies, the mission, and

the vision of the hospital or the health system?

And that can be easily done through a regularly

administered staff engagement survey.

And based upon that, if signs of burnout or disengagement are noted,

then tactics to employ or deploy countermeasures can be put in place.

At this particular point, as we have discussed, the hospital industry and

the health system and the health industry is in such incredible time of change and

transformation that keeping the staff very close, highly engaged,

and well satisfied is going to be key to the success of

long term sustainability of the entire health system as well as the hospitals.

Some of the other issues to note around hospital performance measurement is

that there is an increasing thrust towards transparency of metrics.

So we talked about the hospital compare website, where you can go and

check out any hospital within the US.

And I would suggest and recommend for you, as you are going through this course,

to go out to the hospitalcompare.org website and

look at a couple of the hospitals and

get familiarized with some of the metrics along the Triple Aim domains.

Another important issue that is coming up is the issue of,

are the hospitals responding to the community's needs that it serves?

So there is a methodology and a paradigm of community health needs assessments

that has been regulated and now mandated through the Internal Revenue Service.

So a community health needs assessment needs to be performed by each and

every hospital in the United States.

Based upon those needs of the community, the hospital needs to develop action plans

to serve the community in better and improved ways.

And then finally, the issue of governance and board of directors oversight comes in.

So the board really is responsible for every single metric that the hospital has,

be it quality, or cost, or patient experience.

And a highly engaged and educated board is critical in making sure

that the hospital or the entire health system succeeds on its vision,

its mission and really ends up serving its community and

population and patients to the very best of its abilities.

So in summary, the hospital performance also can be measured according to

the IHI Quadruple Aim and along those four domains.

However, as we will discuss in the upcoming lectures,

there are many different paradigms which can sometimes be confusing to the end

customer around these measures.

And so there is active work happening right now to streamline and

align some of these disparate measures, so

that they become easy to understand for the end users.

Either the patient, the family, or even the staff,

for example, the nurses and the physicians.

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