6 Steps for Implementing Successful Performance Improvement Initiatives in Healthcare

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A systematic approach to performance improvement initiative includes three components: analytics, content, and deployment. Taking six steps will help an organization to effectively cover all three components of success. Step 1: Integrate performance improvement into your strategic objectives. Step 2: Use analytics to unlock data and identity areas of opportunity. Step 3: Prioritize programs using a combination of analytics and a deployment system. Step 4: Define the performance improvement program’s permanent teams. Step 5: Use a content system to define program outcomes and define interventions. Step 6: Estimate the ROI.

Text of 6 Steps for Implementing Successful Performance Improvement Initiatives in Healthcare

  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 2014 Health Catalyst www.healthcatalyst.comProprietary. Feel free to share but we would appreciate a Health Catalyst citation. By Bobbi Brown and Leslie Falk 6 Steps for Implementing Successful Performance Improvement Initiatives in Healthcare
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Performance Improvement Initiatives Healthcare organizations routinely pursue performance improvement initiatives to improve clinical outcomes and patient experiences and reduce organizational costs. If these efforts are not well executed, however, they can become black holes that suck up time, money, and resources while yielding little in the way of real, sustainable improvements.
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Performance Improvement Initiatives To be effective and sustainable, an organizations performance improvement initiatives should all be conceived and performed in the context of an ongoing performance program. The initial goals for such a program should be to prioritize performance improvement efforts so that the organization can achieve early successes and build momentum for future performance improvement efforts. Content System Deployment System Analytics System Health Catalyst recommends a framework, known as the Three System Approach for performance improvement.
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Integrate Performance Improvement into Your Strategic Objectives SIX STEPS PERFORMANCE IMPROVEMENT 1 Healthcare is a complex, adaptive system where interactions and relationships of different components simultaneously affect and are shaped by the system. As such, it is important for performance improvement to be integrated within the healthcare organizations strategic objectives. Strategic objectives such as becoming an accountable care organization (ACO), focusing on population health management, or developing a cardiovascular center of excellence, all require performance improvement in order to be successful.
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Use Analytics to Unlock Data and Identify Areas of Opportunity SIX STEPS PERFORMANCE IMPROVEMENT 2 Performance improvement requires an analytics system that integrates data sources (clinical, claims, financial, operational, etc.), and facilitates quick and easy data sharing. Only with appropriate analytics can an organization identify specific areas of opportunity among strategic areas of focus. Health Catalyst offers a unique solution with our Late-Binding Enterprise Data Warehouse an agile, interactive process producing balanced metrics.
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Use Analytics to Unlock Data and Identify Areas of Opportunity SIX STEPS PERFORMANCE IMPROVEMENT 2 Performance improvement requires an analytics system that integrates data sources (clinical, claims, financial, operational, etc.), and facilitates quick and easy data sharing. Only with appropriate analytics can an organization identify specific areas of opportunity among strategic areas of focus. Health Catalyst offers a unique solution with our Late-Binding Enterprise Data Warehouse an agile, interactive process producing balanced metrics. The analytic system also needs to be able to scale over time to enable different levels of healthcare analytics. As an organization moves up the hierarchy of the Analytics Adoption Model data is used as an advantage and strength, helping the organization to compete more effectively.
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Use Analytics to Unlock Data and Identify Areas of Opportunity SIX STEPS PERFORMANCE IMPROVEMENT 2 Performance improvement requires an analytics system that integrates data sources (clinical, claims, financial, operational, etc.), and facilitates quick and easy data sharing. Only with appropriate analytics can an organization identify specific areas of opportunity among strategic areas of focus. Health Catalyst offers a unique solution with our Late-Binding Enterprise Data Warehouse an agile, interactive process producing balanced metrics. Level 2 in the model is a standardized vocabulary and patient registries. Having a master vocabulary is critical for sharing data. Registries allow the organization to define the cohort of patients for a specific performance improvement program. The use of pre-defined patient registries and starter set measures to evaluate key metrics such as: financials, length of stay and readmissions provides a basis for initiating improvement projects. The starting point (Level 1) for sustainable performance improvement is an enterprise data warehouse (EDW)
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Use Analytics to Unlock Data and Identify Areas of Opportunity SIX STEPS PERFORMANCE IMPROVEMENT 2 Performance improvement requires an analytics system that integrates data sources (clinical, claims, financial, operational, etc.), and facilitates quick and easy data sharing. Only with appropriate analytics can an organization identify specific areas of opportunity among strategic areas of focus. Health Catalyst offers a unique solution with our Late-Binding Enterprise Data Warehouse an agile, interactive process producing balanced metrics. Such was the experience of Texas Childrens Hospital in Houston. Before deploying an enterprise-wide late binding EDW and healthcare analytics, the hospital required roughly six months to develop a clinical improvement initiative. Having a healthcare EDW in place reduced this time in half because the data was available and already integrated across the different clinical, operational and financial systems.
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Use Analytics to Unlock Data and Identify Areas of Opportunity SIX STEPS PERFORMANCE IMPROVEMENT 2 Performance improvement requires an analytics system that integrates data sources (clinical, claims, financial, operational, etc.), and facilitates quick and easy data sharing. Only with appropriate analytics can an organization identify specific areas of opportunity among strategic areas of focus. Health Catalyst offers a unique solution with our Late-Binding Enterprise Data Warehouse an agile, interactive process producing balanced metrics. The Anatomy of Healthcare Delivery framework (shown here) demonstrates the potential pathways patients can go through in their interactions with the delivery system. This concept enables one to organize their thinking about the care delivery process and to focus attention on key processes.
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Use Analytics to Unlock Data and Identify Areas of Opportunity SIX STEPS PERFORMANCE IMPROVEMENT 2 Once an organization examines how patients flow through the care delivery system and its critical decision points, they can use the information to create a logical framework to organize a Clinical Integration hierarchy (shown here) Primary Care Care Process Families e.g., Diabetes CV Care Process Families e.g., Heart Failure W&C Care Process Families e.g., Pregnancy G.I. Care Process Families e.g., LowerGI Disorders Resp- iratory Care Process Families e.g., Obstructive Lung Disorders Neuro Sciences Care Process Families e.g., Spine Disorders Musculo- skeletal Care Process Families e.g., Joint Replace- ment Surgery Care Process Families e.g., Urologic Disorders General Med Care Process Families e.g., Infectious Diseases Oncology Care Process Families e.g., Breast Cancer Peds Spec Care Process Families e.g., Peds CV Surg Mental Health Care Process Families e.g., Depression
  • 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Six Steps to Implementing a Performance Improvement Program Use Analytics to Unlock Data and Identify Areas of Opportunity SIX STEPS PERFORMANCE IMPROVEMENT 2 Performance improvement requires an analytics system that integrates data sources (clinical, claims, financial, operational, etc.), and facilitates quick and easy data sharing. Only with appropriate analy