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Examples of financial outcomes measures include length of stay (LOS), cost per day, cost per case, and third party payer denials.
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Quality outcome metrics, compiled for the entire organization, include readmissions, discharge/disposition delays, delays in service/turnaround time, patient satisfaction, and inappropriate admissions.
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Value-based purchasing has been a much-used term, and the evolution to such a system has been long held as a reality for the future.
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In the first three articles of this series, Vicki Searcy, president, consulting services at Morrisey Associates Inc. in Chicago, introduced the four basic components of clinical privileging. She examined establishing criteria for privileges as well as accepting applications for privileges and applying criteria.
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It's a proposed rule. So it's up for comment. And that's a good thing, because there are many in the field.
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Michelle Buckman, RN, MSN, is a psychiatric clinical nurse specialist working as a consultant to the Loma Linda University Medical Center emergency department.
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According to Craig Luzinski, MSN, RN, NEA-BC, FACHE, chief nursing officer at Poudre Valley Hospital in Fort Collins, CO, the hospital received the American Nurses Association (ANA) NDNQI (National Database of Nursing Quality Indicators) Award for Outstanding Nursing Quality for the fourth consecutive year.
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The National Quality Forum (NQF) has endorsed four outcome-based mental health measures looking at depression and patient satisfaction in an inpatient psychiatric hospital stay.
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How's this for a turnaround? A few years ago, patient satisfaction levels in the three EDs of the Cambridge (MA) Health Alliance were in the lowest decile in Massachusetts, and now they are consistently in the top quartile.
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To improve health literacy, a key factor in effective patient education, medical facilities may want to consider forming partnerships with literacy coalitions in their area.
