The Common Data Quality Problem In Healthcare Performance Measurement

Improved Essays
• The common data quality problem in healthcare performance measurement is:
First, the lack of knowledge about the purpose of healthcare performance measurement. The purpose is to:
- Assessment of current performance: need to find out the strength and weakness of current process
- Demonstration and verification of performance improvement: evaluate and compare whether the improvement had made any difference.
- Control of performance (Joshi, Ransom, Nash, & Ransom, 2014, p.135)
Second, the organization needs to have a strategic plan, select an effective performance measure to measure the three components of quality which are structured, process and outcomes. It is important to analysis, which method of data collection to be to use. There are
…show more content…
The threats associated with poor quality of data will result in ineffective performance improvement process. Data for quality improvement should be:
- Relevant to the organization’s goal, mission, vision, values and objectives, otherwise it would not help the organization improve their quality.
- Reliable, consistence and valid to identify problems in the health care setting. For example, if there was bias or false data was recorded to show better results then the organization would not be able to know where the improvement is needed.
- Precise definition and specification: the data measured should be collected and calculated in the same way for each organization. For example, when comparing a standard to a complaint batch, I have to weight each sample with the same raw material, evaluations has to be done under the same temperature and condition. In doing so it helps to get accurate results and find out the root cause of a complaint and implement the necessary
…show more content…
Give two examples of areas where you can identify a balanced set of measures. Chap5

The two examples where I can identify a balanced set of measures are the medical Record Review (retrospective) and health plan databases. A balanced set of measure would include outcomes, process and balancing measures. These two ways of collecting data helps leaders, stakeholders and those involved to see and evaluate how the strategic plan is performing, where improvement is needed or to get an overall picture how things are going (“Measuring Safety Improvement”, 2012). “Retrospective data collection involves identification and selection of a patient’s medical record or group of records after the patient has been discharged from the hospital or clinic” (Joshi, Ransom, Nash, & Ransom, 2014, p.117). The patient’s medical and financial coding functions are used in the review. This method of data collection is considered to be a reliable and one of the main source of data collection for many reasons. EMR data can be tracked over time, includes medical and clinical data, great tool in finding the reason behind a given

Related Documents

  • Improved Essays

    This type of process has been deemed “process indicators” in which accreditation agencies focus their attention on how care is delivered rather than the outcomes of the activity (Sollecito and Johnson, 2013). By not reflecting on the outcomes of care, opponents of accreditation programs are concerned that they are limiting what is being contributed to the understanding of quality and safety. The Agency for Healthcare Research and Quality has advocated that quality indicators are an effective way to measure health care safety and quality (AHRQ - Quality Indicators, n.d.). The relationship between accreditation and quality indicators has pose some concerns and using quality indicators can be problematic, when it comes to using the results found through the process. Can they be used independently or together and how to resolve the differences in the finding?…

    • 1704 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Monitoring can be well managed by good recording and documentation practice. Automation and computing system for medical record may enhance the quality control in this process (Price and Christenson, 2013, Hallworth et al, 2015). Horvath and Pewsner (2004) suggested that regular systematic review on the quality management in medical laboratory is important. They introduced some key points of a systematic review protocol for laboratory medicine assessment like clinical study design, screening and selection of patients, validity of reference test materials, interpretation and analysis of the…

    • 1179 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Department of Health and Human Services, 2016) HIM professionals’ play a role in quality improvement as the “gatekeeper” of the EHR by ensuring that data used to make clinical decision is accurate, current, and readily available. HIM professionals are also responsible for analysis to confirm that all entries into the medical record are signed, dated, and timed, as part of the quality indicator in the National Patient Safety Goals (NPSG) issued by The Joint Commission. Regulatory quality measures, determine if the standards of which the actual patient care may be measured to identify a level of performance for that standard, set forth by quality indicators. Outcomes monitoring measures the results of the quality measures, the results reflect in the stakeholders (patients, payers, healthcare organizations). Quality improvement includes measuring whether or not core measures are met on each patient that meets the clinical criteria.…

    • 819 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Gathering data about a particular outcome, and attaining detailed information only found in patient medical records can be difficult and costly to obtain. Outcome measures reflect the needs that are important to patients and should be therefore be developed with patient needs and preferences in mind. It is also important to remember the impact social determinants of health and differences in patient population when developing health outcome measure. The last measure of quality improvement is patient experience measures. These measures offer feedback on the patients’ experience based on care they received.…

    • 1051 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Health plans are chosen based on their star ratings and HEDIS performance. These are quality of care measuring tools collected from the previous year of clinical data to show member compliance with treatment and provider quality of care. For example, based on a member’s disease process, there are several factors involved in their treatment. Star with a diagnosis: what treatment tools were used to ensure the accuracy in diagnosing? The following are used to obtain a medical diagnosis, laboratory data, clinical occurrences, diagnostic assessments, and the individual’s response to treatment.…

    • 731 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    This committee include the physician representative and hospital administration. The process is done according to the credential verification policy manual. 10. Hospital medical staff bylaws are very important for smooth operation of any health care organization. This help the governing board of a hospital to confer on the medical staff the power to set up a form of organization by which that staff can give assurance of quality hospital medical care (Taylor, nd).…

    • 896 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Measures used to evaluate and look at the quality of service in health care organizations are can be drawn from 3 categories: structure, procedure, or result measure. Known as the Donabedian model, this grouping system was named after the doctor and scientist who defined it. (https://cahps.ahrq.gov, n.d.) Basic measures give purchasers a feeling of a health care supplier ability, systems, and procedures to give great consideration. For example: Whether the health care organizations utilize electronic restorative records or solution request section systems. The number or extent of board-ensured doctors.…

    • 1032 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Drawz and his colleagues discuss strategies to improve the interoperability of electronic health record systems to optimize detection of kidney dysfunction which can enhance treatment of this disease. Furthermore, the authors suggest standardizing data regarding patient laboratory testing, risk factors, comorbidities, treatments, and education in the electronic health record and ensuring the information is readily accessible by the entire health care team. Chronic kidney disease is associated with significant morbidly and mortality. Nurses can assist in improving electronic health record systems by standardizing data entry to significantly improve the quality of care for this patient population. Drawz and his colleagues are professionals from across the United States with support from the National Institute of Health, and all authors meet this organization’s criteria for authorship.…

    • 750 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Nursing documentation is defined as “the supplying of documentary evidence, and the collecting, abstracting, and coding of printed or written information for future reference”. This simple definition fits all the varied roles that documentation, or the process of documenting and demonstrating delivery of patient care, assumes in health care. (Webster’s New World Dictionary) Nursing documentation represents the quality of care that we provided. Through complete documentation, the nurse can claim credit for meeting responsibilities inherent in the profession. Documentation is also a vital adjunct to provide patient care as record of patient’s condition from admission till discharge including discharge care plan.…

    • 1009 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    The Joint Commission has instituted a number of goals nationally with the aim to improve patients’ safety. The goals selected look at areas that are of concern in the healthcare industry, particularly how it affect patients’ safety and make recommendations how to reduce if not eradicated these. Using the evidence-based prevention measures instituted by the Joint Commission both hospitals, Holy Cross Hospital located in Silver Spring, Maryland and Shady Grove Hospital situated in, Rockville, Maryland received accreditation, and report is available. A detailed analysis will look at the scores received by both institutions and analyzed what this says about the quality of care these institutions can and will provide. In addition, how these institutions…

    • 1085 Words
    • 4 Pages
    Improved Essays