Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Role of IT and informatics
Results of current approaches to quality assessment
Slide content:Better Performance on Measures = Better Outcomes? Yes Patients choosing top-performing hospital or surgeon had one-half mortality of those who chose one in lowest quartile ( Jha & Epstein, 2006) Participation in HQA associated with lower mortality for MI, pneumonia, and CHF ( Jha et al., 2007) Adopting Leapfrog Group practices associated with better quality and lower mortality for acute MI ( Jha et al., 2008) 13
Slide notes:So, does better performance on process measures lead to better outcomes? Yes and no. Patients who choose a top-performing hospital or surgeon, one in the top quartile [ kwawr -tahyl ], have one-half the mortality rate of those who choose a hospital or surgeon in the lowest quartile. If all patients could make this choice, they would likely experience lower mortality. It has also been shown that participation in the Hospital Quality Alliance by hospitals is associated with lower mortality for myocardial infarction [my-o- car -dee- ul in- farc -shun], or MI, pneumonia, and congestive heart failure (CHF). In addition, it has been shown that adopting the Leapfrog Group practices is associated with better quality and lower mortality for acute MI, so there are some instances where better performance on quality measures leads to better outcomes. 13