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Do you speak hospital?

Do you speak hospital?. What is a parking lot? What is hardwire? What is offline? What is six sigma? What is lean?. Do you speak hospital?. What is a parking lot? What is hardwire? What is offline? What is six sigma? What is lean? AND NOW what is SCORECARD or BALANCED SCORECARD?.

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Do you speak hospital?

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  1. Do you speak hospital? • What is a parking lot? • What is hardwire? • What is offline? • What is six sigma? • What is lean?

  2. Do you speak hospital? • What is a parking lot? • What is hardwire? • What is offline? • What is six sigma? • What is lean? • AND NOW what is SCORECARD or BALANCED SCORECARD?

  3. Why scorecard? • Allows a method to communicate and numerically track residency goals and plans. • Assists residencies in monitoring project implementation and impact to the metric. • Creates a system to compare to other hospitals/residency programs • Assists residencies connect to hospital administration. • If you speak hospital talk, helps get resources.

  4. What is a scorecard? Numeric indicators that reflect a process, project, or department/organization First question … what is your business and why do you exist? Evolves to what are we trying to measure and why? What are our goals?

  5. Medicare PQRI • Physician quality reporting initiative began in July 2007 • PQRI ED items • Aspirin at arrival for AMI • EKG for non-traumatic chest pain • EKG performed for syncope • Vital signs for community-acquired pneumonia • Assessment of oxygen saturation for community-acquired pneumonia • Assessment of mental status for community-acquired pneumonia • Empiric antibiotic for community-acquired pneumonia

  6. Is ED throughput a quality measure and how does it relate to residency programs?

  7. Hospital OP QRDP-2011+ Measures • Measure #5 ED Throughput • Median time for ED arrival to departure for discharged patients • Measure is under consideration

  8. Hosp QDRP-ED Throughput

  9. What is Quality Value = Quality / Cost

  10. Why do residencies exist, what do we want to achieve? • Clinically competent physicians. • Customer service skills, communication skills, listen, connect with patients and patients’ families. • Efficiency.

  11. REVIEW SCORECARD

  12. Scorecard Conclusions • Scorecards allow measurement=Awareness • Scorecards evolve through time • Do you have resources committed to the items on the scorecard? • Challenge: What does the data mean to a department or individual? What is the project that needs to resourced to change the metric? • Prioritization takes agreement and/or leadership • ED’s and ED residencies have an opportunity to determine their own quality metrics

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