Hospital MarketScan: Hospital Outcome and Quality Measures

The five most important outcome measures for hospitals. Establishing and fortifying referral partnerships with hospitals and health systems necessitates a more comprehensive understanding of hospital outcomes and quality measures to enhance relationship-building efforts. Home care providers benefit significantly from understanding hospital quality and outcomes as it supports patient-centered care, risk mitigation, performance improvement, collaboration, reimbursement, and patient satisfaction. This knowledge is important in delivering high-quality and coordinated care across the healthcare continuum. This positions home care providers as valuable collaborators with an in-depth comprehension of hospital objectives. Quality Measures Quality measures are tools that help measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. These goals include effective, safe, efficient, patient-centered, equitable, and timely care. Inpatient Quality Indicator measures provide a perspective on quality of care inside hospitals, including Inpatient mortality for surgical procedures and medical conditions; Utilization of procedures for which there are questions of overuse, underuse, and misuse. Prevention Quality Indicator (PQI) measures identify issues of access to outpatient care, including appropriate follow-up care after hospital discharge. More specifically, the PQIs use data from hospital discharges to identify admissions that might have been avoided through access to high-quality outpatient care. The PQIs are population-based indicators that capture all cases of the potentially preventable complications that occur in a given population (in a community or region) either during a hospitalization or in a subsequent hospitalization. The PQIs are a key tool for community health needs assessments. Patient Safety Indicator measures provide information on potentially avoidable safety events that represent opportunities for improvement in the delivery of care. More specifically, they focus on potential in-hospital complications and adverse events following surgeries, procedures, and childbirth. The Top 5 Healthcare Outcome Measures Mortality: The patient mortality rate measures the percentage of patients who die in a hospital's care before being discharged. Mortality rate is a strong indicator of providers' ability to stabilize a patient's condition following surgery or another procedure. Sepsis is the leading cause in hospital mortality. Safety of Care: Safety metrics are related to medical incidents, including errors and adverse events. Hospital incidents include unintentional consequences or side effects of hospital procedures, including conditions like sepsis, postoperative respiratory failure, pulmonary embolisms, hemorrhages, and other reactions or infections. Two common patient safety measures are: Skin breakdown, which occurs when pressure decreases blood flow to the skin. Patients with skin breakdown have a higher risk of infection. Skin assessment tools can be used to reduce skin breakdown. Healthcare-acquired infections, which occur while patients are receiving treatment for medical or surgical conditions. These infections are caused by viral, bacterial, and fungal pathogens. Readmissions: This metric refers to the percentage of patients who are admitted into the same or another hospital within 30 days of being discharged for the same condition or a complication from the original episode of care. Patient Experience: Patient experience encompasses the range of interactions that patients have with the healthcare system, including their care from health plans, and from doctors, nurses, and staff in hospitals, physician practices, and other healthcare facilities. As an integral component of healthcare quality, patient experience includes several aspects of healthcare delivery that patients value highly when they seek and receive care, such as getting timely appointments, easy access to information, and good communication with health care providers. Timeliness of Care: Timeliness of care metrics measures patient access to care. (e.g., waiting times, such as the time from arrival at the ED until diagnostic evaluation) are related to patient access to care. Download ArticleDownload the Entire Issue

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Hospital MarketScan: Hospital Outcome and Quality Measures

The five most important outcome measures for hospitals.

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