Balancing measure exampleOutcome measureProcess measureFamily of measuresChange conceptsbalancing measure exampleQuality measureImprovement measuresOutcome measuresProcess measurementOutcome measure example

Quality Improvement and Measurement - What Non-Executive ...

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Balancing measures enable a system to monitor any unintended consequences (good or bad) of the improvement effort. A balancing measure in this ... Accessibilitylinks Skiptocontent Accessibilityhelp Information Weusecookiestocollectanonymousdatatohelpusimproveyoursitebrowsing experience. Click'Acceptallcookies'toagreetoallcookiesthatcollectanonymousdata. Toonlyallowthecookiesthatmakethesitework,click'Useessentialcookiesonly.'Visit'Setcookiepreferences'tocontrolspecificcookies. Acceptallcookies Useessentialcookiesonly Setcookiepreferences Yourcookiepreferenceshavebeensaved. Youcanchangeyourcookiesettingsatanytime. Coronavirus(COVID-19):whatyouneedtoknow  Closethisnotification Home Publications QualityImprovementandMeasurement-WhatNon-ExecutiveDirectorsneedtoknow Appendix2b-Outcome,processandbalancingmeasures Supportingdocuments Contents Close Choosesection Introduction TheRoleofNon-ExecutiveDirectors ImprovementFramework Appendix1-QualityImprovementmethodologies Appendix2a-Thethreereasonsformeasurement Appendix2b-Outcome,processandbalancingmeasures Appendix2c-Datapresentation Appendix2d-Showingdataandvariationovertime Appendix2e-Variation Appendix2f-Additionalresourcesonmeasurement Appendix3-Barrierstosuccessfulqualityimprovement Appendix4-Exampleimprovementagendaforleaders References Appendix2b-Outcome,processandbalancingmeasuresNoteveryactivityinachangewillresultinameasurableoutcome,someasuresaredevelopedtoshowtheactivityhastakenplace.Thesearecalledprocessmeasures.Forexample,ifawardagreesthatthreepatientsaretobecheckedeverytwohoursagainstthe'SSKINcarebundle'thisisrecordedasaprocessmeasure(whichreflectshowthesystemisworking).Abundleissimplyasetofactionsthat,whenundertakentogether,havebeenprovedtoaddressrisks.Inthiscase,thenursecheckstheSurface,observesthepatient'sSkin,encourageshertoKeepmoving,ensuressheavoidsIncontinenceandencouragesNutrition.Theoutcomemeasurewouldbetheabsenceofapressureulcerdeveloping(thisreflectstheimpactthesystemishavingonthepatient).Thisoutcomemeasurecouldbeshownatawardorcarehomelevelasthenumberof'daysbetween'apreventablepressureulcerdevelopingintheirpatients.Otherexamplesofoutcomemeasuresareratesoffalls,orhospitalacquiredinfection.Balancingmeasuresenableasystemtomonitoranyunintendedconsequences(goodorbad)oftheimprovementeffort.Abalancingmeasureinthisexamplecouldbe:thenumberofcomplaintsreceivedregardingpressureareacare;associatedcostsoftreating/nottreatingapressureulcer;staffsatisfaction;orreductioninbeddaysdueto'treating'apressureulcer.Balancingmeasuresareparticularlyusefulwhenthereisaconcernthatachangemighthaveanunintendednegativeconsequence.Anexampleofthiswasinworktoimproveaccesstopsychologicaltherapieswhereclinicianswereconcernedthatthefocusonaccessmightresultinpoorerqualitytreatment.Abalancingmeasurefocusedonclinicaloutcomedatawasthereforedeveloped. Appendix2c-Datapresentation Appendix2a-Thethreereasonsformeasurement Contact Email:SarahHildersley Wasthishelpful? Yourfeedbackwillhelpusimprovethissite Feedbacktype Yes No Yes,but Chooseareasonforyourfeedback Pleaseselectareason Itwasn'tdetailedenough It'shardtounderstand It'sincorrect Itneedsupdating There'sabrokenlink Itwasn'twhatIwaslookingfor Other Pleaseselectareason Itneedsupdating There'saspellingmistake It'shardtounderstand There'sabrokenlink Other Yourcomments Send Thanksforyourfeedback

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