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

Types of Improvement Measures in Healthcare - Blog

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Balancing measures determine whether changes designed to improve one part of the system are causing new problems in other parts of the system. FreeTrial Login Tools QItoolsareseamlesslyintegrated,providinganeasytouseplatform,tailoredtorunningQIprojects. Community Bringyourpeopletogethertoshareideas,acceleratelearninganddrivechange-anytime,anywhere. Reporting Trackoutcomesandanalyzeprogressacrossyourteam,organizationandbeyondwithsecureanalyticstools. Features OrganizationPortfolio AchieveandsustainbetteroutcomesthroughpurposebuiltQItools,accuratedataandacultureofsharing. CollaborativeProgramme Removethedistance,bringyourteamsexpertisetogetherandturngreatideasintomeaningfulimprovement. BuildingCapability PlaceQItrainingandthedevelopingofQIskillsatthecenterofyourorganization'sframework. UseCases Pricing AboutUs OurStory CustomerStories WhyLifeQI Careers Securityandgovernance ContactUs Resources Blog HelpCenter Labs-What'sComing MediaKit How-To SPC PDSA QILeadership ImprovementCollaboratives ImprovementJourney StaffEngagement RunaQIproject QICoaching Resources Signin FreeTrial TypesofImprovementMeasuresinHealthcare Publishedon25March2020at10:24 by KerriePreston   Inrecenttimes,therehasbeenastrongfocusonglobalinitiativestoimprovehealthcarequality,particularlyindevelopedcountries.Thereisagrowingrecognitionthatnationalandlocalhealthcareperformancemeasurementandreportingisessentialiftheseinitiativesaretoachievetheirfullpotential.   Measurementisacriticalpartoftestingandimplementingchanges;measurestellateamwhetherthechangestheyaremakingactuallyleadtoimprovement.    TheDonabedian’s(2005)theoryistherearethreecomponentswhenevaluatingthequalityofcarethatunderpinsmeasurementforimprovement.ThesecomponentsareStructure,Process&Outcome.     However,whenmeasuringforimprovement'BalancingMeasures'areanessentialpartoftheprocessandoftenreplacetheStructure.    Useabalancedsetofmeasurestoassessifthechangesyouaremakingareleadingtoimprovements. Asmentionedyoushouldconsiderhavingthreetypesofmeasures:     Balancingmeasures Balancingmeasuresdeterminewhetherchangesdesignedtoimproveonepartofthesystemarecausingnewproblemsinotherpartsofthesystem.Forexample,doesthisnewchangeimprovestaffsatisfactionbutdecreasepatientsatisfaction?   Balancingmeasuresanswerthequestion:"Arethechangeswearemakingtoonepartofthesystemcausingproblemsinotherpartsofthesystem?"     Processmeasures Whenworkingwithprocessmeasures,focusontheprocessesandsystemsthatdirectlycontributeto yourdesiredoutcome.Forexample,whetherornotamemberofstaffhaswashedtheirhandsordeliverytimeofspecificprocessstep.   Processmeasuresanswerthequestion:"Arewedoingtherightthingstoachieveourgoals?"   Outcomemeasures Outcomemeasuresreflecttheimpactonthepatientandidentifiestheendresultofyourimprovementwork.Forexample,reducedinfectionsorharm,improvedpatientexperienceetc.   Outcomemeasuresanswerthequestion:"WhataretheendresultsofourQIwork?"     Whyyouneedprocess,balanceandoutcomemeasures Itisimportanttohavebothprocessandoutcomemeasures,theyconnectyourtheoryofchangetoyourexpectedoutcomes.Ifyoumeasureoutcomeswithoutprocessmeasures,youcannotbesureifthechangesyoumakehavehappenedinpracticeandthereforecannotconnectimprovementstooutcomes.Ifyoumeasureprocesswithoutoutcomes,youcannotbesureifoutcomeshavechanged,andthereisriskof“hittingatarget(improvedprocess)butmissingthepoint(noimprovedoutcomes)”. Alongsidethesetwoconcepts,allimprovementprojectsshouldactivelyseekoutanypotentialunintendedconsequencesofchangeanddeliberatelymeasuretheseasbalancingmeasures.Atipistolistentoscepticsandusetheirconcernstodevelopbalancingmeasures.   FollowingthiswithyourPDSA... PDSAmeasuresarethosethatarecollectedwitheachtestofchange(PDSA)thatiscarriedout.Thesemeasuresprovideinformationabouttheeffectofeachchangeattempt.           Stayinformed,receiveourupdatesstraighttoyourinbox StartimprovingwithLifeQItoday FullaccesstoallLifeQIfeaturesandasupportteamexcitedtohelpyou.Qualityimprovementhasneverbeeneasier. OrganisationalreadyusingLifeQI?Sign-up Backtomainblog Recentarticles NovemberRoundup2021 RekaToth 10December2021at13:21 LifeQIandJoyinWork ErikaKittow 29November2021at12:48 OctoberRoundup2021 RekaToth 5November2021at09:10 Stayinformed,receiveourblogupdatesstraighttoyourinbox Privacy&Terms

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