Next Generation Quality Management

Author:

Jane Metzger, Larry Schmidt, David Classen MD

With CMS and other payers increasingly tying reimbursement to clinical performance, measured performance matters a great deal to hospitals and the capacity to understand (i.e., measure) and improve clinical performance is rapidly becoming a core competency. The key to harnessing the value of data and HIT in the interest of improving clinical performance is bringing quality reporting from the background to the bedside, delivering actionable information about risks of care deficiencies or potentially poor outcomes to the clinicians caring for the patients in time for them to intervene.

Continuous real-time monitoring, combined with intelligent detection and reliable intervention, is next-generation care management, which makes measurement meaningful in the hospital every minute of the day. How this will work is illustrated for sepsis prevention and management and for six HITECH meaningful use quality measures involving venous thromboembolism.

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