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Jan 09, 2024 •425 likes •665 views

D r. A n d r e D i a s A d e e p d i v e i n t o o u t c o m e s myialabs.com Agenda What is an outcome set How will outcomes collection impact you 2 There are lots of things to measure in healthcare Patient initial

  1. D r. A n d r e D i a s A d e e p d i v e i n t o o u t c o m e s myialabs.com

  2. Agenda What is an outcome set How will outcomes collection impact you 2

  3. There are lots of things to measure in healthcare Patient initial Protocols/guidelines conditions Patient E.g. , staff experience/ certification, Structure Processes facilities standards engagement PSA Indicators Gleason Score Surgical margin (…) Survival (Health) Continence outcomes Erectile function (…) Source: Michael Porter, Institute of Strategy and Competitiveness, Harvard 3

  4. The outcomes hierarchy Survival Tier 1 Health status achieved or retained Degree of health achieved or maintained Time to recovery and return to normal activities Tier 2 Process of Disutility of the care or treatment process Recovery ( e.g. , diagnostic errors and ineffective care, treatment-related discomfort, complications, or treatment errors) Sustainability of health /recovery and nature of recurrences Tier 3 Sustainability of health Long-term consequences of therapy ( e.g. , care-induced illnesses) Source: Michael Porter, Institute of Strategy and Competitiveness, Harvard 4

  5. “ Outcomes are the results people care about most when seeking treatment, including functional improvement and the ability to live normal, productive lives . ” – ICHOM Source: ICHOM 5

  6. Deep dive on a outcomes standard set Source: ICHOM 6

  7. What kind of outcomes are in the set Tier 1 Tier 2 Tier 3 Source: ICHOM 7

  8. But how do you measure these outcomes objectively? Source: ICHOM 8

  9. The HOOS - PS Source: ICHOM 9

  10. Pain Source: ICHOM 10

  11. Quality of life – EQ5D Source: ICHOM 11

  12. Quality of life – EQ5D Source: ICHOM 12

  13. Satisfaction and employment Source: ICHOM 13

  14. When to measure Patient Clinical Source: ICHOM 14

  15. Who is the data applicable to? Source: ICHOM 15

  16. Done!!! Source: ICHOM 16

  17. So what do you get out of this data? Source: ICHOM 17

  18. Recall yesterday – Daily Activities Source: caredecisions.partners.org 18

  19. Pain Source: caredecisions.partners.org 19

  20. Symptom Severity Source: caredecisions.partners.org 20

  21. What happens when you rank hospitals against one another RIKS-HIA Quality index 6 5 +22% 4 +40% +13% 3 +7% 2 2005 2006 2007 2008 2009 All hospitals (n=69) Bottom half 2007 (n=34) Source: Swedish National Patient Register, ICHOM 21

  22. What happens when you rank hospitals against one another RIKS-HIA Quality index 6 5 +22% 4 +40% +13% 3 +7% 2 2005 2006 2007 2008 2009 All hospitals (n=69) Bottom half 2007 (n=34) Source: Swedish National Patient Register, ICHOM 22

  23. T h a n k Y o u ! Q u e s t i o n s ? myialabs.com

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