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myialabs.com 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
Agenda
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What is an outcome set How will outcomes collection impact you
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 - - PowerPoint PPT Presentation
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 - - PowerPoint PPT Presentation
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
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There are lots of things to measure in healthcare
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Processes Patient initial conditions (Health)
- utcomes
Patient experience/ engagement Indicators Structure
E.g., staff certification, facilities standards PSA Gleason Score Surgical margin (…) Protocols/guidelines Survival Continence Erectile function (…)
Source: Michael Porter, Institute of Strategy and Competitiveness, Harvard
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The outcomes hierarchy
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Survival Degree of health achieved or maintained Time to recovery and return to normal activities Disutility of the care or treatment process (e.g., diagnostic errors and ineffective care, treatment-related discomfort, complications, or treatment errors) Sustainability of health /recovery and nature of recurrences Long-term consequences of therapy (e.g., care-induced illnesses) Tier 1 Health status achieved or retained Tier 2 Process of Recovery Tier 3 Sustainability
- f health
Source: Michael Porter, Institute of Strategy and Competitiveness, Harvard
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“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
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Deep dive on a outcomes standard set
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Source: ICHOM
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What kind of outcomes are in the set
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Tier 1 Tier 2 Tier 3
Source: ICHOM
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But how do you measure these outcomes objectively?
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Source: ICHOM
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The HOOS - PS
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Source: ICHOM
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Pain
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Source: ICHOM
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Quality of life – EQ5D
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Source: ICHOM
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Quality of life – EQ5D
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Source: ICHOM
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Satisfaction and employment
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Source: ICHOM
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When to measure
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Source: ICHOM
Patient Clinical
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Who is the data applicable to?
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Source: ICHOM
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Done!!!
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Source: ICHOM
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So what do you get out of this data?
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Source: ICHOM
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Recall yesterday – Daily Activities
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Source: caredecisions.partners.org
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Pain
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Source: caredecisions.partners.org
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Symptom Severity
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Source: caredecisions.partners.org
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2 3 4 5 6 2005 2006 2007 2008 2009
+13% +22% +7% +40%
RIKS-HIA Quality index All hospitals (n=69) Bottom half 2007 (n=34)
What happens when you rank hospitals against one another
Source: Swedish National Patient Register, ICHOM
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2 3 4 5 6 2005 2006 2007 2008 2009
+13% +22% +7% +40%
RIKS-HIA Quality index All hospitals (n=69) Bottom half 2007 (n=34)
What happens when you rank hospitals against one another
Source: Swedish National Patient Register, ICHOM
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myialabs.com T h a n k Y o u ! Q u e s t i o n s ?