Ch.

Healthcare system performance

o Evaluated to increase its function
o Three criteria
Quality
Determines the structure of healthcare
o Meant to designate the condition which care is provided
o Questions?
How many nurses on a floor
How many residents on a floor
Age of facility
What portion of patients have insurance or are
receiving medicare or Medicaid
Are physicians fee for service or salary
Determines the process
o The activities that constitute healthcare
Including diagnosis/treatment
Questions?
Is infection control policy followed by staff
Is the test results needed for diagnosis
received quickly
How is the transmit of information for
patients treatment
What is the wait time for the waiting room
Determines the outcome
o Population health outcome
Used in macro level performance to evaluate the
regions, states, or nations
Statistics of the areas
Health adjusted life expectancy (HALE)
o How long they live based on the
quality of life and state of health
Quality adjusted life years (QALY)
Age-Adjusted Mortality Rates
Video
o High deaths due to hospitals (100,000) due to malpractice
o TMIT
Patient medical safety organization
o Mayo Clinic
Developed cleaning check list
Also has a dispensary for specific medications that require multiple checks
before dispensed

o Health care systems that are below average deny that they are that low on
performance
o Chasing Zero
o 100,000 lives campaign followed by 5,000,000 lives campaign
o Heprin labels are now changed
o Safe care barrier
Fear
o Secret Weapon: The Power of Story Telling
Dennis Quaid paper
o IHI Open School
Places med students into safey game
o Pyxis system makes sure that the medications are given to the right patient at the
right time with the right dose
o CPO checks patient records and their KDA
o AMCS
Automated Mediated Care System
o National Quality Forum
Used for professionals to express safety for hospitals