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A guide to using performance measurement systems for continuous improvement.

J Maleyeff1, F C Kaminsky, A Jubinville

  • 1Lally School of Management & Technology, Rensselaer Polytechnic Institute, Hartford, CT, USA. maleyeff@rh.edu

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|August 3, 2001
PubMed
Summary

The Joint Commission mandates healthcare organizations use performance measurement systems like the ORYX initiative. This guide details a three-step approach using continuous improvement and statistical process control (SPC) for quality measurement.

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Area of Science:

  • Healthcare Quality Improvement
  • Health Services Research
  • Performance Measurement Systems

Background:

  • Accredited healthcare organizations must utilize performance measurement systems to meet Joint Commission requirements.
  • The ORYX initiative serves as a standardized system for internal quality control and external performance benchmarking.
  • Effective performance measurement is crucial for demonstrating healthcare quality and compliance.

Purpose of the Study:

  • To outline a practical, three-step methodology for implementing a performance measurement system.
  • To demonstrate the application of continuous improvement principles in healthcare quality management.
  • To highlight the utility of statistical process control (SPC) methods for analyzing quality data.

Main Methods:

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  • Adoption of a three-step approach integrating continuous improvement philosophy.
  • Application of statistical process control (SPC) methods for data analysis.
  • Utilizing readily available software, such as Microsoft Excel, for SPC implementation.

    • Main Results:

    • The proposed approach provides a structured framework for performance measurement.
    • SPC enables robust analysis of quality measures, facilitating identification of trends and variations.
    • Microsoft Excel offers a feasible platform for implementing SPC in healthcare settings.

    Conclusions:

    • A systematic approach combining continuous improvement and SPC enhances performance measurement.
    • The ORYX initiative can be effectively managed using SPC principles for improved healthcare quality.
    • Implementing SPC with accessible tools like Excel supports data-driven decision-making in healthcare organizations.