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Related Experiment Videos

Using performance measurement to drive improvement: a road map for change.

Robert S Galvin1, Elizabeth A McGlynn

  • 1Global Health Care Division, General Electric Company, Fairfield, Connecticut, USA.

Medical Care
|January 25, 2003
PubMed
Summary

Widespread adoption of healthcare performance measures and reporting is stalled. Six interconnected steps, including public awareness and redesigned reports, are recommended to accelerate their use and improve quality.

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Area of Science:

  • Health Services Research
  • Healthcare Quality Improvement
  • Health Policy Analysis

Background:

  • Performance measures and reporting are crucial for consumer engagement in healthcare decision-making but have seen limited adoption in the US.
  • Understanding barriers to the diffusion of measurement and reporting is essential for future health policy development.

Purpose of the Study:

  • To develop a conceptual framework for analyzing the adoption rate of performance measurement and reporting.
  • To evaluate strategies for accelerating the adoption of these measures.
  • To propose actionable steps for increasing their utilization in the healthcare system.

Main Methods:

  • The study reviewed three theoretical models: Rogers, Prochaska/DiClemente, and Gladwell.
  • Literature on prior experiences with quality measurement and reporting was examined.

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  • Interviews were conducted with key stakeholders in the healthcare sector.

    • Main Results:

    • Theoretical models offered insights into the stagnation of performance measure use (termed "the circle of unaccountability").
    • Six concrete steps were identified to accelerate adoption: 1) increase public awareness, 2) redesign measures and reports, 3) ensure timely information delivery, 4) mandate public reporting, 5) establish quality reward systems, and 6) engage leaders.
    • These steps are interdependent and require coordinated action.

    Conclusions:

    • Significant acceleration in the adoption of performance measurement and reporting necessitates a comprehensive approach addressing all six recommended steps.
    • Effective leadership and coordination are vital to ensure the successful implementation and synergistic effect of these initiatives.