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Related Experiment Videos

Learning to leverage existing information systems: Part 1. Principles.

Nancy Neil1, David Nerenz

  • 1Virginia Mason Medical Center, Seattle, USA. nancy.neil@vmmc.org

Joint Commission Journal on Quality and Safety
|October 22, 2003
PubMed
Summary

Healthcare organizations can improve performance measurement by leveraging existing data systems. Practical guidance is offered for creating valid performance information from fragmented data sources to aid clinicians and administrators.

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Area of Science:

  • Healthcare Management
  • Health Informatics
  • Clinical Quality Improvement

Background:

  • Effective performance measurement and feedback are crucial for healthcare improvement initiatives.
  • Fragmented data systems in healthcare organizations hinder comprehensive performance analysis.
  • Virginia Mason Health System (VMHS) faced challenges with legacy, stand-alone information systems.

Purpose of the Study:

  • To provide methods and guidance for leveraging available information sources to create valid performance improvement data.
  • To guide healthcare organizations in overcoming challenges posed by fragmented data systems.
  • To offer principles for developing performance measurement solutions using existing information systems.

Main Methods:

  • Utilized experience from Virginia Mason Health System (VMHS), a vertically integrated health system.

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  • Focused on practical guidance for obtaining and creating performance improvement information.
  • Emphasized leveraging existing, often fragmented, data sources without new technology investment.

    • Main Results:

    • VMHS developed standardized, clinic-wide key performance indicators updated regularly at multiple levels (patient, provider, site, organizational).
    • Demonstrated that performance measurement can be achieved despite reliance on paper-based records supplemented by electronic reporting.
    • Identified key principles for organizations to explore solutions using their own information systems.

    Conclusions:

    • Organizations can start simply and incrementally improve performance measurement by identifying information needs and tapping multiple data streams.
    • Practical guidance enables clinicians and administrators to utilize performance data effectively, even with legacy systems.
    • VMHS's experience offers a scalable model for enhancing healthcare performance through strategic use of existing data infrastructure.