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A systems approach to improving core measure outcomes in a small rural facility
Pavani Rangachari1, Doreen M Hutchinson
1Fairview Hospital, Berkshire Health Systems, Barrington, MA, USA. prangachari@bhs1.org
Summary
Fairview Hospital improved core measure outcomes using an integrated performance measurement system. This approach involved organizational changes in data handling and structure, without new technology investments, to drive continuous improvement.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Health Services Research
Background:
- Rural critical access facilities face unique challenges in performance measurement.
- Effective data collection, analysis, and dissemination are crucial for healthcare improvement.
- Integrating performance data into organizational structure can drive continuous improvement.
Purpose of the Study:
- To describe the development of an integrated performance measurement and improvement system at Fairview Hospital.
- To outline the organizational changes implemented to leverage performance data.
- To provide a framework for organization-level improvement in healthcare settings.
Main Methods:
- Implementation of an organization-level change in data collection, analysis, and dissemination processes.
- Structural organizational changes to utilize performance data for continuous improvement.
- Application of a patient-level composite score methodology within the integrated system.
Main Results:
- Dramatic improvement in core measure outcomes was achieved.
- The integrated system facilitated organization-level change without new technology investment.
- Enhanced data utilization led to significant performance gains.
Conclusions:
- An integrated performance measurement and improvement system can be effectively implemented in rural hospitals.
- Organizational change and data-driven strategies are key to improving healthcare outcomes.
- The Fairview Hospital model offers a replicable framework for enhancing performance in critical access facilities.
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