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Updated: Jun 5, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

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Kaiser Permanente's performance improvement system, part 2: developing a value framework.

Lisa Schilling1, Dennis Deas, Maile Jedlinsky

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Joint Commission Journal on Quality and Patient Safety
|January 13, 2011
PubMed
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This summary is machine-generated.

Kaiser Permanente

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Area of Science:

  • Healthcare Management
  • Performance Improvement Systems
  • Organizational Development

Background:

  • Kaiser Permanente initiated a nationwide performance improvement (PI) system in 2008.
  • The system aimed to enhance performance through consistent measurement, skill development, and organizational support.
  • Evaluation focused on 22 medical centers across four regions during 2008-2009.

Purpose of the Study:

  • To assess the intermediate results of the nationwide performance improvement system.
  • To evaluate the effectiveness of improvement advisors (IAs) and organizational capabilities.
  • To determine the return on investment for the PI system.

Main Methods:

  • Phased implementation of the PI system across 22 medical centers.
  • Assessment of intermediate results and project completion rates.
  • Calculation of return on investment based on financial estimates.

Main Results:

  • A 61% improvement in selected capabilities was observed across the evaluated medical centers.
  • Improvement advisors (IAs) successfully completed 84% of initial PI projects.
  • An estimated return on investment of $2.36 for every dollar invested was reported.

Conclusions:

  • The PI system successfully increased organizational capabilities and demonstrated a sound investment.
  • Key success factors include dedicated PI time, expert support, strategic alignment, and strong collaboration.
  • The system's elements are adaptable for smaller healthcare systems and individual hospitals.