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Measuring quality at a system level: an impossible task? The Toronto Central LHIN Experience
Rachel Solomon1, Cynthia Damba2, Shirley Bryant3
1Senior director of performance measurement and information management at the Toronto Central Local Health Integration Network (TC LHIN), in Toronto, Ontario.
Healthcare Quarterly (Toronto, Ont.)
|February 4, 2014
Summary
This study details a regional health organization
Area of Science:
- Healthcare Management
- Quality Improvement
- Health Systems Science
Background:
- Healthcare quality measurement is fragmented across organizations.
- Connecting quality efforts across different healthcare sectors is challenging.
- Patient experience is often disconnected from organizational quality reporting.
Purpose of the Study:
- To describe a regional health organization's process for system-level quality measurement.
- To outline a consultative and iterative approach to measuring quality across the care continuum.
- To identify challenges and early findings in system-wide quality measurement.
Main Methods:
- A consultative and iterative process was employed.
- Quality measurement was approached at a regional health system level.
- The continuum of care was considered for comprehensive assessment.
Main Results:
- A methodology for system-level quality measurement was developed.
- Challenges in cross-organizational quality assessment were identified.
- Early insights into system-wide healthcare quality were obtained.
Conclusions:
- System-level quality measurement requires a coordinated, consultative approach.
- Addressing fragmentation in quality reporting is crucial for patient care.
- Iterative processes are key to overcoming measurement challenges in complex health systems.
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