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How (and why) do quality improvement professionals measure performance?

Donald E Lighter1

  • 1The University of Tennessee, The Institute for Healthcare Quality Research and Education, 2120 River Sound Dr., Knoxville TN 37922, United States.

International Journal of Pediatrics & Adolescent Medicine
|February 27, 2019
PubMed
Summary
This summary is machine-generated.

Pediatricians face resource constraints in value-based care. This study explores quality and cost measures, reviewing Lean Six Sigma for improving pediatric care value globally.

Keywords:
MeasurementMedicarePaymentPerformance improvementQuality improvementShared savings

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Area of Science:

  • Healthcare Management
  • Pediatric Health Services
  • Quality Improvement Science

Background:

  • The global shift towards value-based care presents significant challenges for healthcare systems worldwide.
  • Pediatricians, in particular, grapple with limited resources when caring for a vulnerable patient population.
  • Achieving optimal value in pediatric care necessitates enhancing quality while concurrently reducing costs.

Purpose of the Study:

  • To examine the measurement of quality and cost as core components of the value proposition in healthcare.
  • To review the implications of adopting Lean Six Sigma as a framework for healthcare improvement.
  • To present a case for utilizing Lean Six Sigma principles with examples from international health systems.

Main Methods:

  • Literature review on value-based care metrics.
  • Analysis of quality and cost measurement strategies in pediatric healthcare.
  • Examination of Lean Six Sigma methodologies and their applicability to healthcare settings.
  • Comparative review of international health system examples.

Main Results:

  • Value in healthcare is defined by the interplay of quality and cost.
  • Lean Six Sigma offers a structured approach to identify and implement improvements.
  • Various health systems globally employ diverse measures to assess healthcare value.
  • Specific examples illustrate the application of quality and cost measures in practice.

Conclusions:

  • Effective measurement of quality and cost is essential for demonstrating value in pediatric care.
  • Lean Six Sigma provides a robust paradigm for achieving significant improvements in healthcare delivery.
  • Adoption of these principles can lead to enhanced patient outcomes and resource optimization.
  • International collaboration and shared learning are vital for advancing value-based pediatric care.