Measures
Data collection or auditing is the basis of all the CEQS’s Improvement
activities and provides a means of measuring performance through which informed
decisions can be made. The following principles apply:
1.
Data is collected for a comprehensive set of performance measures
based on the priorities established by UK leadership in order to:
a.
Establish a baseline when a process is implemented or redesigned.
b.
Describe process performance or stability.
c.
Describe the dimensions of performance or stability.
d.
Describe the dimensions of performance relevant to functions,
processes, and outcomes.
e.
Identify areas for improvement including the effect on patients.
f.
Determine whether changes in a process have met objectives
g.
Implement a strategy for maintaining the effectiveness of the
redesigned process over time.
2.
Data is collected as a part of continuing measurement, in addition
to data collected for priority issues.
3.
Data collected considers measures of processes and outcomes.
4.
Data collection includes at least the following processes or
outcomes:
a.
Operative and other invasive and noninvasive procedures that place
patients at risk
b.
Processes related to medication usage/errors
c.
Processes related to the use of blood and blood components
d.
Needs, expectations, safety, and satisfaction of patients
e.
Quality Control Activities
f.
Clinical and Support Departments
g.
Medical Staff Departments
h.
Medical Staff Committees
i.
Variance Reporting
j.
Patient Satisfaction
k.
Patient Complaints