Measurement
Measurement requires healthcare providers and their organizations to evaluate how well they are performing. It allows them to target problem areas in need of improvement. We have developed this page of the QHN website to help our Members implement measurement strategies for improvement.
Over the years, QHN has had numerous local, national and international speakers present on measurement. We hope you find the tools, examples from the field, and literature here within, as useful and exciting as we have.
If you have other measurement tools or a story to share, we would love to hear from you.
Tools
The following tools - templates, manuals and policies, have been recommended by our members, faculty or partners.
- Cochrane, Patti, Jennifer Zelmer and Sean Molloy. No Needless Death.....How Hospital Standardized Mortality (HSMR) Could Help. Presented at the QHN Spring Symposium 2006.
http://www.qhn.ca/pdfs/SympZelmer.pdf
http://www.qhn.ca/pdfs/Symptrillium.pdf - Cott, Cheryl, Gary Teare, Kathy McGilton, Sydney Lineker, and Ghionul Ibram. The Client Centred Rehab Questionnaire: Development and Pilot Testing. ACREU, University of Toronto. Presented at the QHN Networking for Better Practices The Patient Experience in Rehabilitation: Beyond the Data 2004.
http://www.qhn.ca/pdfs/UofT.pdf - Brown, Adalsteinn. Linking the scorecard to strategy in health care: Suggestions for hospitals and other health care providers. Presented at the QHN Open House Scorecards, Dashboards and Corporate Information: The Journey Continues 2004.
http://www.qhn.ca/pdfs/DrSteinibrown.pdf - Blackstien-Hirsch, Paula. Aligning Performance Management with Strategy. Hospital Report Research Collaborative. Presented at the QHN Spring Symposium 2006.
http://www.qhn.ca/pdfs/SympBlackstien-Hirsch.pdf - Koeman, Fred. Variation: It exists everywhere, what is it telling us?. North York General Hospital. Presented at the QHN Fall Forum 2005.
http://www.qhn.ca/pdfs/ff05VariationKoeman.pdf - Forbes, Rob. What if you find yourself in evidence wasteland? A Six Step Program in Using Data Better. Providence Healthcare. Presented at the QHN Fall Forum 2005.
http://www.qhn.ca/pdfs/ffo5providencerobforbes.pdf - Koeman, Fred. Are You in Control?. North York General Hospital. Presented at the QHN Fall Forum 2005.
http://www.qhn.ca/pdfs/ff05AreyouincontrolKoeman.pdf
Examples from the Field
The following Member presentations and stories demonstrate what can happen when these tools and evidence are put into practice.
- Heenan, Mike. Measuring Medical Quality: Developing a Medical Quality Scorecard & Physician Performance Reports. St. Joseph’s Healthcare Hamilton. Presented at the QHN Spring Symposium 2008.
- Summary Document on the QHN Networking for Better Practices The Patient Experience in Rehabilitation: Beyond the Data 2004.
http://www.qhn.ca/pdfs/stjohnssummary.pdf
- Jacobs, Monica and Avanthi Goddard. Bridgepoint Health. Presented at the QHN Networking for Better Practices Scorecards, Dashboards and Corporate Information: The Journey Continues 2004.
http://www.qhn.ca/pdfs/Bridgepoint.pdf - Kirsch, Garry and Sue Rivers. St. Peter's Health System: "A Trusted Covenant of Care." St. Peter's Hospital. Presented at the QHN Networking for Better Practices Scorecards, Dashboards and Corporate Information: The Journey Continues 2004.
http://www.qhn.ca/pdfs/St.%20Peter%27s%20QHN%20presentation.pdf - Beitz, Judy and Debra Wiltshire. St. Joseph's: Enhancing Activities in Complex Continuing Care. St. Joseph's Health Care, London. Presented at the QHN Networking for Better Practices Scorecards, Dashboards and Corporate Information: The Journey Continues 2004.
http://www.qhn.ca/pdfs/St.josephs.pdf - Alston, Valerie and Ena Chorlton. Trillium-Driving Performance Excellence: Dashboard, A Catalyst For Change. Trillium Health Centre. Presented at the QHN Networking for Better Practices Scorecards, Dashboards and Corporate Information: The Journey Continues 2004.
http://www.qhn.ca/pdfs/trillium.pdf - Hopkins, Malcolm. St. Thomas-Elgin General Hospital. Presented at the QHN Networking for Better Practices Dashboards, Scorecards and Corporate Information 2002.
http://www.qhn.ca/pdfs/Trillium%20Presentation%201%20-%20St.Thomas%20Elgin.pdf - Harris, Janet and Mary Davies. DATC's Accountability and Performance Measurement Project. Durham Access to Care. Presented at the QHN Networking for Better Practices Dashboards, Scorecards and Corporate Information 2002.
http://www.qhn.ca/pdfs/Trillium%20Presentation%202%20-%20Helmer%20and%20Davies.pdf - Bennet, Kerri. Implementation of an Electronic Dashboard. Grand River Hospital. Presented at the QHN Networking for Better Practices Dashboards, Scorecards and Corporate Information 2002.
http://www.qhn.ca/pdfs/Trillium%20Presentation%203%20-%20Grand%20River.pdf - Edmonds, Brian. The Performance Excellence Dashboard. Trillium Health Centre. Presented at the QHN Networking for Better Practices Dashboards, Scorecards and Corporate Information 2002.
http://www.qhn.ca/pdfs/Trillium%20Presentation%205%20-%20Trillium.pdf - Doidge, Doris. A Balanced Scorecard for Lakeridge Health. Lakeridge Health Corporation. Presented at the QHN Networking for Better Practices Dashboards, Scorecards and Corporate Information 2002.
http://www.qhn.ca/pdfs/Trillium%20Presentation%206%20-%20Lakeridge.pdf - Johnson, Kerri. TEGH Strategic Management System. Toronto East General Hospital. Presented at the QHN Spring Symposium 2006.
http://www.qhn.ca/pdfs/SympJohnson.pdf - Magistretti, Alexandra. Strategy-Based Performance Management. Health Results Team. Presented at the QHN Spring Symposium 2006.
http://www.qhn.ca/pdfs/SympMagistretti.pdf - Abuzgaya, Fathi (MD) and Tracy Lindsay. Creation of the Physician Scorecard. Rouge Valley Health System. Presented at the QHN Fall Forum 2005.
http://www.qhn.ca/pdfs/ff05RougeValleyPhysicianScorecard.pdf
Literature
The following evidence has been gathered for your information.
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