TY - JOUR
T1 - Board quality scorecards
T2 - Measuring improvement
AU - Goeschel, Christine A.
AU - Berenholtz, Sean M.
AU - Culbertson, Richard A.
AU - Jin, Linda
AU - Pronovost, Peter J.
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2011/7
Y1 - 2011/7
N2 - Board accountability for quality and patient safety is widely accepted but the science for how to measure it is immature, and differences between measuring performance, identifying hazards, and monitoring progress are often misunderstood. Hospital leaders often provide scorecards to assist boards with their oversight role yet, in the absence of national standards, little evidence exists regarding which measures are valid and useful to boards to assess quality improvement. The authors describe results of a cross-sectional board study, identifying the measures used to monitor quality. The measures varied widely and many were of uncertain validity, generally identifying hazards rather than measuring rates. This article identifies some important policy implications regarding boards' oversight of quality and acknowledges existing limits to how we can measure quality and safety progress on the national or hospital level. If boards and their hospitals are to monitor progress in improving quality, they need more valid outcome measures.
AB - Board accountability for quality and patient safety is widely accepted but the science for how to measure it is immature, and differences between measuring performance, identifying hazards, and monitoring progress are often misunderstood. Hospital leaders often provide scorecards to assist boards with their oversight role yet, in the absence of national standards, little evidence exists regarding which measures are valid and useful to boards to assess quality improvement. The authors describe results of a cross-sectional board study, identifying the measures used to monitor quality. The measures varied widely and many were of uncertain validity, generally identifying hazards rather than measuring rates. This article identifies some important policy implications regarding boards' oversight of quality and acknowledges existing limits to how we can measure quality and safety progress on the national or hospital level. If boards and their hospitals are to monitor progress in improving quality, they need more valid outcome measures.
KW - hospital boards
KW - measuring improvement
KW - quality and patient safety
KW - quality scorecards
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U2 - 10.1177/1062860610389324
DO - 10.1177/1062860610389324
M3 - Article
C2 - 21498775
AN - SCOPUS:79960214764
SN - 1062-8606
VL - 26
SP - 254
EP - 260
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 4
ER -