The Unknown Cost of “High Quality Outcomes” in Healthcare

“You were recently acknowledged for having high quality outcomes compared to your peers, how much is it costing you to report this information?”

I recently read an article on healthcareitnews.com, “What Makes a High Performing Hospital? Ask Premier”. Because so many healthcare providers are so quick to tout their “quality credentials” (yet very few understand how much it costs their organization in wasted time and money running around to collect the data to make these claims) and this article sparked the following thoughts…

The easiest way to describe it, I’ve been told after many times trying to describe it myself, is “the tip of the iceberg”. That is the best analogy to give a group of patient safety and quality executives, staffers, and analysts when describing the effort, patience, time and money needed to build a “patient safety and quality dashboard”  with all types of quality measures with different forms of drill down and roll up.

What most patient safety and quality folks want is a sexy dashboard or scorecard  that can help them report and analyze, in a single place and tool, all of their patient safety and quality measures. It has dials and colors and all sorts of bells and whistles. From Press Ganey patient satisfaction scores, to AHRQ PSIs, Thomson Reuters and Quantros Core Measures, TheraDoc and Midas infection control measures, UHC Academic Medical Center measures….you name it. They want one place to go to see this information aggregated at the enterprise level, with the ability to drill down to the patient detail. They want to see it by Location, or by Physician, by Service Line or by Procedure/Diagnosis. This can be very helpful and extremely valuable to organizations that continue to waste money on quality analysts and abstractors who simply “collect data” instead of “analyze and act” on it. How much time do you think your PS&Q people spend finding data and plugging away at spreadsheets? How much time is left for actual value-added analysis? I would bet you very little…

So that’s what they want, but what are they willing to pay for? The answer is very little. Why?

People in patient safety and quality are experts…in patient safety and quality. What they’re not experts in is data integration, enterprise information management, meta-data strategy, data quality, ETL, data storage, database design, and so on. Why do I mention all these technical principles? Because they ALL go into a robust, comprehensive, scalable and extensible data integration strategy…which sits underneath that sexy dashboard you think you want. So, it is easy for providers to be attracted to someone offering a “sexy dashboard” that knows diddly squat about the foundation, or what you can’t see under the water, that’s required to build it. Didn’t anyone ever tell you “if it sounds too good to be true, it is!?”

2 thoughts on “The Unknown Cost of “High Quality Outcomes” in Healthcare

  1. Pingback: What I Learned at Health Connect Partners Surgery Conference 2012: Most Hospitals Still Can’t Tell What Surgeries Turn a Profit | Edgewater Technology Weblog

  2. Pingback: What I learned at HFMA’s Revenue Cycle Conference at Gillette Stadium | Edgewater Blog

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