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Clinical Process Modeling and Performance Measurement in Hospitals

Eva Gattnar, Okan Ekinci, Vesselin Detschew
2011 2011 IEEE 15th International Enterprise Distributed Object Computing Conference Workshops  
Clinical process models can enable process monitoring and quality controlling in health care facilities.  ...  stay in hospital.  ...  CLINICAL PROCESS MODELING AND PERFORMANCE MEASUREMENT A.  ... 
doi:10.1109/edocw.2011.21 dblp:conf/edoc/GattnarED11 fatcat:oiebmyiddrhk3d2j6pibbdnwt4

Health Care Performance Monitoring Using an Inpatient Reference Process Model and Clinical KPIs [chapter]

Eva Gattnar, Okan Ekinci, Vesselin Detschew
2012 Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering  
Improving quality of care through process performance measurement in hospitals and the identification of bottlenecks in performed workflows is thereby a promising concept.  ...  On this account we propose a novel approach based on an inpatient reference process model aiming a standardized and automated retrieval of quality and performance metrics along the clinical pathways of  ...  Improving quality of care through process performance measurement in hospitals and the identification of bottlenecks in performed workflows is thereby a promising concept.  ... 
doi:10.1007/978-3-642-29262-0_5 fatcat:52ugn5sai5ghzjlqhlwtkswq7m

Does adding clinical data to administrative data improve agreement among hospital quality measures?

Amresh D. Hanchate, Kelly L. Stolzmann, Amy K. Rosen, Aaron S. Fink, Michael Shwartz, Arlene S. Ash, Hassen Abdulkerim, Mary Jo V. Pugh, Priti Shokeen, Ann Borzecki
2017 Healthcare: The Journal of Delivery Science and Innovation  
We examined if combining clinical data on laboratory tests and vital signs with administrative data leads to improved agreement with each other, and with other measures of hospital performance in the nation's  ...  Conclusions-Adding laboratory tests and vital signs to measure hospital performance on mortality and readmission did not improve the poor rates of agreement across hospital quality indicators in the VA  ...  RESULTS Nationally Impact of Adding Clinical Data on Risk Adjustment Model Performance Impact of Adding Clinical Data on Hospital Performance Measured in multiple ways, adding clinical data resulted  ... 
doi:10.1016/j.hjdsi.2016.10.001 pmid:27932261 pmcid:PMC5772776 fatcat:h2xinolmpbcpdbzkmp6hwdyphu

Healthcare quality innovation and performance through process orientation: Evidence from general hospitals in Switzerland

Anne Cleven, Tobias Mettler, Peter Rohner, Robert Winter
2016 Technological forecasting & social change  
This paper proposes and evaluates a theoretical model that investigates the effect of process orientation on hospitals' competitiveness and performance.  ...  The model is empirically tested by means of a questionnaire-based survey among clinical and administrative management of hospitals in Switzerland. 145 complete questionnaires from 129 hospitals are analyzed  ...  Measurement model The model proposed in this study consists of four reflective (process orientation, workforce conditions, clinical quality, and patient satisfaction) and two formative measures (operational  ... 
doi:10.1016/j.techfore.2016.07.007 fatcat:63tsiwtzbnfzjedzv5goyeyb2q

Association Between Clinical Practice Group Adherence to Quality Measures and Adverse Outcomes Among Adult Patients With Diabetes

Lauren G. Gilstrap, Michael E. Chernew, Christina A. Nguyen, Sartaj Alam, Barbara Bai, J. Michael McWilliams, Bruce E. Landon, Mary Beth Landrum
2019 JAMA Network Open  
Therefore, it is important to determine whether commonly used process and disease control measures for chronic conditions correlate with utilization-based outcomes, as they do in acute disease.  ...  Clinical practice group performance on quality measures associated with chronic disease management has become central to reimbursement.  ...  Dr Landrum reported receiving grants from the Laura and John Arnold Foundation during the conduct of the study and grants from Pfizer, Inc, outside the submitted work.  ... 
doi:10.1001/jamanetworkopen.2019.9139 pmid:31411713 pmcid:PMC6694385 fatcat:oor7drxrjzdp3ntjge4wxy33zi


Bernadette Aliprandi-Costa, David Brieger, Karice Hyun, Darren Walters, Sandra West, Janice Gullick, Victoria Miller, Isuru Ranasinghe
2014 Journal of the American College of Cardiology  
Acute Coronary Syndromes: Clinical  ...  Hospitals that adhere to STEMI system measures perform well in other clinical process measures, treat more high risk patients and attend to more in-hospital cardiovascular events effectively without a  ...  We sought to determine if ST elevation MI (STEMI) performance measures were associated with adherence to other clinical process measures (CPI) and to describe the relationship between performance in process  ... 
doi:10.1016/s0735-1097(14)60147-9 fatcat:5zvmn4x3efaijj3lfcholyi5mu

Technological innovations and hospital performance: a systematic review of the literature

Robert Weech-Maldonado, Ferhat Zengul, Grant T. Savage
2014 Innovation and Entrepreneurship in Health  
This systematic literature review attempts to account for the technology-performance link in US hospitals by focusing on clinical technologies and services.  ...  On one hand, hospitals have been adopting various clinical technologies to improve their clinical quality and financial performance.  ...  In particular, this was observed for mortality (clinical measure) and ROA (financial performance measure).  ... 
doi:10.2147/ieh.s63131 fatcat:huy5z3pvmnfhjnol3bsmxeyk3a

Are process performance measures associated with clinical outcomes among patients with hip fractures? A population-based cohort study

Pia Kjaer Kristensen, Theis Muncholm Thillemann, Kjeld Søballe, Søren Paaske Johnsen
2016 International Journal for Quality in Health Care  
Objectives: To examine the association between process performance measures and clinical outcome among patients with hip fracture. Design: Nationwide, population-based follow-up study.  ...  Conclusions: Higher quality of in-hospital care and in particular early mobilization was associated with a better clinical outcome, including lower 30-day mortality, among patients with hip fracture.  ...  Acknowledgements We thank the staff of the hospital departments caring for patients with hip fracture for their continuous effort and contribution to acquisition of the data in the Danish Multidisciplinary  ... 
doi:10.1093/intqhc/mzw093 pmid:27591269 fatcat:kzmghxwkfrckjoayvih23lf6f4

Structural Factors Influencing the Standardization Process in Acute Care Hospitals

2018 Journal of Hospital and Healthcare Administration  
Using the covariance structural equation modeling along with confirmatory factor analysis to measure the theoretical constructs for the data on acute care hospitals in the United States, the authors demonstrate  ...  This paper is an attempt to explain how structural integration, innovativeness, and Information Technology (IT) capability influence the standardization process in acute care hospitals.  ...  The standards and other related factors used in the process of care for better performance are used to measure standardization.  ... 
doi:10.29011/2688-6472.000015 fatcat:glpujq3xifh5pigynxqmvjnbr4

Physician-Owned Surgical Hospitals Outperform Other Hospitals in Medicare Value-Based Purchasing Program

Adriana G. Ramirez, Margaret C. Tracci, George J. Stukenborg, Florence E. Turrentine, Benjamin D. Kozower, R. Scott Jones
2016 Journal of the American College of Surgeons  
General linear modeling assessed differences in mean total performance score, hospital case mix index, and differences after adjustment for differences in hospital case mix index.  ...  Limited information is available comparing hospital performance across healthcare business models.  ...  Jones and Dr. Ramirez had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Dr.  ... 
doi:10.1016/j.jamcollsurg.2016.07.014 pmid:27502368 pmcid:PMC5045811 fatcat:3ii6gbgm4fe6vp3oodnqjtrejm

Quality improvement and hospital financial performance

Jeffrey A. Alexander, Bryan J. Weiner, John Griffith
2006 Journal of Organizational Behavior  
Our results suggest that QI has a measurable impact on global measures of organizational performance and that both control and leaning approaches to QI matter in these settings.  ...  The objective of this study was to examine the association between the scope and intensity of Quality improvement (QI) implementation in hospitals and organizational performance.  ...  and identify the key process factors that play a causal role in process performance.  ... 
doi:10.1002/job.401 fatcat:qlhdrchpjrf6tfsifhhzz6hjga

Attitudes of Hospital Leaders Toward Publicly Reported Measures of Health Care Quality

Peter K. Lindenauer, Tara Lagu, Joseph S. Ross, Penelope S. Pekow, Amy Shatz, Nicholas Hannon, Michael B. Rothberg, Evan M. Benjamin
2014 JAMA Internal Medicine  
A similar pattern was observed for the statement that "our hospital is able to influence performance on this measure"; agreement for processes of care and patient experience measures was 96.4% and 94.2%  ...  ' attitudes and hospital performance.  ...  and hospital performance might have been different had we used other measures for this purpose. .002 a Weighted to adjust for sampling differences in 3 performance strata. b P value from model adjusting  ... 
doi:10.1001/jamainternmed.2014.5161 pmid:25286316 pmcid:PMC4250277 fatcat:h6eae33eajffdkgp6deyfkqrbq

Hospital heterogeneity: what drives the quality of health care

Manhal Ali, Reza Salehnejad, Mohaimen Mansur
2017 European Journal of Health Economics  
The organisational quality of the process of stroke care appears as a fundamental driver of clinical quality of stroke care.  ...  We investigate factors that may explain variations in health care quality using measures of quality of stroke care.  ...  and the BES seminar at the Alliance Manchester Business School.  ... 
doi:10.1007/s10198-017-0891-9 pmid:28439750 pmcid:PMC5978923 fatcat:yhhybc7svbcjrghoyjtunnijwy

Performance improvement based on integrated quality management models: what evidence do we have? A systematic literature review

Mirella Minkman, Kees Ahaus, Robbert Huijsman
2007 International Journal for Quality in Health Care  
Only a few studies include balanced measures on multiple performance dimensions.  ...  There is some evidence that implementing interventions based on the 'evidence-based developed' Chronic Care Model may improve process or outcome performances.  ...  [18] found that the Chronic-Care-Model-based group performed significantly better on two diabetes clinical outcome measures and selfmanagement monitoring.  ... 
doi:10.1093/intqhc/mzl071 pmid:17277010 fatcat:b77i5wpgjzebfhnbbvyngzwbdm

Measuring clinical performance using routinely collected clinical data

D. R. Prytherch, J. S. Briggs, P. C. Weaver, P. Schmidt, G. B. Smith
2005 Medical informatics and the Internet in medicine (Print)  
Such risk models could provide a metric for use in evidence-based clinical performance management. National application is logistically feasible.  ...  Following the well-publicized problems with paediatric cardiac surgery at the Bristol Royal Infirmary, there is wide public interest in measures of hospital performance.  ...  Acknowledgements Sources of financial support were Portsmouth NHS Research and Development Consortium, Portsmouth Hospitals NHS Trust and the University of Portsmouth.  ... 
doi:10.1080/14639230500298966 pmid:16338803 fatcat:74lbdoo2tjfyrh7tddip7vbpqm
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