Projected cost variances for selected over-running capital infrastructure projects
Note: Percentage variances between market-advised cost projections and original estimates for selected capital infrastructure projects
Source: Publicly available material and EY analysis
WNTB enables providers to actually benchmark their performance against leaders and track improvements.” Anne-Marie Audet, MD, Vice President, Health System Quality and Efficiency, The Commonwealth Fund
In the post-reform world, how an organization is paid will hinge on how well it performs.
Health care organizations that aim to improve performance need solid data and measurements to gauge their progress and the distance ahead, understand how they compare to their peers, and answer questions from their stakeholders about operational and financial results.
Reducing duplication, using consistent measurement and reporting techniques, capturing data automatically through EHRs, properly interpreting data collected, and presenting data in a meaningful way for consumer use are all challenges that must be addressed to achieve the goal of a more patient-centered, accountable and cost-effective health system.
The Commonwealth Fund benchmarks hospital data
The Commonwealth Fund created and maintains the WhyNotTheBest (WNTB) website www.whynotthebest.org, a free benchmarking resource for health care providers designed to promote transparency and stimulate quality improvement.
Launched in December 2008, the site enables users to conduct side-by-side comparisons of more than 4,500 hospitals nationwide using more than 40 measures and more than four years’ worth of data.
“The goal of the site is to offer an easy-to-use performance improvement tool for providers to track their performance over time, identify gaps and learn successful strategies from colleagues nationwide for improving quality of care and outcomes,” says Anne-Marie Audet, MD, Vice President, Health System Quality and Efficiency, The Commonwealth Fund.
“Many report-card sites measure quality of care, but WNTB enables providers to actually benchmark their performance against leaders and track improvements,” she says.
Considerations for your board and executive leaders
Performance evaluation: Do you know if your organization is aligned across a core set of strategies and goals designed to achieve and sustain improvement — setting meaningful performance targets that everyone embraces and enthusiastically works toward?
Readiness: Are your information systems adequate, and secure, for collecting, compiling, interpreting and transmitting the clinical quality data needed now — and over the next few years?
Board and executive involvement: Does your leadership team embrace performance data, demand evidence-based decision-making, and hold department managers accountable for achieving established target goals?
Clinician involvement: Are medical staff members and clinical managers provided with access to quality and performance statistics, and are they involved in analyzing your organization’s trends over time and comparisons to peers?