The quality measures hospitals use to gauge processes of care, clinical outcomes and patient experience are in need of serious restructuring.
That was the message delivered by leaders from Memorial Health System during a session at the American College of Healthcare Executives meeting in Chicago.
One hospital might be rated the best by one rating system but receive the worst rating from another, said Charles Callahan, senior vice president and chief quality officer at Memorial, based in Springfield, Ill. “There's no uniform definition of what is quality and what is high performance.”
Relying too heavily on federal measures to gauge quality isn't advisable, either, he said, adding that the CMS recently had to release multiple corrections of its national readmissions penalties.
Instead, he advocated for a “value-based measurement system,” informed by federal metrics, but also incorporating real-time data, severity and volume adjustments, and trends.
Memorial Health System works with Southern Illinois University to help increase its capabilities in informatics, statistics, predictive analytics and other measurement-centric fields, he said.