Do you speak hospital?

• What is a parking lot?• What is hardwire?• What is offline?• What is six sigma?• What is lean?

Do you speak hospital?

• What is a parking lot?• What is hardwire?• What is offline?• What is six sigma?• What is lean?

• AND NOW what is SCORECARD or BALANCED SCORECARD?

Why scorecard?• Allows a method to communicate and

numerically track residency goals and plans.• Assists residencies in monitoring project

implementation and impact to the metric.• Creates a system to compare to other

hospitals/residency programs – Assists residencies connect to hospital

administration.– If you speak hospital talk, helps get resources.

What is a scorecard?

• Numeric indicators that reflect a process, project, or department/organization

• First question … what is your business and why do you exist?

• Evolves to what are we trying to measure and why?

• What are our goals?

Medicare PQRI

• Physician quality reporting initiative began in July 2007

• PQRI ED items– Aspirin at arrival for AMI– EKG for non-traumatic chest pain– EKG performed for syncope– Vital signs for community-acquired pneumonia– Assessment of oxygen saturation for community-acquired pneumonia– Assessment of mental status for community-acquired pneumonia– Empiric antibiotic for community-acquired pneumonia

Is ED throughput a quality measure and how does it relate to residency

programs?

Hospital OP QRDP-2011+ Measures

• Measure #5 ED Throughput• Median time for ED arrival to departure for

discharged patients• Measure is under consideration

Hosp QDRP-ED Throughput

What is Quality

Value = Quality / Cost

Why do residencies exist, what do we want to achieve?

• Clinically competent physicians.• Customer service skills, communication skills, listen,

connect with patients and patients’ families.• Efficiency.

REVIEW SCORECARD

Scorecard Conclusions

• Scorecards allow measurement=Awareness• Scorecards evolve through time• Do you have resources committed to the items on the

scorecard? – Challenge: What does the data mean to a department or individual?

What is the project that needs to resourced to change the metric?

• Prioritization takes agreement and/or leadership• ED’s and ED residencies have an opportunity to determine

their own quality metrics