General discussion


Get ready for hospital scorecards

By debate ·
Do you think hospital scorecards can help improve quality care? What factors do you think these scorecards should take into consideration? Share your comments about the use of hospital scorecards, as discussed in the Jan. 20 Healthcare IT e-newsletter.

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Spiritual Care

by mcright In reply to Get ready for hospital sc ...

Notably missing is mention of spiritual care, qualified chaplains qualified to minister to all faith groups' needs. Yet one survey found that patients who attend one religious service per week are on average hospitalized only 60% as long as those who do not. Consider the cost comparisons. This survey was not conducted to "find" or "prove" such data, but turned up in the analysis. Perhaps this aspect of care should be included in such surveys.

Dan A. McRight

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scorecards ... past due!

by NDY In reply to Get ready for hospital sc ...

I support the use of scorecards when such are indeed helpful to both the public and the health professions when choosing an institution where to receive care and where to provide services respectively.
I am heartened to see the metric of Outcome rather than output. I firmly believe the Outcome score should be that rendereds by the recepient of services not the institution delivering the care. For improvement and maturation to match the IOM report of 2003 both the institution the metric ought to represent an index of goal attainment: outcome from the patient's perspective and fromn the institution's perspective.
The elements of the scorecard need an addition: Morbidity.
Morbiditry is as different from mortality as it is from complications.
Morbidity rate is the litmus indicative whether an institution is indeed striving to meet optimal safety.

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Response to the Jan. 20 Healthcare IT e-newsletter.

by dbarham In reply to Get ready for hospital sc ...

Do you think hospital scorecards can help improve quality care? - Very much so. In our rural community the hospital services that are available go to great lengths in defense of their system. If a "scorecard" were available to the public I beleive there would be some improvements.

What factors do you think these scorecards should take into consideration?- 1. Medical qualifications. 2. Customer service. 3. Accounting or invoicing practices.
4. Qualifications of general service personnel.

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RE:Hospital Scorecards

by mobilemed2000 In reply to Get ready for hospital sc ...

Based on 30 years in hospital clinical and management practice,I agree wholeheartedly that hospital scorecards will improve the quality of hospital-based medical care. Current criteria established by JCAHO establishes minimum health care, confidentiality and site safety standards,BUT add in factors such as patient satisfaction, customer service, morbity/mortality rates, physician and employee satisfaction surveys, and employee retention statistics...THEN, the true quality,character, and degree of caring by the facility is exposed.

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Hospital Scorecards.

by emeyer In reply to RE:Hospital Scorecards

Great idea. Everyone needs accountability and truth in advertising. This of course may or may not be helpful due to managed care as insurance companies force one to choose one hospital over another as an approved provider. I recently had a 3 day hospital stay which I would not wish on another individual. I was advised by a friend to go to different hospital but it was out of network and the costs made it unavailable to me.

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"Score Cards" - This Isn't New

by darsb In reply to Hospital Scorecards.

Whenever this subject comes up there's a wave of approval for the concept but rarely appreciation for the enormous difficulties of the task. As a Registered Nurse and Certified Professional in Healthcare Quality, I've been dealing with various attempts to create a score card for about 20 years. The lesson from the well-meant projects is this - you must adjust for the severity of illness of the patient population in a statistically valid manner. Systems such as Atlas and the Maryland Hospital Association's Quality Indicator Project have spent decades attempting this, but despite significant progress there is no widely accepted methodology available.
Biological systems are chaotic, and any score card system must recognize, appropriately scale and validly analyze hundreds of millions of unique variables simultaneously in order to produce a comprehensible number the typical consumer can utilize as a "score". Even if we could, as an earlier post noted, there'd still be the financial determinants that ultimately make quality-based choices impractical as the sole criterion for provider selection.

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