Healthcare Performance Measurement Standards
Read the following article:
Safavi, K. S. (2006). The measurement conundrum. Journal of Healthcare
Management, 51(5), 287–290.
In the article, Safavi (2006, p. 290) asks: “Is the goal to establish relative rank or absolute levels of performance?” Safavi also states that the basic dilemma in selecting a measurement system is whether “to judge performance from the outside or to improve performance from the inside” (p. 287).
Discuss the following from the perspective of a provider:
Assuming the measurement system is intended to judge the performance from outside, evaluate the use of a standard based on relative rank and absolute levels of performance. Which one would you use? Why or why not?
Assuming the measurement system is intended to judge the performance from inside, evaluate the use of a standard based on relative rank and absolute levels of performance. Which one would you use? Why or why not?
How will different circumstances impact performance measurement when it is based on relative rank and absolute levels? Support with examples.
Justify your responses using examples.
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ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
As a healthcare provider, the selection of a measurement system depends on the intended purpose of the measurement. If the system is intended to judge performance from the outside, a standard based on absolute levels of performance should be used. This is because absolute levels of performance provide a clear, objective standard against which performance can be evaluated. For example, in measuring the performance of a healthcare facility in reducing patient readmission rates, a standard based on absolute levels of performance will indicate the percentage of readmissions that is acceptable, and the facility can be judged based on whether they meet that standard.
On the other hand, if the measurement system is intended to improve performance from the inside, a standard based on relative rank should be used. This is because relative rank compares performance against that of other healthcare providers and can provide motivation for improvement. For example, a healthcare facility may compare its performance against that of other facilities in the region to identify areas where they need to improve.
Different circumstances can impact performance measurement when it is based on relative rank and absolute levels. For instance, if a healthcare provider is ranked lower than others in its region, it may be motivated to improve its performance. However, if the provider is performing poorly but meets the absolute standard, it may not be motivated to improve. Conversely, if a provider is ranked high, it may not see the need to improve, even if its performance falls below the absolute standard. Therefore, healthcare providers must carefully consider the intended purpose of the measurement system before selecting a standard.
In conclusion, the selection of a measurement system depends on the intended purpose of the measurement. Healthcare providers should use a standard based on absolute levels of performance when the system is intended to judge performance from the outside and a standard based on relative rank when the system is intended to improve performance from the inside. Providers should also consider different circumstances that may impact performance measurement when selecting a standard.