Care Design 2016

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#10 Measure outcomes and key processes across the network of care

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Our tenth and final proposed redesign principle is to measure outcomes and key processes across the network of care e.g.

  • Clarify operational definitions across the process of care
  • Bundled measures
  • Measure patient and community involvement and feedback
  • Transparency and feedback to support improvement not punish (measure for improvement as well as accountability)
  •  Commissioners/payers focus on outcomes

So, back to you, what do YOU think?

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  1. Candy Perry
    48 pts
  2. Carolyn Gullery
    37 pts
  3. Heidi De Wolf
    36 pts
  4. Caroline Poole
    26 pts
  5. Thomas Nolan
    15 pts

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Health systems are complex and adaptive . They are made of many parts and have been undermined through the use of poor measures that are not integrative . The one over-riding measure has been dollars but that does nothing to focus a system on the patient , on service improvement or on integration . We use patient time as a unifying metric that can be seen and easily understood in any part of the health system . It drives efficiency but from a customer focus . It links up processes across a...

Carolyn Gullery
by Carolyn Gullery
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Carolyn Gullery

using the above framework, and having balanced measures will make sure we don't over-industrialise the management of outcome-measurement, and allow us to demonstrate short, medium and long-term outcomes and population impact of any care processes

Caroline Poole
by Caroline Poole
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Caroline Poole

Whose outcomes are we measuring? Or rather from whose perspective? When working with outcomes it is important to be clear about about the perspective you are inviting. A 'quality of life' or 'living healthier' outcome means different things to different people, but does that matter when trying to measure it? If you then take the perspective of the person/patient and recognise that each patients journey through the health journey is made up of a unique pathway delivered by a variety of...

Heidi De Wolf
by Heidi De Wolf
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Heidi De Wolf

A tiny but hugely important bullet point I would add is to hold one person clearly accountable for an outcome and as such make them completely responsible for the system which achieves the outcome. Then, because what could constrain or limit the outcome would be another constraint in a different system, make someone else responsible for identifying those conflicts and resolving them, to challenge the assumptions underpinning the constraints which would encourage innovation. Evaporating...

Candy Perry
by Candy Perry
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Candy Perry

This should be number 1 or 2. Part of the focus is measuring the outcomes and relentlessly improving them. Complexity of the delivery system can be reduced by removing or redesigning processes and activities that do not contribute to outcomes.

Thomas Nolan
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Thomas Nolan
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On 24.9.15, Helen Bevan visited AQuA's Leading Transformational Change Programme to lead a masterclass on 'Engagement for Transformation.' Helen asked the delegates to look at the ten draft redesign principles and give their feedback. Here is what they said about this tenth principle ' M easure outcomes and key processes across the network of care '... ""Bundled measures" - what does this mean?" ""Commissioners" - make this measurable"   Thank you to AqUA masterclass delegates for...

Care Design 2016
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