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Sustaining a Culture of ExcellenceEnterprise Performance
MeasurementProjectJudith Nugent, MPAChief, Health Care Information
SectionBureau of Health InformaticsDivision of Public HealthWI
Department of Health ServicesVoice: (608) 266-2863E-Mail:
[email protected]
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Goal of collective enterprise efforts: AccountabilityAre we
making a difference?Have we identified the problem correctly and
are we having the impact that we intend?How can we improve our
services?Are we making the best use of the resources entrusted to
us?
Performance Measurement Project
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Tools for AccountabilityPerformance measuresProject
managementQuality improvement initiatives
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Key Criteria for Selecting the Performance MeasuresAlignment
with mission and goalsRelated to Governors priorities and national
initiatives/prioritiesOutcome orientedSupported by national
comparative dataTied to core public expectations of government
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Measure DescriptionsTwenty high-level program performance
measures chosenOrganized into three categories of measures,
affecting multiple departmental agencies:Health care access and
qualityUnderlying factors of healthHealth outcomesEach measure
focused on a single overarching condition, such as diabetes
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Use of AHRQ State SnapshotsState-level measure of
diabetes-related hospital admissions among adults age 18 and over
used as benchmark for preventing diabetes-related hospitalizations
Composite State-level measure of health care quality used to
determine overall quality of health care in Wisconsin Annual review
of other available Wisconsin Snapshots measures to determine if any
are useful for this project
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Use of AHRQ State SnapshotsHealth care access and
accountabilityDiabetes management = reduce the rate of preventable
hospitalizations due to diabetesOverall quality of health care in
Wisconsin = continue to rank well in the Agency for Healthcare
Research and Quality composite State-level measure of health care
quality
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Use of AHRQ State Snapshots
Chart1
178225241
174219239
171.8234.1240
175216234
173219244
WI
Midwest
Nation
Year
Admissions per 100,000 population
AHRQ Diabetes-Related Hospital Admissions
Sheet1
AHRQ Diabetes Related Hospital Admission Data:DRAFT
YearWIMidwestNation
2002178225241
2003174219239
2004172234240
2005175216234
2006173219244
2007
2008
Four diabetes complications-related admission measures are
combined: Lower
Extremity Amputations, Uncontrolled, Long-Term Complications,
and
Short-Term Complications.
Source: Agency for Healthcare Research and Quality, State
Snapshots,Focus on Diabetes Outcomes of Care
For conditions excluded in the above see:
http://statesnapshots.ahrq.gov/snaps08/diab_outcome_table.jsp?menuId=26&state=WI
Focus on diabetes, outcomes of care. State snapshots for
selected years.
http://statesnapshots.ahrq.gov/snaps08/index.jsp
http://statesnapshots.ahrq.gov/snaps08/diab_outcome_table.jsp?menuId=26&state=WI
Sheet1
WI
Midwest
Nation
Year
Admissions per 100,000 population
AHRQ Diabetes-Related Hospital Admissions
Sheet2
Sheet3
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Using the MeasuresBudget discussions and priority settingIT
planning to ensure capacity to measure desired
outcomesCommunicationsProgram coordination
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Goals for the EffortPrevent injury, illness, and spread of
diseaseCreate a healthy environment and protect against
environmental hazardsPromote and engage healthy behaviors and
mental healthRespond to disasters and assist communities in
recoveryPromote accessible, high-quality health services
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Whats Next?Update annually, using State and national
dataPeriodically re-evaluate and reconsider which measures to
include
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