CONCEPTUAL FRAMEWORu FOR IMPACT OF NVHRI ON QUALITY Sample Clauses

CONCEPTUAL FRAMEWORu FOR IMPACT OF NVHRI ON QUALITY. 1. Conceptual Framework for Impact of NVHRI on Quality Any or all o our events in the cycle o public reporting may stimulate quality improvement within a hospital: • The decision to participate. A hospital’s decision to commit to public reporting may trigger quality improvement i the institution sees such reporting as important and wants to ensure high scores. • First preview of data. When, or the irst time, a hospital views its data on quality indicators or public reporting (with benchmarks or context), it may decide to improve in one or more areas and engage in ollow-up e orts. For hospitals inexperienced at collecting some portion o the starter set measures, viewing data or the irst time would occur at the irst 30-day review period a ter data submission. • First report with “clean” data. When a hospital irst views its data on quality indicators, it may ocus on poor documentation to explain poor per ormance. A ter it has attempted to improve documentation, a time may come when the institution decides that its scores will not reach the desired level solely through improved documentation, thus stimulating real improvement. • E ternal pressures that arise as the hospital’s data become public. Once a hospital’s data become public, the press, managed care organizations, purchasers, and consumers have access to the data. These stakeholders have the potential to bring pressure to bear on hospitals to improve in weak areas. For any o the above events to result in quality improvement, a hospital must have resources (either new or reallocated) available or improvement and knowledge o how to improve. Obviously, or measures on which a hospital’s score is already very high, there may be no need or quality improvement. The evaluation explored the extent to which each o the our events has led to quality improvement to date and--where it has--what orm the quality improvement has taken. The ollowing are the types o evidence indicating that quality improvement is occurring or is likely to occur in the uture; the evidence types are ordered, with the irst type most directly linked to improved quality or patients: