Measurement Categories
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QUEST is a three-year program involving a cohort of hospitals joined together to develop and share best practices for improving performance in quality, safety and efficiency. More specifically, the five measurement areas include: mortality ratio; appropriate care: evidence based; efficiency; harm avoidance; and patient experience.
- Mortality Ratio: Will be measured against a risk-adjusted model.
- Appropriate Care-Evidence Based: Will measure the percentage of patients receiving "perfect care" as defined by national standards.
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Efficiency:
Will measure adjusted cost per discharge. - Harm Avoidance: Will be developed over time by the cohort and will likely parallel the IHI 5 Million Lives campaign initially using the IHI Global Trigger Tool and then the Premier SafetySurveillor automated surveillance tool.
- Patient Experience: Will measure HCAHPS results, once mandated in October 2007.
QUEST will help organizations move into the top quartile of performance across these measures.