Performance Measurement Program (all "Value-Domains")

• Objectives:
  • Assess the process and outcomes of care provided to patients.
  • Provide an accountability framework for assessing the performance of the leaders, clinicians, and managers in VHA.
  • Link VA/VHA strategies with accountability measures to support improvement.
    
• Data Sources:
  • Large administrative data-set analysis (links with HCFA)
  • Massive chart review (EPRP)

Clinical Practice Guideline Development

• To improve care by reducing variation in practice and systematizing "best practices"

Accreditation (JCAHO, CARF, NCQA)

• Objective:
  • To provide external validation of quality systems

Credentialing (VetPro)

• Objective:
  • To verify that practitioners training and certification is consistent with the defined requirements of their clinical appointments, that their licensure is current and unrestricted, and that any history of adverse judgments can be identified for further review, thereby improving patient safety.

Patient Satisfaction (Durham)

• Objective:
  • To understand patient perceptions with respect to Veteran Service Standard (VSS) commitments in the areas of access, coordination, courtesy, education, emotional support, involvement of family and friends, physical comfort, patient preference, transition, continuity, pharmacy, specialist care.

  • Patient satisfaction "computers" to support employees

Functional Status

• Objective:
  • To assess and improve the functional status of Veterans

Performance Analysis Center for Excellence (PACE)

• Objective:
  • To provide data feedback, satisfaction surveying and other work, but expanding existing functions to emphasize the provision of clinically appropriate and operationally sensitive data interpretation that documents performance, describes effective approaches to improvement opportunities, and provides guidance that support efficient implementation of those approaches.

Internal Baldrige-based Awards Programs w/USH, VHA, PQA

• Objective:
  • Identify unmet patient needs and improve the organization to better address those needs; identify gaps in supporting best outcomes.

Linkages with Quality Scholars Program

Linkages with National Center for Patient Safety

Linkages with HSR&D (QUERI); co-funds translation health systems research

External interfaces related to Quality (e.g., QuIC, NCQA, NQF)