Standards

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A motivation for the widespread adoption of certain standards by the health care industry.

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Standards

  1. 1. The Immutable Principles of Quality and Accountability Get All You Can from All You’ve Got
  2. 2. Responsibility Someone is ultimately responsible for the condition of any given resource.
  3. 3. Opportunity to Affect Others have the opportunity to affect the condition of the resource.
  4. 4. Processes Processes used have the ability to affect the condition of a resource.
  5. 5. Standards Standards define processes.
  6. 6. Assurance Standards provide assurances regarding the condition of a resource.
  7. 7. Except Standards which are not followed provide no assurances.
  8. 8. Vision Statement <ul><li>The U.S. health care industry will adopt a set of standards specifying metrics on which they will invite comparison. All health care delivery systems, payers and vendors selling into health care will be accountable for adherence to these standards. </li></ul>
  9. 9. Goal(s) <ul><li>Ensure comparability </li></ul><ul><li>Reduce Costs </li></ul><ul><li>Eliminate re-work </li></ul><ul><li>Guarantee data/information quality </li></ul><ul><li>Reduce or eliminate Risk caused by </li></ul><ul><ul><li>Poorly understood data </li></ul></ul><ul><ul><li>Inappropriate use of data </li></ul></ul>
  10. 10. Objective(s) <ul><li>Eliminate process and data inconsistencies </li></ul><ul><li>Eliminate repeated validation of data </li></ul><ul><li>Improve confidence as measured by </li></ul><ul><ul><li>Audit results </li></ul></ul><ul><ul><li>Mitigation tasks </li></ul></ul><ul><li>Automate data feeds (in and out) </li></ul>
  11. 11. Today’s Situation <ul><li>Leadership aligned (to objectives) </li></ul><ul><li>Management (gingerly) approaching alignment </li></ul><ul><li>Governance </li></ul><ul><ul><li>Structures in place </li></ul></ul><ul><ul><li>Capabilities (tools, repositories, functions, roles) defined and in place </li></ul></ul><ul><ul><li>Process standards missing </li></ul></ul>
  12. 12. How Did We Get Here? <ul><li>Shewhart, Deming, Juran </li></ul><ul><ul><li>Statistical Process Control </li></ul></ul><ul><li>Beginning about 1980 </li></ul><ul><ul><li>Software Engineering </li></ul></ul><ul><ul><li>Information Engineering </li></ul></ul><ul><li>Focus on process </li></ul><ul><ul><li>Measurement </li></ul></ul><ul><ul><li>Improvement </li></ul></ul><ul><li>Consistency and predictability </li></ul><ul><ul><li>Appeal to management (almost everyone) </li></ul></ul><ul><ul><li>EXCEPT programmers and physicians </li></ul></ul>
  13. 13. Options <ul><li>Get everyone onto the dance floor </li></ul><ul><ul><li>Physicians understand workflow </li></ul></ul><ul><ul><li>Administrators understand cost </li></ul></ul><ul><ul><li>Programmers understand process </li></ul></ul><ul><li>These are different ways of expressing the same concept </li></ul><ul><li>Look at the horizon—not at your feet </li></ul>
  14. 14. Avoid Tripping
  15. 15. Worse Things Than Tripping
  16. 16. Or In a hurry… Unnecessary risk
  17. 17. A Standard <ul><li>The (topographical) contour map </li></ul><ul><ul><li>Contour lines </li></ul></ul><ul><ul><li>Colors </li></ul></ul><ul><ul><li>Notation </li></ul></ul><ul><li>Help in risk avoidance </li></ul>
  18. 18. Using Standards <ul><li>Figure out where you are </li></ul><ul><li>Pinpoint where you are going </li></ul><ul><li>Decide the best way to get there </li></ul>We are here You are here
  19. 19. Recommendation <ul><li>Standards must be defined for </li></ul><ul><ul><li>Measurement </li></ul></ul><ul><ul><ul><li>what is a “meter”, “gram”, “complication”? </li></ul></ul></ul><ul><ul><li>Process </li></ul></ul><ul><li>An auditing process (certification) must be defined </li></ul><ul><ul><li>Similar to ISO 900x </li></ul></ul><ul><li>The “gold standard” must be used </li></ul>
  20. 20. Summary <ul><li>If we adopt universal standards </li></ul><ul><ul><li>We will be able to compare results </li></ul></ul><ul><ul><li>Best practices become portable </li></ul></ul><ul><ul><li>Improvement happens </li></ul></ul><ul><li>If we continue as we are </li></ul><ul><ul><li>No comparisons are possible </li></ul></ul><ul><ul><li>Costs increase </li></ul></ul>
  21. 21. While I am busy with little things, I am not required to do greater things. St. Francis de Sales
  22. 22. WhiteLake Data Management Michael P. Meier http://www.m2dxtx.com http://bi-keep-it-simple.blogspot.com m pmeier @hotmail.com (507) 273-9742 (cell)

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