UH has incorporated the functional benefits of the High Reliability Organization (HRO) principles of leadership commitment and teamwork, a culture dedicated to meaningful reporting and continuous improvement, and robust use of process and safety tools and methods in its strategies for excellence in the delivery of health care.
UH takes an integrated approach across disciplines and quality improvement teams to measure performance outcomes and processes, and formulate improvement initiatives.
Measurement activities are based on strategic goals, data already being collected, development of meaningful data gathering tools, use of analytical tools, ongoing comparison to both external (agencies, reference databases, etc.) and internal benchmarks, and sharing results continuously on internal dashboards and scorecards shared by UH leadership, dedicated management teams and quality improvement teams.
Data is collected into performance databases and is used at any point of the performance improvement cycle in order to deliver the necessary information for decision-making. Data elements and definitions are standardized across the health system to ensure the capabilities of statistical analysis, aggregation, display and trending of performance indicators/metrics.
The UH Institute for Health Care Quality & Innovation has a focus on, but is not limited to the following clinical topics:
- Acute myocardial infarction readmissions and mortality
- Acute ischemic stroke mortality
- Chronic obstructive pulmonary disease (COPD) readmission and mortality
- Coronary artery bypass graft surgery readmissions and mortality
- Elective deliveries
- Elective primary total hip arthroplasty and total knee arthroplasty complication rates and readmissions
- Health care associated Infections
- Heart failure readmissions and mortality
- Pneumonia readmissions and mortality
- Severe sepsis and septic shock management bundle
- Venous thromboembolism prophylaxis
The following reports are available to the public: