Module 4: Measurement Matters—Setting Up an Efficient and Effective Strategy for Assessing Progress and Detecting Success

Learning objectives

Highlights

Action steps and tools

Learning objectives

Describe measurement for improvement and why it is critical to PCMH transformation
Help leaders, clinicians, managers, staff, and patients develop a measurement and reporting strategy to support PCMH transformation

Highlights

Measurement is an essential part of improvement and PCMH transformation. It crystallizes goals and serves as a mechanism for communicating goals and monitoring progress. But why should practices put resources into this? And how do they set up an approach that balances the needs of leadership, recognition reporting, and day-to-day work?

Through measurement reporting, a practice can:

Demonstrate to the board, leaders, staff, patients, and families that high-quality, evidence-based care is being provided in a timely manner
Identify opportunities for further improvement
Become recognized as a PCMH
Become eligible for additional funding and resources through Meaningful Use, pay-for performance programs, demonstration projects, grants, etc.

This module equips the practice facilitator with practical examples and tested tools to support practices as they develop, implement, and sustain measurement approaches.

Action steps and tools

Action step	Tool
Why measurement for improvement is critical to PCMH transformation	The three faces of performance measurement: improvement, accountability, and research Article presents case study of learning how to distinguish between measurement for improvement and measurement for accountability. Stage 2 Meaningful Use and NCQA PCMH 2014 Standards Crosswalk Explains the overlap and alignment between Stage 2 Meaningful Use and the NCQA recognitions 2014 standards.
Build an improvement-focused measurement strategy	SNMHI Engaged Leadership Guide Helpful for engaging leaders in measurement, esp. the section on Leadership's Role with Quality Improvement Data. Measurement principles and checklist for getting started A list of measurement principles from the Institute for Healthcare Improvement for those who are new to measurement as well as a list of activities to consider for getting started. Measurement menu Use this in a coaching session to help the team select measures that fit their measurement strategy. Putting Measurement Into Practice With a Clinical Instrument Panel Courtesy of the American Academy of Family Physicians (AAFP), this tool makes the case for why a balanced set is needed. Includes a sample instrument panel. SNMHI Threshold Reference Table This tool provides links to various reports with national benchmarks for common clinical quality measures. The SNMHI used this to assist sites in setting goals based on the national 90th percentile performance. Registries Made Simple This article from AAFP explains how to build a registry in 5 easy steps.
Make measurement part of daily work through reporting	Sample presentations Community Health Partners Measurement 101 and Measurement for New Employees presentations Using data for QI webinar coaching template Science of improvement seminar offered through IHI Run charts and other visual displays: tools and examples Measurement strategy and integrating data into workflows exercise Clinical instrument panel tool Do-It-Yourself run chart tool
Provide practices with tools they can use	Safety Net Medical Home Initiative Contains a wealth of corresponding tools and information for practices.

Module 4