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Developing an Outcomes Measurement System: The Value of Testing

Departments of Research and Evaluation Joint Commission on Accreditation of Healthcare Organizations

Frank S. Zibrat, M.P.S.

Department of Indicator Measurement, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois 60181

Outcomes measurement systems often experience similar challenges to implementing data collection and demonstrating value. This article examines the experi ences of 451 hospitals participating in a 2-year research effort designed to assess the ability of participants to successfully implement collection of obstetric and peri- operative indicator data for development of an out comes measurement system. Measures of ability to implement include rate of attrition and reasons for withdrawal, resources expended, months of data trans mitted, internal factors that affected ability to opera tionalize data collection, and assessment of value of participating in the testing process. The findings indi cate considerable variation in implementation ability, challenges encountered, and satisfaction with the expe rience. Several changes in the operational system were made in response to the findings. Many of the lessons learned from the testing experience may be applicable to sponsors of and participants in other outcomes mea surement systems.

American Journal of Medical Quality, Vol. 11, No. 2, 57-67 (1996)
DOI: 10.1177/0885713X9601100202


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