Usage of primary and administrative data to measure the economic impact of quality improvement projects

Mendlowitz, Andrew; Croxford, Ruth; Maclagan, Laura C.; Ritcey, Gillian; Isaranuwatchai, Wanrudee

doi:10.1136/bmjoq-2019-000712

Cited by 5 publications

(8 citation statements)

References 15 publications

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“…There is a scarcity of information in clinical literature related to financial analysis and ROI in QI initiatives. 5,6,16 This can be attributed to the inherent difficulty in tracking costs associated with QI efforts (shifting human resources), and the notion that accrued benefits and cost savings usually lag behind the QI intervention. 16 Frameworks like the one employed in this study have the potential to support traditional approaches to QI evaluation and revenue cycle management software.…”

Section: Discussionmentioning

confidence: 99%

Using Return on Investment Operational and Monte Carlo Modeling Techniques to Predict Financial Performance in a Tertiary Care Outpatient Clinic

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Using Return on Investment Operational and Monte Carlo Modeling Techniques to Predict Financial Performance in a Tertiary Care Outpatient Clinic

et al. 2021

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“…Reflecting stakeholder discussions, adopting a value-based approach to programmes of QI [69][70][71][72] may support large-scale service enhancement and better health (Quality 3.0). 67 Clear guidelines exist for the assessment of resource use and cost in QI studies [10][11][12][13][14] and in healthcare more generally. [73][74][75][76] These should be further explored and tailored to support documentation and reporting of costs in QI.…”

Section: Discussionmentioning

confidence: 99%

Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review

McCarthy¹,

Jabakhanji²,

Martin

et al. 2021

BMJ Open Qual

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ObjectivesTo profile the aims and characteristics of quality improvement (QI) initiatives conducted in Ireland, to review the quality of their reporting and to assess outcomes and costs.DesignScoping review.Data sourcesSystematic searches were conducted in PubMed, Web of Science, Embase, Google Scholar, Lenus and rian.ie. Two researchers independently screened abstracts (n=379) and separately reviewed 43 studies identified for inclusion using a 70-item critique tool. The tool was based on the Quality Improvement Minimum Quality Criteria Set (QI-MQCS), an appraisal instrument for QI intervention publications, and health economics reporting criteria. After reaching consensus, the final dataset was analysed using descriptive statistics. To support interpretations, findings were presented at a national stakeholder workshop.Eligibility criteriaQI studies implemented and evaluated in Ireland and published between January 2015 and April 2020.ResultsThe 43 studies represented various QI interventions. Most studies were peer-reviewed publications (n=37), conducted in hospitals (n=38). Studies mainly aimed to improve the ‘effectiveness’ (65%), ‘efficiency’ (53%), ‘timeliness’ (47%) and ‘safety’ (44%) of care. Fewer aimed to improve ‘patient-centredness’ (30%), ‘value for money’ (23%) or ‘staff well-being’ (9%). No study aimed to increase ‘equity’. Seventy per cent of studies described 14 of 16 QI-MQCS dimensions. Least often studies reported the ‘penetration/reach’ of an initiative and only 35% reported health outcomes. While 53% of studies expressed awareness of costs, only eight provided at least one quantifiable figure for costs or savings. No studies assessed the cost-effectiveness of the QI.ConclusionIrish QI studies included in our review demonstrate varied aims and high reporting standards. Strategies are needed to support greater stimulation and dissemination of QI beyond the hospital sector and awareness of equity issues as QI work. Systematic measurement and reporting of costs and outcomes can be facilitated by integrating principles of health economics in QI education and guidelines.

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“…A recent quality assurance paper, although not directly addressing surgery, provides detail on elements needed, sources of data, and study design for strong economic analysis. It highlights the need for comprehensive cost analysis: “…the value of each resource consumed needs to be estimated to obtain an estimate of healthcare payer-borne costs.” [ 32 ].…”

Section: The Cost Of Complicationsmentioning

confidence: 99%

“…It highlights the need for comprehensive cost analysis: "…the value of each resource consumed needs to be estimated to obtain an estimate of healthcare payer-borne costs." [32].…”

Section: The Cost Of Complicationsmentioning

confidence: 99%

The Hidden Pandemic: the Cost of Postoperative Complications

Ludbrook

2021

Curr Anesthesiol Rep

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Usage of primary and administrative data to measure the economic impact of quality improvement projects

Cited by 5 publications

References 15 publications

Using Return on Investment Operational and Monte Carlo Modeling Techniques to Predict Financial Performance in a Tertiary Care Outpatient Clinic

Using Return on Investment Operational and Monte Carlo Modeling Techniques to Predict Financial Performance in a Tertiary Care Outpatient Clinic

Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review

The Hidden Pandemic: the Cost of Postoperative Complications

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