title: Decision Analysis for Metric Selection on a Clinical Quality Scorecard.
abstract: Clinical quality scorecards are used by health care institutions to monitor clinical performance and drive quality improvement. Because of the rapid proliferation of quality metrics in health care, BJC HealthCare found it increasingly difficult to select the most impactful scorecard metrics while still monitoring metrics for regulatory purposes. A 7-step measure selection process was implemented incorporating Kepner-Tregoe Decision Analysis, which is a systematic process that considers key criteria that must be satisfied in order to make the best decision. The decision analysis process evaluates what metrics will most appropriately fulfill these criteria, as well as identifies potential risks associated with a particular metric in order to identify threats to its implementation. Using this process, a list of 750 potential metrics was narrowed to 25 that were selected for scorecard inclusion. This decision analysis process created a more transparent, reproducible approach for selecting quality metrics for clinical quality scorecards.
authors.affiliation: Center for Clinical Excellence, BJC HealthCare, St Louis, MO rebecca.guth@bjc.org.
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Guth
authors.affiliation: Center for Clinical Excellence, BJC HealthCare, St Louis, MO.
authors.forename: Patricia E
authors.initials: PE
authors.lastname: Storey
authors.affiliation: Center for Clinical Excellence, BJC HealthCare, St Louis, MO.
authors.forename: Michael
authors.initials: M
authors.lastname: Vitale
authors.affiliation: Center for Clinical Excellence, BJC HealthCare, St Louis, MO.
authors.forename: Sumita
authors.initials: S
authors.lastname: Markan-Aurora
authors.affiliation: Deloitte Consulting, LLP, McLean, VA.
authors.forename: Randolph
authors.initials: R
authors.lastname: Gordon
authors.affiliation: Deloitte Consulting, LLP, Atlanta, GA.
authors.forename: Traci Q
authors.initials: TQ
authors.lastname: Prevost
authors.affiliation: Center for Clinical Excellence, BJC HealthCare, St Louis, MO Washington University School of Medicine, St Louis, MO.
authors.forename: Wm Claiborne
authors.initials: WC
authors.lastname: Dunagan
authors.affiliation: Center for Clinical Excellence, BJC HealthCare, St Louis, MO Washington University School of Medicine, St Louis, MO.
authors.forename: Keith F
authors.initials: KF
authors.lastname: Woeltje
mesh_terms: D003661:Decision Support Techniques; D006761:Hospitals / Q000592:standards; D006801:Humans; D008923:Missouri; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000458:organization & administration; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000458:organization & administration / Q000592:standards
keywords: clinical quality; decision analysis; quality metrics; scorecards