Meaningful Impact: Automated Palliative Care Scorecard

Topic: Measuring Impact and Value

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Background: In response to poor health care quality outcomes and rising costs, health care reform triple aim has increased requirements for providers to demonstrate value to payers, partners and the public.   

Objective: Electronically automating measurement of the meaningful impact of palliative care programs on clinical, operational, and financial systems over time is imperative to the success of the field and the goal of development of this automated palliative care scorecard. 

Design:  The scorecard was organized into a format of quality measures identified by the Measuring What Matters (MWM) project that are defined as important to the team, automatically extracted from the electronic health record (EHR), valid, and can be impacted over time.

Setting:  The scorecard was initially created using University of Florida Health (UF) data, a new palliative care program, and successfully applied and implemented at University of Colorado Anschutz Medical Campus (CU), a second institution with a mature palliative care program.

Measurements: Clinical metrics are organized in the scorecard based on MWM and described in terms of the metric definition, rationale for selection, measure type (structure, process, or outcome) and whether or not this represents a direct or proxy measure.

Results/Conclusions: The process of constructing the scorecard helped identify areas within both systems for potential improvement in team structure, clinical processes, and outcomes.  Additionally, by automating data extraction, the scorecard decreases costs associated with manual data entry and extraction, freeing clinical staff to care for patients and increasing the value of palliative care delivered to patients.  

Author

  • Jeanie Youngwerth, MD
  • Director of Palliative Care Service
  • University of Colorado Anschutz Medical Campus
  • 12605 E. 16th Ave
  • Aurora, CO 80045
  • (303) 556-2400

Co-authors

  • Jeanie Youngwerth, MD
  • Read Pierce
  • Sheri Kittelson

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