The Role of Hospital Boards and Quality Information

1
The Role of Hospital Boards and Quality
Information

• Doriane C. Miller, MD
• Chair, Quality Committee
• Board of Trustees, Ascension Health Systems
• CMS Summit on Hospitals and Public Reporting
• May 25, 2005

2
Hospital Board and Quality Improvement

• National Quality Forum Recommendations on Role of
  Hospital Trustees
• Ascension Health Systems Response

3
National Quality Forums (NQF) Call to
Responsibility Ensuring Quality

• Quality Chasm Six Aims Framework
• Infrastructure
• Financial Impact
• Performance Measurement
• Staff Roles
• Human Resources
• Analysis of Organizational Design
• Budgetary and Resource Alignment
• Pay for Quality Contracting Initiatives

4
NQF Evaluation of the Boards Role

• Composition
• Expertise
• Performance review

5
NQF Content Knowledge

• Quality Literacy
• Role of Consumers
• Resources for education

6
NQF Participation in National Quality
Measurement and Improvement Efforts

• Ensure participation
• Data review with key staff
• Analyze cost implications of poor performance and
  adverse events
• Evaluate in context of NQF/Quality Chasm Aims
• Hold staff accountable
• Facilitate adoption of incentive programs

7
Ascension Health Systems Call to Action

• Health Care that is Safe
• Health Care that Works
• Health Care that Leaves No One Behind

8
Health Care that is Safe

• Board composition of Trustees and non-Trustee
  experts
• Staffing by Multidisciplinary Clinical Excellence
  Team (clinical/administrative/financial/legal)
• Focus of efforts on reducing non-comfort care
  mortality at delivery sites (Medicare Discharge
  Data)
• Partner and national champion in the 100,000
  lives campaign with the Institute for Health Care
  Improvement
• Prospective work changing the practice culture to
  promote safety