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Measuring Outcomes
The true measures of quality for a hospital are the outcomes that matter to patients. Measuring the outcomes for healthcare services delivery is one of the most important functions for a quality conscious and value focussed organisation. These outcome measures help to monitor quality of patient care and clinical processes within the organization.
Outcomes data gives you information on how well a hospital provided care for most of its patients. When outcomes are measured and published, it fosters improvement and helps healthcare organizations adopt best practices. Publishing outcomes indicates a true commitment to an environment of constant improvement and transparency.
You can use the following information to help you compare hospitals for their quality focus.
Quick Check for Quality
Look for a hospital that:
- Is accredited by the Joint Commission International (JCI), the gold standard for healthcare quality across the globe or a national accreditation body such as the National Accreditation Board for Hospitals & Healthcare Providers (NABH)
- Has experience with your condition
- Has had success with your condition
- Has adopted the continuous quality improvement model for improving its quality of care
- Tracks patient outcomes (how well the patients do)
- Has formulated quality/outcome indicators to measure and improve systems and processes
- Has a robust infection control programme and ensures strict compliance
Apollo Hospitals is committed to the highest standards of quality and clinical excellence for its patients. Our priority is to ensure that all patients are cared for in a way that is safest and most efficient. In order to efficiently measure and compare key clinical outcome processes across all the hospitals in the Group, Apollo Hospitals devised and is successfully using the ACE scoring system. We are the first corporate hospital group in India to start benchmarking and monitoring clinical performance outcomes since 2005 through the ACE dashboard. We were also the first to start publishing data in 2009 in our annual excellence report.
Earlier known as ACE@25, this scorecard has been enhanced and upgraded regularly with ACE 3.0 as its most current version.
ACE 3.0 is a balanced score card focusing on clinical excellence. This scoring system features a set of key parameters that measure complication rates, mortality rates, surgical outcomes and average lengths of stay after major procedures, such as CABG, TKR, THR and transplants. ACE 3.0 also includes hospital acquired infection rates, satisfaction levels with pain management and readmission rates. Our outcome measures have been benchmarked against published results of reputed institutions in the world. Benchmarks have been chosen from the world’s best institutions including Cleveland Clinic, Mayo Clinic, National Healthcare Safety Network, University of California, San Francisco, and Agency for Healthcare Research and Quality, US. We also perform Group-wide audit of data at regular intervals in a year to check the source and validity of the data.
Few indicators are given below as examples:
| INDICATOR | BENCHMARK | RANGE | SCORE |
| CABG mortality rate | 0.50% | <0.80 | 4 |
| Cleveland Clinic | 0.81-1.2 | 3 | |
| 1.21-1.6 | 2 | ||
| 1.61-2 | 1 | ||
| >2 | 0 | ||
| Ventilator Associated Pneumonia (VAP) | 0.9 | <0.9 | 4 |
| National Healthcare Safety Network | 0.91-2.5 | 3 | |
| 2012 | 2.51-4.1 | 2 | |
| 4.11-5.7 | 1 | ||
| >5.7 | 0 |
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