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HEDIS outcomes may not be the only ones you need to benchmark.

The Foundation for Accountability (FACCT), a coalition of employers, is leading a trend away from process-oriented performance measures by generating patient-centered data sets for a variety of disease states, including asthma, diabetes, and depression. Many large employers, dissatisfied with the National Center for Quality Assurance's focus on cost, are pressuring managed care organizations to use the FACCT measures, which largely rely on patient self-reports about the care they receive. Some plans are using the data sets voluntarily, as a tool to better assess the quality of services they provide and to evaluate physician groups.

Efficiency, Organizational↗

Internal benchmarking paves way for medical transcription improvements.

Accurate, detailed data collection is essential to improving productivity in medical transcription departments. Transcription staff are best positioned to identify nonvalue-added duties and processes and should be involved in improvement planning. Even a small percentage of improvement in productivity can translate into huge dollar and time savings.

Cost Savings↗

Exceptional CHF program is built on best practices, benchmarks.

Advocate Health Care in Oak Brook, IL, has built an exceptionally successful congestive heart failure (CHF) program based on best practices. Advocate's 90-day readmission rate for CHF patients is half the national average. A new part of the program, transitional care, has a readmission rate of just 4%. It is based on telephone follow-up and ongoing patient education. Advocate managers are building an internal database for their program, which will allow emergency department staff to access patients' latest labs, EKGs, blood serums, and other information.

Aftercare↗

Benchmarking system expectations.

Development of the first large, comprehensive HIS database started in 1982 at the University of Florida in Gainesville. The National Survey of Hospital Information Systems, initially an academic endeavor, launched a massive data collection effort. McGraw-Hill assumed ownership of this database, renaming it PROFILE in 1987.

Data Collection↗