A quality measure, quality indicator or outcome measure is medical information from patient records converted into a rate or percentage that shows how well hospitals care for their patients. Quality measures give you information about how well a hospital provides care for many of its patients. Publishing outcomes indicates a true commitment to an environment of constant improvement and transparency. You can use this quality information to help you compare hospitals.
Quick Check for Quality
Look for a hospital that:
- Is accredited by the Joint Commission or a national accreditation body such as the NABH
- Has experience with your condition
- Has had success with your condition
- Checks and works to improve its original quality of care
- Tracks patient outcomes (how well the patients do)
- Uses quality control indicators to measure and improve systems and processes
- Has an infection control policy and stringent protocols
The Apollo Hospitals Group has been the first corporate hospital in India to start benchmarking and monitoring clinical performance outcomes since 2005. We were also the first corporate hospital group to start publishing data in 2009 in our annual Apollo excellence report.
In order to efficiently measure and compare key clinical outcome measures across all the hospitals across the Apollo Hospitals group, the ACE@25 scoring system was devised and is successfully used.
ACE @ 25 is a balanced score card focusing on clinical excellence. This is a set of key parameters that measure complication rates, mortality rates, average length of stay after major procedures such as CABG, TKR, THR, Endoscopy. It also includes hospital acquired infection rates, satisfaction levels with pain management and medication errors. Our outcome measures have been benchmarked against published results of reputed institutions in the world. Group wide audit of data is done twice in a year to check the source and validity of the data.
Apollo Hospitals has taken up outcome measurement with the standard sets of ICHOM, the International Consortium for Health Outcomes Measurement, an organization that Boston Consulting Group co- founded with Professor Michael Porter of the Institute for Strategy and Competitiveness at Harvard Business School and the Karolinska Institute in Sweden.
We use these measures to provide evidence based quality care and a safe environment to our patients and to keep strengthening the functional efficiency of our hospitals.
We present here, some key clinical outcome measures for the year 2014 – 2015
- Coronary Artery Bypass Surgery mortality rate [death rate]
- Complication rate post Coronary Intervention [after an Angioplasty procedure]
- Average Length Of Stay (ALOS) in the hospital post Angioplasty
- Average Length Of Stay (ALOS) in the hospital post Total Hip Replacement surgery
- Average Length Of Stay (ALOS) in the hospital post Total Knee Replacement surgery
- Complication rate post Total Knee Replacement surgery
- Door to CT or MRI time in Stroke in the Emergency Room
- Catheter Related Blood Stream Infection (CR-BSI)
- Ventilator Associated Pneumonia (VAP)
- Catheter Related Urinary Tract Infection (CR-UTI)