BENCHMARKING

Definition

• The process of establishing a standard of excellence and comparing your center’s business or clinical functioning to that standard of excellence.

Internal Benchmarking

• Identify key areas you would like to monitor.

• Set a standard for each of those areas.

• Compare your actual performance with the goal you have set for your organization.

Common areas for internal benchmarking

• Infections• Complications• Returns to surgery• PONV• Pain control• Admits within 24 hours

of discharge

Internal Benchmarks

• Compare your performance quarterly with your goal

• Use the results as topics for a QI study

• Report results to the Governing Body

External Benchmarking

• Choosing performance measures that are appropriate for improving processes or outcomes of care relevant to the patient population served and comparing them to local, state or national quality measures

Opportunities for Benchmarking

• ASC Association• AAAHC• Surgical Outcomes• Literature• MGMA• Specialty organizations • Other like centers in the area• National Corporations

Common areas for External Benchmarking

• OR times• Turnover times• Patient Satisfaction• Infections• Employee Satisfaction• Discharge delays• Returns to Surgery

Benchmarking

• Most External Benchmarking groups allow you to choose which elements you would like to benchmark against.

Data

• Your benchmarking is only as good as the data you use. Ensure the validity of the data

• Collect and analyze data related to specific measures

• Compare your performance

with the quality measure• If your center falls below the

benchmark, implement change

Benchmarking

• Demonstrate a sustained improvement over time

• Report results to the Governing Body.

CMS

• Quality Reporting Program will provide areas opportunities for Benchmarking

• Patient Burns• Patient Falls• Wrong site surgery, wrong

patient, procedure, implant• Hospital admission/transfer• Prophylactic IV antibiotic timing

CMS

• Use of Safety Checklist• Volume of certain

procedures• Influenza vaccination

coverage among health care workers.

• THANK YOU

VERY MUCH

AND I HOPE TO SEE YOU SOON!