History of performance measures in healthcare

In this post we discuss performance measures, health plans for hospitals and review some design consideration tools and clues could be better for improvement. In order to study health systems, terminology, analysis and performance measurement, could identify preliminary objects and work future targets. In other meaning that why exactly we should study and know within health system components and their performance and what are the reasons pushing to spend months in process of analysis of work patterns and do a lot of predictions supposed associated to get and find proper solutions. First, it could be to identify the problems and setbacks that affect directly or indirectly end value or results and interrupt the channel delivery process. Secondly, doing the process of determination to different sort of working performance and level  of compatibility between systems ability and degree of paid investment and performance sufficiently to do delivery of end medical values.

No one can be sure from system performances even with high technology standards were implemented in certain system thereafter the process of assessments, monitoring and end evaluation create some sort of performance thereof. Measuring performance in not new technique to assess the whole work figure and tasks achieved, there are many parameters, indicators prove and show the level of performance of any working system whether that within medical domain or other industrial fields. The number of measurements, nature of implementation, execution methods put different mode of received results, in which declare the capability link between systems and its performances.

There is no fixed result in process of analysis, and well known NO constant in medical sciences, depending on your working parameters, directives, plans, working schedules and the possibilities would be determined clearly. We are briefly going to review some historical glances related to performance methodologies and explain how much greatly carries direct affect plans of improvement, development and investment forwardly.

The history of performance measurement started far back since the middle of 19^th Century; Ms. Florence Nightingale. She was concern about sanitary conditions of hospitals in the Crimean War and in London. In that time; she was working to develop elaborate data collections, statistical analysis with 1^st focusing on morbidity versus mortality rates and numbers. As a fact tools and equipments were not much fit than our present but she intelligent enough to start one step in long road of medical health informatics.

Dr. Amory Codman, a Boston surgeon, extended these ideas in a crusade for public reporting of hospital mortality data in the Boston area for a period of several years between 1914 and 1920. He developed recoding system for his surgeries and tracking patients improvements act as registry of morbidity and mortality rates. He also categorize the patient complains regarding done operations and whether that closely touched his work or produced from other associated medical services. While that system did not be accepted from colleagues, he founded his own hospital depending on end result concept.

In 1988, Dr. Paul Ellwood issued a call for a national program named “Outcomes Management.” his vision covered not only specific hospitals but exceed other entities too in order to the heavily concept of provider accountability toward patients and around society. His project been exceeded morbidity/ mortality ratio and working with health status, records and statistics of patient value equation. Diversified resources and sorts carried out of medical data including for instance; outcome records, clinical records, services received, demographical distribution of available services with populations. This diversity open bigger gate for research and information management concepts and awareness impact, without past seeds were not the present contextual meaning of data importance in medical careers. I wish all you health and happinessJ