IntroductionPerformance scorecards provide a straightforward means of integrating metrics into a healthcare organization’s strategic planning. Scorecards are most effective when they have a clear purpose, identifying specific patient populations and outcome measures. According to Baker (2015), “savvy organizations select the best metrics to track that are appropriate to what the organizational staff members wish to measure,” which could include specific issues like patient vital signs or patient satisfaction survey outcomes (p. 224). Moreover, performance scorecards need to be simple, kept on a manageable scale so that the data gleaned can be readily communicated to inform organizational practices, policies, and procedures (Hansel, n.d.). The following performance scorecard includes three core categories including performance, quality, patient safety, and employee engagement, all while focusing on addressing the needs of a specific patient population: adults over the age of 65 who have been diagnosed with Type II Diabetes.
GOAL
TARGET
KEY STAFF
REVIEW FREQUENCY
JAN 2018
FEB 2018
MAR 2018
APRIL 2018
Performance
Readmission
15%
Monthly
25%
22%
23%
27%
Mortality
10%
Monthly
15%
10%
5%
10%
Quality
Lifestyle counseling
99%
Monthly
80%
82%
79%
82%
Complications
15%
Monthly
18%
22%
23%
19%
At-Home Testing
99%
Monthly
85%
89%
90%
92%
Patient Perceptions
90%
Every three months
90%
85%
89%
90%
Patient Safety
Equipment Failure
5%
Monthly
2%
5%
8%
10%
Voluntary Error Reports
10%
Monthly
5%
2%
6%
10%
Patient Error Reports
5%
Every three months
3%
8%
12%
8%
Employee Engagement
Survey data
90%
Every three months
85%
80%
82%
80%
Outcome Measures
Performance
The outcome measures for performance will include mortality rates within the patient population and readmission rates.
Quality
Performance outcomes for quality include number of patients receiving at-home testing equipment for self-monitoring, number of patients receiving lifestyle counseling and preventative care, complications related to Type II Diabetes, and patient perception of care.
Patient Safety
Patient safety outcomes include number of equipment and/or test failures, voluntary error reporting from staff, and patient-reported errors in care.
Employee Engagement
Employee engagement outcomes include surveys that can be quantified.
Driving Outcomes Measures
Driving outcomes measures requires a combination of leadership best practices and evidence-based practice with the patient population.
Performance
To drive outcomes measures in performance, nurses need to monitor several factors at once, including patient readmission rates and mortality rates within the patient population....
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