developing metrics for patient capacity and capability michael c. vojtasko, che emergency management...
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Developing Metrics for Developing Metrics for Patient Capacity and Patient Capacity and
CapabilityCapability
Michael C. Vojtasko, CHEEmergency Management Strategic
Healthcare Group
Veterans Health Administration
Department of Veterans Affairs
Part IPart I
Background
What is a Metric?What is a Metric?
“Relating to Measurement”
What is a Metric?What is a Metric?
“Relating to Measurement”
Comes from “meter” which is defined as a measure.
What Is the Current What Is the Current Measure?Measure?
Beds by category
What is the Current What is the Current Measure?Measure?
Beds by Category– Medical/Surgical– Burns– Critical Care– Psychiatry– Pediatrics
Capability vs. CapacityCapability vs. Capacity
Capacity: Available Beds
Capability: Medical Specialties
Why Beds?Why Beds?
Best measure at the time.
Why Beds?Why Beds?
Best measure at the time.25 years ago most acute care and
follow-up was provided on an inpatient basis.
Why Beds?Why Beds?
Best measure at the time.25 years ago most acute care and
follow-up was provided on an inpatient basis.
Focus was on trauma.
Why Beds?Why Beds?Best measure at the time.25 years ago most acute care and
follow-up was provided on an inpatient basis.
Focus was on trauma.Easy to measure and report.
Is There A Problem?Is There A Problem?
Depends on who you talk to; but let’slook at some of the arguments for
change:
Is There A Problem?Is There A Problem?
Depends on who you talk to; but let’s look at some of the arguments for
change: - Decrease in Length of Stay (LOS)
Is There A Problem?Is There A Problem?
Depends on who you talk to; but let’s look at some of the arguments for
change: - Decrease in Length of Stay (LOS) - Shift to ambulatory care
Is There A Problem?Is There A Problem?
Depends on who you talk to; but let’s look at some of the arguments for
change: - Decrease in Length of Stay (LOS) - Shift to ambulatory care- Decrease in number of beds in the U.S.
Is There A Problem?Is There A Problem?
Depends on who you talk to; but let’s look at some of the arguments for
change: - Decrease in Length of Stay (LOS) - Shift to ambulatory care- Decrease of the number of beds in the U.S.- Experiences from Operation Iraq Freedom
THIS IS AN THIS IS AN EXPERIMENT!EXPERIMENT!
Part IIPart II
Workgroup Sessions
ProcessProcessBreak out into groups.Designate a leader and scribe.Three sessions of 20 minutes each.Each session followed by a group
summary by the leader--and discussion as time allows.
Scribe turns in key points.
Session 1Session 1
Is there a problem with the current measure (i.e. “beds”) and, if so, describe why? If not, why not?
Develop a problem statement for a workgroup to address.
Session 2Session 2
It has been suggested that “patient care capacity” (i.e., number of patients that can be treated by category) be reported by NDMS Patient Reception Areas rather than “beds available.”
Session 2Session 2Question #1Question #1
Assuming this suggestion would be adopted, what are some of the issues that would need to be addressed in the development and reporting of such a measure?
Session 2Session 2Question #2Question #2
What other measures could be developed for reporting the patient capacity and capability of an NDMS Patient Reception Area?
Session 3Session 3Question # 1Question # 1
Who are the “customers” that would/could use a measure of patient capacity?
Session 3Session 3Question # 2Question # 2
What authorities (agencies, organizations, etc.) would have to approve a new measure?
Session 3Session 3Question # 3Question # 3
What are the obstacles, problems and issues that would need to be overcome in implementing a new measure?
Where Do We Go From Where Do We Go From Here?Here?
CONTACTCONTACT
Michael C. Vojtasko. CHE
Director, EMSHG Operations
& VHA Emergency Planner
(304) 264-4805/4835