Kaiser Permanente's Performance Improvement System, Part 3:Multisite Improvements in Care for Patients with Sepsis

摘要

In 2008 Kaiser Permanente initiated a nationwide performance improvement (PI) system designed to align efforts of frontline teams with strategic organizational priorities in top-down, bottom-up improvement activities that pervade the entire organization. The PI system's key elements, development, and implementation, as described in the first of four articles,1 include (1) a data dashboard known as "Big Q," which distills hundreds of performance measures into a vital few, high-level measures, such as medical center standardized mortality ratios (HSMRs), a performance metric that adjusts for multiple variables at the patient, medical center, and regional levels2; and (2) benchmarking external health care organizations to identify six capabilities of high-performing organizations-leadership priority setting, a systems approach to improvement, measurement capability, improvement capacity, culture of improvement, and organizational learning.