Quality Consistency: The Key to Reducing Healthcare Costs and Enhancing Outcomes

Quality Variability and its Impact on Higher Healthcare Costs

The Law of Quality Variation is defined as the gap between an ideal scenario and the reality. The renowned quality management pioneer, Dr. W Edwards Deming, proposed that organizations ming to enhance quality would naturally reduce costs, while those concentrating solely on cost reduction might inadvertently increase costs.

Could a push for lower quality variation in healthcare help us achieve the triple m?

Each of these objectives falls under the broad category of population health management or outcomes management. These goals are inherently connected to qualitybe it from a patient's perspective, which emphasizes their experience and satisfaction, or from providers' viewpoint where quality translates into optimal outcomes for individual interactions.

How is Quality Measured in Healthcare?

Quality is measured through intricate quality indicators that differ based on the contract with insurers, data type clinical or clms, and provider specifics. The avlability of more data points offers organizations a chance to analyze their performance better. Comparing similar metrics across providers, groups, or TINs allows leaders to ensure consistent care delivery.

In an ideal scenario where identical care is provided according to organizational best practices, quality variation could be minimized, enhancing patient health outcomes simultaneously.

Does Quality Influence Costs?

Cost controlcost management can emerge as a natural consequence of focusing on quality improvement. It's the indirect result of striving for Dr. Deming’s “ideal situation.” When quality management focuses on identifying patients transitioning and those at-risk:

Real-time interventions become possible.

Leadership ensures strict adherence to best-practice care standards.

Patients receive appropriate care pathways at the right time.

By promptly addressing patients' needs with standardized care pathways, improved patient outcomes and satisfaction occur, alongside more efficient care provision and better management of high-risk populationsthese can contribute to cost reduction.

To manage quality effectively, healthcare practices need specific tools. These include robust technology and user-frily interfaces designed for managing clinical data validation and an analytics engine tlored explicitly for quality oversight.

ReportingMD equips you with the tools needed to drive improvement

Our team, solutions, and advanced technologies help uncover actionable insights and streamline information sharing throughout your organization. Identifying at-risk populations and gaps in care costs enables our Total Outcomes Management TOM platform to powerfully support thousands of healthcare providers through quality management.

As a cloud-based solution ONC Certified and HIPAA-compliant, the TOM platform is built on solid technology designed for high avlability data processing, computation, and storage.

The TOM platform unifies clinical, clms, and social data into one platform, specifically tlored to meet your organization's needs with its robust capabilities for managing multiple TINs and drilling down to the individual patient level.

Flexible measure calculation-engine provides a comprehensive view of performance agnst various payer measures, CQM, eCQM, Stars HEDIS metrics or custom benchmarks.

Explore why thousands of providers rely on ReportingMD and our Total Outcomes Management TOM Population Health platform. Schedule your demo today.

For more information about the W. Edwards Deming Center for Quality, Productivity, and Competitiveness at Columbia Business School:

https:www8.gsb.columbia.edudemingabouthistory

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