1. BENCHMARKING

2. Definition The process of establishing a standard of excellence and comparing your center’s business or clinical functioning to that standard of excellence.

3. Internal Benchmarking Identify key areas you would like to monitor. Set a standard for each of those areas. Compare your actual performance with the goal you have set for your organization.

4. Common areas for internal benchmarking Infections Complications Returns to surgery PONV Pain control Admits within 24 hours of discharge

5. Internal Benchmarks Compare your performance quarterly with your goal Use the results as topics for a QI study Report results to the Governing Body

6. External Benchmarking Choosing performance measures that are appropriate for improving processes or outcomes of care relevant to the patient population served and comparing them to local, state or national quality measures

7. Opportunities for Benchmarking ASC Association AAAHC Surgical Outcomes Literature MGMA Specialty organizations Other like centers in the area National Corporations

8. Common areas for External Benchmarking OR times Turnover times Patient Satisfaction Infections Employee Satisfaction Discharge delays Returns to Surgery

9. Benchmarking Most External Benchmarking groups allow you to choose which elements you would like to benchmark against.

10. Data Your benchmarking is only as good as the data you use. Ensure the validity of the data Collect and analyze data related to specific measures Compare your performance with the quality measure If your center falls below the benchmark, implement change

11. Benchmarking Demonstrate a sustained improvement over time Report results to the Governing Body.

12. CMS Quality Reporting Program will provide areas opportunities for Benchmarking Patient Burns Patient Falls Wrong site surgery, wrong patient, procedure, implant Hospital admission/transfer Prophylactic IV antibiotic timing

13. CMS Use of Safety Checklist Volume of certain procedures Influenza vaccination coverage among health care workers.

14. THANK YOU VERY MUCH AND I HOPE TO SEE YOU SOON!