Managing and Evaluating Rapid-Cycle Process Improvements as Vehicles for Hospital System Redesign: Table 4. System-level metrics

No.	Metric	Source	2004	2005	2006 (Q1)	2006 (Q2 YTD)
1	Joint Commission core measures	UHC	Joint Commission (formerly JCAHO) core measures
2	Total operating costs	Finance	$362,004,761	$431,827,693	$114,508,791	$235,081,495
3	Cost per discharge	Finance	$13,385	$14,491	$15,434	$15,309
4	Cost per encounter	Finance	$123	$134	$128	$129
5	Net revenue	Finance	$11,895,074	$14,662,928	$2,769,757	$12,296,023
6	Net revenue per discharge	Finance	$9,935	$10,739	$11,001	$10,967
7	Net revenue per encounter	Finance	$61	$79	$78	$78
8	Employee engagement	Lean Team	30	84	143	201
9	FTE per adjusted occupied bed¹	UHC	7.8	7.8	5.5 ²	6.6 ²
10	ALOS (total days)	UHC	4.4	4.4	4.6	4.4
11	Risk adjusted mortality	UHC	0.86	0.74	0.55	0.58
12	ALOS for top 10 diagnoses	UHC	3.92	4.11	4.43	4.2
13	Physician productivity (relative value units)	Physician billing	450,410	422,075	127,713	250,692
14	Medication errors (%)		0.0185	0.0216	0.0179	0.0164
15	Errors related to procedure/treatment or test	UHC Patient Safety Net	847	714	300	592
16	Occurrences of COR zero (cardiac arrest)³		56	62	50	89
17	Readmission rates¹	UHC	6.6	5.8	5.9	6.6
18	Patient satisfaction	Press Ganey	80.3	79.9	82.7	82.5
19	Nurse turnover rate (%)	Employee Services	16.1	18.2	13.9 Annualized	11.9 Annualized
20	Nurse vacancy rate (%)	Employee Services	13.4	12.8	12.7	16.5
21	Employee turnover rate (%)	Employee Services	18.4	15.5	14.0 (annualized)	14.0 (annualized)
22	Employee vacancy rates (%)	Employee Services	9.1	8.5	9.3	11.1
23	Employee satisfaction		N/A	N/A	N/A
24	Private payer (%)	DH DW	8.56	11.02	7.75	8.00
25	Patients served	DH DW	143,033	151,457	76,679	97,490
26	Outpatient visits	DH DW	653,954	675,465	170,952	336,331
27	Inpatient admits	DH DW	21,652	20,559	6,953	10,704
28	Prescriptions filled	O/P Pharmacy	576,894	636,211	154,964	307,757
29	On-hand inventory value	Balance sheet	$6,202,779	$6,539,206	$6,519,348	$6,525,215

Note: Definitions for metrics are included in Appendix C, by metric number.
1. The 2006 YTD figure for this metric is not YTD but represents a value for the respective quarter only.
2. Definition of FTEs revised to include areas of operations that are similar to other UHC reporting hospitals.
3. Expanded sources for reporting COR zeros to improve accuracy which contributed to increase.
Key: ALOS = average length of stay; DH DW = Denver Health Data Warehouse; FTE = full-time equivalent; O/P = outpatient; UHC = University HealthSystem Consortium; YTD = year to date.

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Current as of September 2007

Internet Citation: Managing and Evaluating Rapid-Cycle Process Improvements as Vehicles for Hospital System Redesign: Table 4. System-level metrics. September 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/rapidcycle/rapidcycletab4.html