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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Page last reviewed August 2016
Internet Citation: Managing and Evaluating Rapid-Cycle Process Improvements as Vehicles for Hospital System Redesign: Table 4. Content last reviewed August 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/rapidcycle/rapidcycletab4.html