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

No.MetricSource200420052006 (Q1)2006 (Q2 YTD)
1Joint Commission core measuresUHCJoint Commission (formerly JCAHO) core measures
2Total operating costsFinance$362,004,761$431,827,693$114,508,791$235,081,495
3Cost per dischargeFinance$13,385$14,491$15,434$15,309
4Cost per encounterFinance$123$134$128$129
5Net revenueFinance$11,895,074$14,662,928$2,769,757$12,296,023
6Net revenue per dischargeFinance$9,935$10,739$11,001$10,967
7Net revenue per encounterFinance$61$79$78$78
8Employee engagementLean Team3084143201
9FTE per adjusted occupied bed1UHC7.87.85.5 26.6 2
10ALOS (total days)UHC4.44.44.64.4
11Risk adjusted mortalityUHC0.860.740.550.58
12ALOS for top 10 diagnosesUHC3.924.114.434.2
13Physician productivity (relative value units)Physician billing450,410422,075127,713250,692
14Medication errors (%) 0.01850.02160.01790.0164
15Errors related to procedure/treatment or testUHC Patient Safety Net847714300592
16Occurrences of COR zero (cardiac arrest)3 56625089
17Readmission rates1UHC6.65.85.96.6
18Patient satisfactionPress Ganey80.379.982.782.5
19Nurse turnover rate (%)Employee Services16.118.213.9 Annualized11.9 Annualized
20Nurse vacancy rate (%)Employee Services13.412.812.716.5
21Employee turnover rate (%)Employee Services18.415.514.0 (annualized)14.0 (annualized)
22Employee vacancy rates (%)Employee Services9.18.59.311.1
23Employee satisfaction N/AN/AN/A 
24Private payer (%)DH DW8.5611.027.758.00
25Patients servedDH DW143,033151,45776,67997,490
26Outpatient visitsDH DW653,954675,465170,952336,331
27Inpatient admitsDH DW21,65220,5596,95310,704
28Prescriptions filledO/P Pharmacy576,894636,211154,964307,757
29On-hand inventory valueBalance 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 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