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At the University of Michigan Health System, our goal is to become the national leader in health care quality and safety. For many measures, we're already there. For other measures, we have concrete plans to improve.
This site shows where we're doing great and where we can perform even better. The site also offers information about quality care, quality measures, and what quality really means to the most important people in our community: you - our patients and families. While quality reports from other sites may be a year old or more, the reports on our website show the most up-to-date measures of quality and safety at the University of Michigan Health System.
Explore these pages to learn more about how we engage in quality and safety 24 hours a day, seven days a week!
The federal Agency for Healthcare Research and Quality (AHRQ) defines quality health care as "doing the right thing, at the right time, for the right person, and having the best possible result." Patient safety - the act of doing no harm - underlies all aspects of quality health care.
Clinical quality may mean measuring:
Quality can also be measured by looking at aspects of the patient experience delivering patient care such as:
Several groups measure quality of care, which one can use to compare our results to those of other organizations. For example:
At the University of Michigan Health System, we evaluate the quality of the care we deliver by measuring whether it is effective, timely, safe and responds to our patients’ preferences and needs.
For this website, we chose to display measures that are valid and meaningful and reflect the quality of care in both the inpatient (hospital) and outpatient settings. For most measures, we are able to compare our performance to that of other hospitals and physician groups. In many cases, our performance is better, in some cases it is not. Our goal is to demonstrate our commitment to delivering high quality of care and to continuous improvement by being open and honest and "transparent" about our performance.
In this website, we report several types of quality of care measures. Some measure whether we are providing the right treatments and procedures. These are called process measures. They are used to assess the degree to which we (and other health care providers) use best practices when delivering care to patients. Here’s an example:
Others measure outcomes, or the success of treatments and procedures.
Outcomes may include patient survival rates or infection rates.
Outcome measures are the most difficult to produce and interpret because they are influenced by many factors, including the patient's health condition. For example, an 85 year-old patient with chronic lung disease and pneumonia will not have the same chance of survival as an otherwise healthy 40 year-old patient with pneumonia.
Because the risk of death or of complications like infections differs between patients, we try to compare our outcomes to those of similar types of patients. However, this may not be possible. For some outcomes, the comparison statistic can be "adjusted" to reflect a similar patient population. But, unfortunately, these adjustment methods are not perfect. As a consequence, if we treat a "sicker" patient population, our rates can be higher. Because of the difficulty in obtaining good comparison or benchmark data, one should use the outcome measurement results with caution.
Here are examples of outcome measures:
Because you play a role in maintaining your own health care, you can use these reports to find out:
Keep in mind: