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Why we must measure outcomes

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Classic quotes from Florence Nightingale, Lord Kelvin, Ernest Codman, Don Berwick, Michael Porter, Atul Gawande and Ara Darzi illustrating why we need to measure health outcomes.

Publié dans : Santé
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Why we must measure outcomes

  1. 1. © R-Outcomes Ltd 2015R-outcomes Why we must measure outcomes R-outcomes
  2. 2. © R-Outcomes Ltd 2015R-outcomes If wisely used, these improved statistics would tell us more about the relative value of particular operations and modes of treatment than we have any means of ascertaining at present. Florence Nightingale: Notes on Hospitals. 3rd Edition, 1863 Why we must measure outcomes
  3. 3. © R-Outcomes Ltd 2015R-outcomes When you can measure what you are speaking about, and express it in numbers, you know something about it; but when you cannot express it in numbers, your knowledge is of a meagre and unsatisfactory kind; it may be the beginning of knowledge, but you have scarcely in your thoughts advanced to the state of science. Lord Kelvin, 1883 Why we must measure outcomes
  4. 4. © R-Outcomes Ltd 2015R-outcomes Every hospital should follow every patient it treats long enough to determine whether the treatment has been successful, and then to inquire ‘if not, why not’ with a view to preventing similar failures in the future. Ernest Codman 1914 Why we must measure outcomes
  5. 5. © R-Outcomes Ltd 2015R-outcomes The ultimate measure by which to judge the quality of a medical effort is whether it helps patients (and their families) as they see it. Anything done in health care that does not help a patient or family is, by definition, waste, whether or not the professions and their associations traditionally hallow it. Don Berwick, BMJ 1997 Why we must measure outcomes
  6. 6. © R-Outcomes Ltd 2015R-outcomes The way to transform health care is to realign competition with value for patients. Value in health care is the health outcome per dollar of cost expended. If all system participants have to compete on value, value will improve dramatically. Porter and Teisberg. Redefining Health Care 2006 Why we must measure outcomes
  7. 7. © R-Outcomes Ltd 2015R-outcomes We have no routine measure that puts the data together to grade how the patient as a whole is faring. We have only an impression of how we’re performing – and sometimes not even that. Atul Gawande. Better: A Surgeon's Notes on Performance, 2007 Why we must measure outcomes
  8. 8. © R-Outcomes Ltd 2015R-outcomes If quality is to be at the heart of everything we do, it must be understood from the perspective of patients. Darzi. High Quality Care for All: NHS Next Stage Review Final Report 2008 Why we must measure outcomes
  9. 9. © R-Outcomes Ltd 2015R-outcomes We stand on the cusp of a revolution in the role that patients – and also communities – will play in their own health and care. Harnessing what I’ve called this renewable energy is potentially the make-it or break-it difference between the NHS being sustainable – or not. Simon Stevens, NHS CEO, June 2014
  10. 10. © R-Outcomes Ltd 2015R-outcomes For more information about our work on short generic measures of outcome, experience and engagement visit our web-site R-outcomes