GI Unit Leadership: (Re)Starting Your Quality Program (Virtual only) | February 2023-06_Isenberg

06_Isenberg_Benchmarking and Metrics

Pdf Summary

In this document, Dr. Gerard Isenberg emphasizes the importance of benchmarking and quality metrics in empowering endoscopy teams. Benchmarking is defined as the process of identifying and adopting best practices from other organizations to improve performance. The transition to value-based healthcare, risk contracting, bundled payments, and alternative payment models necessitate an understanding of service costs.<br /><br />Endoscopy units face challenges such as shifting demographics, cost-efficiency demands, value-based reimbursement, and the need for data transparency and care coordination. The cost curve may be bending, but it is still rising.<br /><br />The value equation varies for different stakeholders including physicians and employees, employers, and patients. The MIPS Value Pathway for Advancing Care for Appropriate Colon Health is an example of benchmarking through quality measures, improvement activities, cost, promoting interoperability, and population health.<br /><br />Quality in endoscopy encompasses measurable quality, appreciative quality, and perceptive quality. However, quality is not solely determined by adenoma detection rate (ADR). Other factors such as patient experience, employee engagement, nurse/tech turnover, infection control, and supply chain costs must also be considered.<br /><br />High-performing endoscopy teams prioritize shared goals, clear roles, mutual trust, effective communication, and measurable processes and outcomes. These principles contribute to individual well-being, decreased burnout, and improved performance.<br /><br />To empower teams through benchmarking, Dr. Isenberg suggests establishing a vibrant team culture, knowing and sharing benchmarks from sources such as ASGE Operations Survey Data Book and GIQuIC, targeting specific benchmarks and quality metrics, developing a performance improvement (PI) plan, and repeating the process.<br /><br />However, he advises being aware of pitfalls in the benchmarking process and emphasizes the importance of teamwork in achieving success.

Keywords

benchmarking

quality metrics

endoscopy teams

value-based healthcare

risk contracting

bundled payments

alternative payment models

service costs

shifting demographics

cost-efficiency demands