Improving outcomes using German Inpatient Quality Indicators in conjunction with peer review procedures

Z Evid Fortbild Qual Gesundhwes. 2015;109(9-10):662-70. doi: 10.1016/j.zefq.2015.10.014. Epub 2015 Nov 17.

Abstract

Some hospital comparisons seem to generate confusion because different methods of outcome comparisons lead to different results in hospital rankings. This article questions the concept of overall comparisons of hospitals, which are multiproduct enterprises and may have specialties that provide good results in some areas despite having worse outcomes in others. Therefore, the authors argue for a disease specific view of outcome measurement. The concept of the German Inpatient Quality Indicators is explained. These indicators cover volume, mortality, and other information by a disease specific approach, which includes information for potential patients as well as specific feedback to the physicians responsible for the respective specialty. This article focuses on the feedback to the hospitals and explains how these indicators can be used for improvement in conjunction with a peer review process. The indicators provide information to the hospitals regarding their relative position because German reference values are available for all indicators. Thus, the indicators can serve as a trigger instrument for identifying possible quality problems. Based on these indications, peer review can be used to analyze the treatment processes and to eventually verify weaknesses and define actions for improvement. The first studies indicate that the use of this approach within hospital quality management can largely improve hospital outcomes in hospitals with subpar results compared to the German average.

Keywords: Ergebnisqualität; German Inpatient Quality Indicators; Peer Review; Qualitätsmanagement; Verbesserung; improvement; outcome; peer review; quality management.

MeSH terms

  • Cause of Death
  • Deutschland
  • Hospital Administration / methods*
  • Hospital Administration / standards*
  • Hospital Mortality
  • Hospital Records / standards
  • Hospital Records / statistics & numerical data
  • Humans
  • National Health Programs / organization & administration*
  • National Health Programs / standards*
  • Outcome Assessment, Health Care / organization & administration*
  • Outcome Assessment, Health Care / standards*
  • Peer Review / methods*
  • Peer Review / standards*
  • Quality Improvement / organization & administration
  • Quality Improvement / standards
  • Quality Indicators, Health Care / organization & administration*
  • Quality Indicators, Health Care / standards*
  • Reference Values
  • Total Quality Management / organization & administration*
  • Total Quality Management / standards*