IQIP (falls/reoperations/readmissions/decubitus and mortality)
Based on the principles of the International Quality Indicator Project, the Hirslanden Private Hospital Group collects data on the main indicators unplanned readmissions, unplanned reoperations, documented falls, decubitus and mortality, and thus makes an important contribution to evaluating quality outcomes in medicine.
The acquisition of the aforementioned indicators is based on the International Quality Indicator Project (IQIP), which was developed in 1985 by hospitals in the US state of Maryland. With over 2,000 healthcare companies taking part worldwide, the IQIP was the most important research project for evaluating quality outcomes in medicine. In Europe alone, 200 hospital companies announced their intention to take part in the IQIP measurements. The project was terminated in 2013 following its acquisition by US research company Press Ganey. Nevertheless, Hirslanden continues to apply the IQIP standard of its own accord.
While it is no longer possible to compare IQIP measurements internationally, both the comparison within the Group and the analysis of how the individual results at the hospitals have developed over time remain possible. These figures provide key pointers in specifying possible improvement measures and thus ensure a continuous improvement process. This process comprises three steps: The responsible hospital boards first analysis and interpret the results, specific optimisation and prevention measures are drawn up, and these measures are finally exchanged during groupwide networking meetings while following best practice.
When interpreting the measurements, it is necessary to bear two points in mind: First, differences between hospitals must also be construed within the context of the range of services that respective hospitals provide. Second, a reliable statement about any trends is only possible after comparing several years because the changes measured each year are smaller than the confidence intervals, which indicate the bandwidth within which the true figure is in all likelihood to be found (95 percent). The range of the confidence interval depends on a number of factors. The frequency of the type of incident in question is particularly significant. The lower the frequency, the wider the confidence interval.
(<= 15 days)
|Number of discharges
|Number of unplanned readmissions
Unplanned return to the operating theatre,
|Number of opertions
|Number of cases of unplanned return to the operating theatre
Documented falls, falls per 1000 treatment days,
|Number of treatment days
|Number of falls
|Falls per 1,000 treatment days