ABSTRACT
The technical infrastructure required to drive healthcare to established performance goals requires a higher up-front investment than for retrospective quality reporting, but the benefits are sustainable performance and high-reliability care. As with the measurement framework, there are unique tools and methods in the technical foundation that apply to three distinct contexts: pre-intervention, intervention and post-intervention. In the pre-intervention context, a quality measure management system facilitates enterprise-wide financial and tactical planning, governance, and resourcing related to quality programs. The purpose of the system is to enable central aggregation of the key information specific to each quality program. The intervention context is where operational registries and their related clinical decision support facilitate the management of patient cohorts. Registry architecture may vary by vendor and must be responsive to the local design requirements at an organization level. The post-intervention context relies on analytics dashboards to provide the feedback loops for rapid quality improvement and sustainable quality control.
