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Business Process Improvement

Report

Exploring the Feasibility and Utility of Machine Learning-Assisted Command and Control: Volume 1, Findings and Recommendations

This report describes the potential for artificial intelligence (AI) systems to assist in Air Force command and control (C2). The authors develop a framework and metrics for assessing the suitability of a given AI system for a given C2 problem.

Jul 15, 2021
Report

Exploring the Feasibility and Utility of Machine Learning-Assisted Command and Control: Volume 2, Supporting Technical Analysis

This volume serves as the technical analysis to a report concerning the potential for artificial intelligence systems to assist in Air Force command and control (C2).

Jul 15, 2021
Journal Article

Building and Measuring Community Resilience: Actions for Communities and the Gulf Research Program

This report summarizes the existing portfolio of relevant or related resilience measurement efforts and notes gaps and challenges associated with them.

Jun 29, 2021
Journal Article

Examining the Business Case for Patient Experience: A Systematic Review

This article reviews the literature on associations between patient experience and business outcomes, including patient allegiance and retention, complaints, lawsuits, provider job satisfaction, and profitability.

May 21, 2021
Journal Article

Clinical Governance and Continuous Quality Improvement in the Veterinary Profession: A Mixed-Method Study

96% of the veterinary profession agrees that Quality Improvement (QI) improves veterinary care. A lack of time, know-how and organisational support were among the barriers preventing its adoption in practice.

May 14, 2021
Journal Article

Nursing Home Responses to Performance-based Accountability: Results of a National Survey

We describe quality improvement changes that skilled nursing facilities reported making in response to CMS performance measurements and whether reported QI changes were associated with better performance on CMS performance measures.

Apr 9, 2021
Journal Article

National Quality Forum Guidelines for Evaluating the Scientific Acceptability of Risk-adjusted Clinical Outcome Measures: A Report From the National Quality Forum Scientific Methods Panel

Our goal is to promote the transparency of NQF evaluations, improve the quality of performance measurements, and engage surgeons and all other stakeholders to work together to advance the science of performance measurement.

Jan 29, 2021
Journal Article

Ranking Trauma Center Quality: Can Past Performance Predict Future Performance?

This article explores whether trauma center quality metrics based on historical data can reliably predict future trauma center performance.

Jan 28, 2021
Journal Article

Improving The Accuracy Of Hospital Quality Ratings By Focusing On The Association Between Volume And Outcome

The goal of this exploratory analysis was to examine the changes in hospital star rankings for aortic valve replacement when shrinkage targets based on hospital case volume are used instead of the standard CMS approach.

Jan 28, 2021
Tool

Measuring Intelligence, Surveillance, and Reconnaissance Effectiveness at the United States Central Command: Data Visualization Tool Documentation

The authors used Tableau to create a visualization tool that allows U.S. Central Command (CENTCOM) to display the performance and effectiveness of its support to intelligence, surveillance, and reconnaissance (ISR) roles, sub-roles, and activities.

Jan 20, 2021
Journal Article

Variability in Case Durations for Common Surgical Procedures

This is an exploratory study to quantify the facility-level variation in surgical case duration for common surgeries.

Jan 20, 2021
Report

Measuring Intelligence, Surveillance, and Reconnaissance Effectiveness at the United States Central Command

U.S. Central Command Directorate of Intelligence is interested in developing a repeatable process to measure the effectiveness of its intelligence, surveillance, and reconnaissance (ISR) operations and activities. What methodology can be used to accomplish this?

Jan 20, 2021
Journal Article

What Can the National Quality Forum Tell Us About Performance Measurement in Anesthesiology?

In this article, we describe the current state of performance measurement in anesthesia care at the national level and highlight gaps and opportunities in performance measurement for anesthesiologists.

Dec 30, 2020
Journal Article

Effectiveness of Nonpublic Report Cards for Reducing Trauma Mortality

Nonpublic reporting of hospital risk-adjusted mortality rates does not lead to improved in-hospital mortality outcomes in trauma patients.

Dec 17, 2020
Journal Article

Impact of Present-on-admission Indicators on Risk-adjusted Hospital Mortality Measurement

We sought to develop and validate a risk index for in-hospital mortality using only present-on-admission diagnoses, principal procedures, and secondary procedures occurring before the date of the principal procedure.

Dec 10, 2020
Journal Article

Can Measures Change the World?

The purpose of this article is to start a dialogue about how one can better use measurement to promote large-scale system change.

Aug 21, 2020
Tool

Determining Staffing Needs for Administrative, Professional, and Technical Workers in the U.S. Secret Service: A User Guide for Workforce Staffing Models

Researchers created a software tool to help determine staffing needs in the U.S. Secret Service's highest-priority administrative, professional, and technical functions. This guide describes the tool and its functions and documents procedures.

Aug 18, 2020
Report

Determining Staffing Needs for Administrative, Professional, and Technical Workers in the U.S. Secret Service: Methods and Lessons Learned

Researchers conducted a study to determine staffing needs in the U.S. Secret Service's highest-priority administrative, professional, and technical functions. This report documents their methods and lessons learned for future workforce studies.

Aug 18, 2020
Report

Benchmarking Data Use and Analytics in Large, Complex Private-Sector Organizations: Implications for Department of Defense Acquisition

This report examines how the private sector addresses data governance and analytics to inform how the Department of Defense can develop and apply advanced analytics to acquisition challenges.

Jun 4, 2020
Journal Article

Differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey Scores by Recency of the Last Visit: Implications for Comparability of Periodic and Continuous Sampling

Patient experiences an be collected by sampling patients periodically (visits over a 1-year period)or continuously (any visit in a monthly interval). We explored differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group scores using both sampling methods.

Mar 18, 2020

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