To this end, the hospital measured its health care quality indicators in May the previous year to inspect the quality aspects of its quantitative growth that cover the past 15 years since its inception so as to capitalize
upon the results by disclosing them to the public via the Outcomes Book with complete transparency. This year, the 2nd Edition was published in December with a greater number of contributors.
Considerable efforts were put into this 2nd Edition to complement the shortcomings of the 1st Edition issued last year.
First, the 2nd Edition encompasses a much wider extent of clinical fields.
Prior to preparing the 2nd Edition, interviews were conducted with the patients and their guardians to discover the range of information they wished to obtain from the Outcomes Book, and the results were largely reflected in this new edition. Significant efforts were put forward to accurately survey and contain the fields that require measurement, and as a result, a number of indicators were newly added aside from more than 100 indicators contained in the 1st Edition, enabling the 2nd Edition to cover the results highlighting more than 350 indicators. This also carries a greater significance as it was achieved through acquiring the voluntary engagement of each clinical department based on the valued opinions of the patients and their guardians. The positive changes in the mindset of the medical staff regarding the disclosure of the healthcare quality indicators were clearly evident as all clinical departments, which were previously hesitant to participate in the 1st Edition, even sent requests beforehand to ensure they would be involved in this 2nd Edition.
Second, efforts were undertaken to standardize the indicators.
All cancer-related indicators were made to include the number of surgeries, surgery methods, hospitalization periods, survival rates, mortality, and the complication indicators, while data extraction and analysis were conducted for the corresponding indicators overall, except for some types of cancer, according to the circumstances of each clinical department.
Third, data validation was conducted for the qualitative improvement of the healthcare quality indicators.
Through the discussions carried out by the Outcomes Book Committee, the data Preface validation process and indicators subject to validation were selected, while great efforts were made to enhance the reliability and validity of the data through initiating secondary validation by the clinical department responsible for each indicator and the Department of Quality Improvement & Patient Safety.
The 1st Edition which was published the previous year had left a lot to be desired, thus continuous efforts were exerted to enact improvements in every aspect of the 2nd Edition to fix any shortfalls in the previous edition. Our commitment will not end here as further improvements will be made to the subsequent 3rd Edition.
Cancer registry, which garner the most attention of the patients, to extract and capture the results directly from the quality data accumulated through the indicator extraction enabled through the use of quality data, and such a registry application will help us standardize the indicator definitions.
Furthermore, plans are underway to realize the indicators available for computerization in the clinical data warehouse (CDW) to ensure that the results are calculated and used at any time they are needed, and thesecomputerized indicators will provide an immediate identification of the current level of relevant indicators so as to analyze a patient’s treatment patterns and derive the means to make the required improvements.
After the disclosure of health care quality indicators for the first time in Korea, many from both within and outside the hospital voiced their concerns and opposition.
Despite the criticism, however, the voices of support and encouragement we received were much stronger.
The Outcomes Book was not simply about revealing the indicator results, but about creating a culture of transparent disclosure and the voluntary improvement of our medical practice, which successfully transformed the mindset of our staff in a natural manner during the course of its implementation. The active participation of our staff in preparation for this 2nd Edition turned out to be far beyond our expectations.
Foremost of all, I would like to express my deep gratitude and congratulations towards all members who have dedicated themselves to the 2nd Edition of the Outcomes Book over the past year and a half.
Seoul National University Bundang Hospital will remain fully committed to escalating to be a hospital for all people that leads the future of the world’s medical standards. Chief Medical Officer of the Seoul National University Bundang Hospital Chairperson of the Outcomes Book Committee
/ Senior Vice President Song, Junghan