Research Framework

What factors drive outcomes of care?

The expansion of the amount and level of detail in health care data offers a new resource for deeper understanding. As providers are asked to capture and publicly report on multiple quality measures, however, tracking and making sense of the data can be daunting. Today, individual health care providers and systems have yet to systematically tap into this vast store of information to uncover meaningful insights.

The Institute studies the relationships in performance data across measures as well as drills down into the most granular level of detail to better understand the information and develop knowledge: How do measures relate to each other? What are the interrelationships of quality metrics and key organizational characteristics, patient characteristics and practices? What relationships in the data bring insight to identify and drive performance on these metrics? Are we measuring the right things?

Our research framework builds on the classic Donabedian typology to consider interrelationships among aspects of structure, process and outcomes.

Our projects focus on analyzing the relationships between:

Structure and context

Includes organizational characteristics, culture and practices, as well as patient demographics. These are the elements that define who we are, what resources we have, the patients we serve and the context of care.

Processes and efforts to drive improvement

Includes clinical best practices, service best practices, and tactics for successful implementations.

Outcomes and outputs of efforts

Includes clinical compliance and outcomes measures, patient experience, as well as business measures such as length of stay, cost of care and reimbursement.

Project Topics and Study Areas

The Institute's initial project will include:

  • The structure and context of care and its influence
  • Processes and practices that drive outcomes
  • Interrelationships among the outcomes and outputs of care: the co-occurrence of quality

Through its close collaboration with leading health care executives and its Founding Executive Council, the Institute has selected initial prioritized projects to make the greatest impact on practical challenges that are facing providers.

The Institute is always collecting and interested in research ideas that can help with the challenges that are facing the health care industry. To submit your ideas for consideration please contact us; and include a summary of the request including:

  • How would these insights help the industry improve patient care and reduce patient suffering?
  • How would these insights help you better manage your organization?
  • How relevant is the topic to your current challenges?
  • How significant could the impact of the findings be on quality?