AHIC Review Course 4: Clinical and Financial Benchmarking Sources

Flashcards covering key benchmarking sources, models, programs, and challenges described in the lecture notes.

What is benchmarking in healthcare?

The process of comparing an organization’s performance metrics with an external standard and peer group to identify priorities and improvement opportunities.

Name four benchmarking sources discussed in the lecture.

Gartner IT Score for CIOs, HIMSS Analytics (digital maturity models), CMS programs, and the Leapfrog Hospital Survey (CHIME Digital Health Most Wired is another example).

What is the CHIME Digital Health Most Wired Survey?

A benchmarking program (formerly Healthcare’s Most Wired) that evaluates health IT maturity; uses Levels 1–10; CHIME hosts; winners announced at CHIME; aims to recognize organizations using IT to improve patient safety and outcomes.

What are the HIMSS digital maturity models?

A suite of seven models (EMRAM, O-EMRAM, AMAM, CISOM, DIAM, CCMM, INFRAM) that guide digital transformation and strategic decisions; Stage 7 signals high maturity.

What does EMRAM stand for?

Electronic Medical Record Adoption Model.

What does O-EMRAM stand for?

Outpatient Electronic Medical Record Adoption Model.

What does AMAM stand for and focus on?

Adoption Model for Analytics Maturity; an eight-stage (0–7) model focusing on data infrastructure, governance, content, and competency building to support analytics and population health.

What are other HIMSS models besides EMRAM and O-EMRAM?

AMAM (Analytics Maturity), CISOM (Clinically Integrated Supply Outcomes Model), DIAM (Diagnostic Imaging Adoption Model), CCMM (Coordination of Care Maturity Model), INFRAM (Infrastructure Maturity Model).

What does Stage 7 in HIMSS maturity models signify?

A global symbol of an organization’s dedication to digital transformation in healthcare.

What is the CHIME Levels designation for leaders?

Levels 9–10 designate health IT leaders with the highest and most innovative use of technology.

What is the Gartner IT Score for CIOs?

A voluntary, fee-for-service benchmarking system that assesses IT functional processes against a peer group using seven objectives and 30 activities to measure IT maturity and importance.

List the seven functional objectives in Gartner IT Score for CIOs.

Engage business leadership and stakeholders; Perform strategy and planning; Apply technology leadership and innovation; Manage IT governance; Manage IT finance; Develop and maintain talent; Manage performance.

What are the benefits of Gartner IT Score for CIOs?

Helps prioritize maturity versus importance, identify gaps, plan actions, share performance gaps with business partners, and guide strategic planning.

What is the Leapfrog Hospital Survey?

Leapfrog Group’s flagship program: a free annual benchmark assessing hospital safety, quality, and efficiency with public results and a cycle for updates.

What is the Leapfrog Hospital Safety Grade?

A letter grade (A–F) assigned to hospitals based on patient safety performance.

What new Leapfrog programs were added recently?

Value-Based Purchasing Program and Ambulatory Surgical Center (ASC) Survey.

What is the National Quality Registry Network (NQRN) Registry Maturational Framework?

A framework modeling registry maturity across 17 domains to guide development from early to mature stages; used by professional societies and payers.

What is a Qualified Clinical Data Registry (QCDR)?

A CMS-approved registry used for reporting under the Quality Payment Program for quality measures.

What did MACRA require CMS regarding registries?

Expanded options for registry data submission in the Quality Payment Program and consolidation of earlier programs like PQRS.

What are common challenges in benchmarking clinical and financial data?

Broad stakeholder engagement; distributed data collection; data heterogeneity and conflicting benchmarks; submission time and data definition maintenance; changing definitions; data exchange/interoperability; governance; linking results to HIT initiatives; measure specificity to organizational needs.

What is the knowledge check answer about HIMSS Digital Maturity Models?

They measure functional adoption, outcomes, and needed capabilities (not just one dimension).