53
3
Integrating hBYOD into
Performance Measurement
and Management Systems
ere are a variety of health-related quality metrics and systems. So, is it
any wonder that over 70% of organizations, including the Physician Quality
Reporting System (PQRS), the American Medical Association (AMA), the
Physician Consortium for Performance Improvement (PCPI), the Healthcare
Eectiveness Data and Information Set (HEDIS), and Health Level Seven
(HL7), have adopted bring your own devices (BYODs)?
e PQRS has been using incentive payments, and will begin to use pay-
ment adjustments in 2015, to encourage eligible health-care professionals
(EPs) to report on specic quality measures.
QRS gives participating EPs the opportunity to assess the quality of care
they are providing to their patients, ensuring that patients get the right care at
the right time. By reporting PQRS quality measures, providers can also quan-
tify how oen they are meeting a particular quality metric. Using the feed-
back report provided by Centers for Medicare & Medicaid Services (CMS),
EPs can compare their performance on a given measure with their peers.
e HL7 was established in 1987. It is an American National Standards
Institute (ANSI)-accredited, not-for-prot standards development organi-
zation, whose mission is to provide standards for the exchange, integration,
sharing, and retrieval of electronic health information; support clinical
practice; and support the management, delivery, and evaluation of health
services.
e functional model consists of four key components:
1. Health record information management
2. Standards-based interoperability
54 • BYOD for Healthcare
3. Security: information and infrastructure
4. Auditable record
with a sizeable number of conformance metrics, such as the following:
1. e system shall conform to function IN.3.1 (Entity Authentication).
2. e system shall have a fully transparent privacy policy.
ere are a variety of health information technology (HIT) standards for
exchanging electronic health information; protecting electronic health
information created, maintained, and exchanged; and handling electronic
health records in inpatient as well as ambulatory settings. e challenge
will be in modifying all of these for BYOD.
MEASURING BYOD
Whatever the organization type or size, it is important that BYOD be care-
fully measured for its impact on performance. To do this, it requires just a
bit of tweaking to the organizations performance measurement and man-
agement systems. BYOD is denitely a strategy. It is interesting to note that
a study found that 70% of organizations do not link middle management
incentives to strategy and 60% of organizations do not link strategy to bud-
geting (Balanced Scorecard Collaborative, 2004). It would be worthwhile,
then, to spend a bit of time discussing performance measurement and man-
agement systems and how the organization can integrate BYOD into these
systems.
WHY MEASURE?
ere are a wide range of denitions for performance objective, perfor-
mance goal, performance measure, performance measurement, and per-
formance management. To frame the dialog and to move forward with
a common baseline, certain key concepts need to be clearly dened and
understood, such as the following:

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