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HELP! Hints to Engage Leaders Proactively: Data, Facts & Graphs

By September 26, 2018C&A Blog

In healthcare we know that time is money. That is especially true for Senior Leaders, Medical Staff and the Board. What is the best way to engage leaders? Use data, facts and graphs to involve them in the process? Present the data!  C&A’s philosophy is to build success based on regulatory compliance. One of the fastest ways to demonstrate compliance of patient safety standards – either decreased or improved – is to show the numbers! Why? Numbers and graphs are easier to read and leaders are able to ascertain immediately where patient errors are occurring and then provide resources to make improvements.

During the TJC & CMS Executive Briefings (NYC, 2018), many statistics were shared related to the delivery of patient care. TJC provides at least two times per year the top scoring standards. This is information that should be shared with Senior Leaders. Knowing where the most non-compliant areas exist can assist in making improvements.

It is also important to utilize data when speaking to leaders because TJC has a focused data management session and CMS requires an organizational-wide quality improvement program. Not only do leaders better understand at a glance what needs to be addressed when using data but this also provides education for participation at the  regulatory sessions.

If that doesn’t get the key stakeholders to the table, try sharing these statistics from CMS Executive Briefings (2018):

  • $421 million dollars is being requested to increase the number of surveys completed
    • $26 million more than 2018 budget
  • Goal is to perform 20,000 initial and re-surveys
  • Survey for an average of 58,000 complaint surveys

Just when you think the reimbursement can’t get any less. CMS has proposed to implement a User Fee. This will be levied during initial, recertification or substantiated complaint surveys. If approved, that will provide an estimated $14 million dollars, just in user fees.

Healthcare is a very data-driven profession. We collect a plethora of data for various reasons. Make sure you put all of that data to good use. Select the top five (5) areas that need additional resources for improvement and help leaders understand. Data can work magic in making changes and showing the current situation of an organization.



The Joint Commission (2018). Retrieved from jointcommission.org.

TJC Executive Briefings (2018). NYC

CMS Executive Briefings (2018). NYC

Sharon Dills

Author Sharon Dills

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