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The Institute of Medicine proposed six aims for healthcare quality improvement. Nevertheless, trauma care quality research still focuses on one aim at a time. This research investigates how to incorporate all aims into trauma care quality assessments using data from the Michigan Trauma Quality Improvement Program. Through a literature review, we identified quantifiable metrics for most aims, except for equity and patient-centeredness. We proposed two approaches to build composite scores accounting for equity via an adjustment procedure based on observed disparities. The single- and multi-aim approaches were compared through correlation, concordance of trauma centre categorisations, and hypothetical incentives. The differences in the approaches stemmed mainly from the weights allocated to the different aims. Results indicated the potential value of multi-aim quality assessment and provided insights about implementation challenges and opportunities. The methods are applicable to the preferred metrics; nevertheless, further research is needed in measuring patient-centeredness.

The healthcare industry is one of the most important industries in the service field. Due to the complex nature and the number of stakeholders in healthcare systems, healthcare quality is a complex...

Interruptions are a salient component of healthcare care work. While there is a significant amount of literature studying interruptions in inpatient care, most of it focuses on retrospectively asse...

Preventable readmissions are a large and growing concern throughout healthcare in the United States, representing as many as 20% of all hospitalizations (30-day post-discharge) and an estimated $17...