Dr. Jennifer Lundblad

We might be looking at clinical data in an electronic health record.

We might be looking at population data, that's surveillance data coming out of public health.

And just as importantly, we might look at self-reported data.

We often develop tools that are readiness assessments or maturity matrices, where we're working with organizations and communities to help them

understand their strengths and assets and gaps, and then working with them to make change and then reassessing where they are.

So it is both a quantitative data analysis and a sense of progress

And qualitative, because that's often just as important.

Data, as I said, is so key to quality.

But we know that what helps people feel compelled and motivated is the stories that accompany those data.

And so we're often packaging and thinking about those together.

What are the data and stories that are compelling to drive and support and motivate change?

I'm going to give two answers to that, Barry, because I feel like it's so important to offer a little bit of historical context on that availability of data, and then I want to describe

what we're doing today to help make those decisions.

And there is a little bit of a secret sauce.

So I'll leave that there just as a little teaser for you.

But first, I want to go back to two seminal reports that were issued in 1999 and 2001 by what was at the time called the Institute of Medicine, To Err is Human and Crossing the Quality Chasm.

Now, those are 25 and plus years old, and so it might seem like they're not relevant today, but they so dramatically changed the public's understanding of healthcare quality and medical error and drew attention in ways that prompted significant change in what is still with us today, in particular around what you're asking about related to quality measurement.

So,

Prior to those reports, hospitals or clinics or nursing homes did a fair amount of measurement, and it was very much then within their own vacuum, within their own organization.

What those two reports showed