2 PE Assessment for Rural Hospitals

Performance Excellence Framework: Key Questions for Rural Hospitals Assessment

The Baldrige Performance Excellence Framework can be used as a systems-based framework for rural hospitals to develop and support critical success factors in key areas leading to performance excellence across the organization.

Key areas of the framework include:

• Leadership

• Strategic Planning

• Patients, Partners and Communities

• Measurement, Feedback and Knowledge Management

• Workforce and Culture

• Operations and Processes

• Impact and Outcomes

Assess your organizations’ current capacity in each of these key areas to help identify opportunities for growth and development of system-based capacity for excellence.

Consider having a team of 6 - 8 people from across your organization complete this assessment independently, then use it as a tool for discussion to bring in perspective from across the organization, to understand varying perceptions, gain buy-in and identify opportunities and priorities for action.

For more information on the Baldrige Performance Excellence Framework and a blueprint for performance excellence in critical access hospitals, please see the Critical Access Hospital Blueprint for Performance Excellence available at:

https://www.ruralcenter.org/tasc/resources/critical-access-hospital-blueprint- performance-excellence

If you have additional questions, please contact the Technical Assistance and Services Center (TASC), a program of the National Rural Health Resource Center at: [email protected] or (218) 727-9390.

Performance Excellence Framework: Key Questions for Rural Hospitals Assessment
Please check the appropriate box:
Leadership Our Leadership team…	Strongly Disagree 1	Somewhat Disagree 2	Somewhat Agree 3	Strongly Agree 4
Is aware of health industry trends and changes and how they may impact our facility
Understands need for systems approach in all aspects of our organization
Provides ongoing education opportunities for board, internal leadership and managers
Aligns hospital and medical leadership around values, goals and strategies
Empowers and motivates hospital employees to achieve performance excellence
Strategic Planning Our Organization…	Strongly Disagree 1	Somewhat Disagree 2	Somewhat Agree 3	Strongly Agree 4
Conducts meaningful strategic planning at least annually
Involves multiple stakeholders to ensure strategic plans reflect community needs
Uses a systems framework for planning to ensure a holistic approach
Communicates the plan organization-wide in easy to understand language
Patients, Partners and Communities Our organization…	Strongly Disagree 1	Somewhat Disagree 2	Somewhat Agree 3	Strongly Agree 4
Measures and publicly reports data on patient satisfaction
Excels at customer services as shown by our comparative results on patient satisfaction
Engages in partnerships with larger systems or rural networks
Works collaboratively with other types of providers in our service area to improve transitions of care and care continuity
Collaborates with public and private organizations in the community to assess and improve health of the population

Please check appropriate box:
Measurement, Feedback and Knowledge Management Our organization…	Strongly Disagree 1	Somewhat Disagree 2	Somewhat Agree 3	Strongly Agree 4
Uses a strategic framework to manage information (such as a Balanced Scorecard)
Evaluates strategic process regularly and shares information organization-wide
Uses data to improve health and safety of patients in the service area
Workforce and Culture Our organization…	Strongly Disagree 1	Somewhat Disagree 2	Somewhat Agree 3	Strongly Agree 4
Supports development of a workforce that is change ready and adaptable
Has an intense focus on staff development and satisfaction
Supports ongoing staff skill building and education
Has developed a customer/patient focused staff culture
Operations and Processes Our organization…	Strongly Disagree 1	Somewhat Disagree 2	Somewhat Agree 3	Strongly Agree 4
Has developed efficient business processes and operations in all areas
Continually improves quality and safety
Uses technology appropriately to improve efficiency and quality
Ensures continuous process improvement is embedded in the culture
Impact and Outcomes Our organization…	Strongly Disagree 1	Somewhat Disagree 2	Somewhat Agree 3	Strongly Agree 4
Regularly documents and assesses outcomes and impact of the care and services we provide
Reports quality outcomes to federal agencies, community, staff and other stakeholders
Benchmarks outcomes with peers and internally
Documents value in terms of cost, efficiency, quality, satisfaction and population health

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