We cannot use existing measures to measure the system of care for the future; we need metrics for new systems and new metrics for health outcomes, as well as new expectations for delivery.

Few health systems track real measures for integrated systems of care, patient reported outcomes and experience measures. We therefore evaluate quality of care, patient experience and health outcomes based on existing and easy to access data – which was never designed for the purposes we are using them for. We need to step back and ask:

• What are our goals? 
• How do we measure them? 
• What metrics do we need? If they are new metrics, how do we develop them?

While these questions may seem obvious, it is important to note most system transformation does not consider this line of questioning. We are therefore attempting to design a forward-looking design by measuring success looking backward through pre-existing metrics.

If you want to build a world class health system, you need to define what that looks like, and the measures to track when you've arrived.

To learn more, read the full report.