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Clinical excellence is a core requirement for successful performance of any healthcare organization. It cannot be emphasized enough that clinical excellence is probably the most vital and differentiating factor for people to choose their hospital. Whatever is measured tends to improve. Keeping this in mind, ACE @ 25 - a balanced scorecard focusing on clinical excellence that addresses provision of evidence based quality care, a safe environment to our patients and strengthening the functional efficiency of our hospitals has been introduced across the Apollo Group.


ACE @ 25 is a clinical balanced scorecard focusing on clinical excellence, and incorporates parameters which are mission critical for the clinical milieu of our organization. This balanced score card focuses on providing evidence based quality care and a safe environment to our patients and strengthening the functional efficiency of our hospitals, stimulating quality improvement while reducing variations.


For the purpose of ACE @ 25 reporting, the Group hospitals have been divided into three groups depending on their bed strengths, location and services offered as Group A, B and C. For each hospital, the scorecard consists of 2 sets of indicators. For Group A hospitals, each hospital reports 23 common parameters whereas 2 parameters are location specific depending upon the services offered by the organization .For Group B Hospitals, 13 parameters are common and 2 are location specific whereas for Group C hospitals, 8 are common and 2 are location specific. Each indicator has been lucidly defined and the numerators and the denominators have been clearly delineated. Benchmarking defines our Group expectations with weighted scores for the outcomes. The scoring system ensures that the segments measure up to a statistically significant range of figures which are further color coded as green, orange and red. The cumulative score achievable is capped at 100.


The ACE @ 25 balanced score card has been developed online, with live capabilities using our Apollo Lighthouse platform for monthly inputs with relevant data, using the Dot Net architecture hosted out of a central server at one of our locations. The mechanism is so devised to maintain the integrity and confidentiality of data with respect to each of the Apollo Hospitals

Few indicators are given below as examples:

CABG mortality rate 0.60% ≤0.80 4
  Cleveland Clinic 0.80-1.2 3
    1.21-1.6 2
    1.61-2 1
    >2 0
Ventilator Associated Pneumonia (VAP) 4.16 =4.16 5
  National Healthcare 4.17-4.99 4
  Safety Network 5.00-5.99 3
    6.00-6.99 2
    7.00-7.99 1
    >7.99 0



Twenty five locations of the Apollo Hospitals Group are reporting data currently. Monthly summary of the performance is reviewed by the oversight committee and the individual locations draw action plans on improving scores in parameters scoring low. Trends in scores in individual parameters are identified quarterly; six monthly and annually to look for consistency in good or poor performance, identify improvement or decline and irregular fluctuations. Consistent low performance, decline or fluctuation in scores for any parameter becomes the focus area of the hospital and is aggressively worked upon for improvement.
Apollo Hospitals, Bangalore consistently sore more than 90 in a scale of 100 for ACE@25, snap shot of monthly monitoring of Apollo Bangalore.

The outer perfect hexagon represents the perfect scores and the inner hexagon represents the scores attained.

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