For instance, taking a large, integrated healthcare system like Le Bonheur as an example, here are…

➤ When should an integrated system use composite and balancing measures?
Use composites to simplify reporting by combining related indicators into a single score for safety, quality, or access. Apply balancing measures alongside to detect unintended harms like increased length of stay or cost. Use these measures during quality improvement cycles, quarterly reporting, and when negotiating value-based contracts to ensure comprehensive oversight.