Using Dashboards and Physician Profiles for Process Improvement Christy Dean-Benson, BSCIS, MCSE, HCM Manager of Clinical ...
Overview Dashboards: Define, Value, Success, Formats and Timing Existing Dashboards at MCHS Our History of Dashboards Proc...
What is a Dashboard? <ul><li>What’s the difference between a Dashboard & Scorecard ? </li></ul><ul><li>Focus will be Dashb...
Dashboard Usefulness <ul><li>Keeps you focused on the critical areas that affect your hospital's overall performance </li>...
The Value <ul><li>Aligns strategies across boundaries within your organization </li></ul><ul><li>Reinforces collaboration ...
The Value <ul><li>Connecting the dots </li></ul><ul><li>Critical to hospital performance improvement </li></ul><ul><li>Dat...
Steps to a successful dashboard implementation <ul><li>Determine data availability </li></ul><ul><li>Build the necessary i...
Dashboard Formats <ul><li>Dashboards can range in format from an Excel report to an automated graphical dashboard with gau...
Take the Time <ul><li>Dashboard reporting in healthcare is gaining value and acceptance.  </li></ul><ul><li>Educate data c...
Dashboards used at MCHS <ul><li>Quality Dept develops  all  quality-related dashboards (100-200 indicators) </li></ul><ul>...
Dashboards <ul><li>Review 2 dashboards </li></ul><ul><ul><li>MD report cards using Thomson data </li></ul></ul><ul><ul><li...
MCHS History of MD Profiles <ul><li>First Discussions of a Physician Profiles using Thomson data was discussed in March 20...
MCHS Purpose <ul><li>Helpful information to MDs </li></ul><ul><li>Not punitive  </li></ul><ul><li>Information is empowerin...
MCHS History of MD Profiles <ul><li>First attempt….created a mock up of only four MDs  </li></ul><ul><li>Performed detail ...
MCHS History of MD Profiles <ul><li>April 2006 our first mock up (CM Data) </li></ul>
MCHS History of MD Profiles <ul><li>April 2006 our first mock up (PS Data) </li></ul>
MCHS History of MD Profiles <ul><li>Accompanying  Dashboard Definition </li></ul>
MCHS History of MD Profiles <ul><li>Next step ... It was presented to medical staff leadership for approval and comments b...
MCHS History of MD Profiles <ul><li>June 2006 began to distribute MD Report cards to all 899 physicians. </li></ul>Process...
MCHS History of MD Profiles <ul><li>MD Report card challenges: </li></ul><ul><li>Physician Acceptance </li></ul><ul><li>In...
Automated Database <ul><li>Created an automated database to help. </li></ul><ul><ul><li>Details: </li></ul></ul><ul><ul><u...
MCHS Internal Physician Analytics Database
Behind the Scenes 17 Tables
Behind the Scenes 191 Queries
Behind the Scenes 2 Forms
Behind the Scenes 81 Reports
Behind the Scenes 1 Macro
Features: <ul><li>Menus are drop down (Select MD, Specialty, Group) </li></ul><ul><li>“ Click a button” to get: Individual...
Features: <ul><li>Menus are drop down (Select MD, Specialty, Group) </li></ul>
Features: <ul><li>Buttons to view reports (Select MD, Specialty, Group) </li></ul>
CareDiscovery Quality Measures (CM)  Process in a nutshell <ul><li>Select episode list once you have logged in.  </li></ul>
CareDiscovery Quality Measures (CM)  Process in a nutshell <ul><li>Make changes as desired and export the episodes.  </li>...
CareDiscovery Quality Measures (CM)  Process in a nutshell <ul><li>Save the export as an Excel file </li></ul>
Polaris  Process in a nutshell <ul><li>We created a Complications/Mortality report </li></ul>
Polaris Process in a nutshell <ul><li>Edit Report Filter. </li></ul>
Polaris Process in a nutshell <ul><li>Add the latest quarter available so that you have the latest year of information. </...
Polaris Process in a nutshell <ul><li>Select your desired quarter and apply changes (check box) and Run </li></ul>
Polaris Process in a nutshell <ul><li>Click Export and save as Excel  </li></ul>
Combining Data <ul><li>Combine data from CM and PS </li></ul>PS  CM
Final CM Report
Final PS Report
CM Specialty Report
PS Specialty Report
CPI Dashboard <ul><li>Continuous Process Improvement (CPI) dashboard is Excel driven with conditional formatting and hyper...
CPI Core Measures Collected
CPI Dashboard
CPI Dashboard
CPI Dashboard
CPI Dashboard
New Thoughts/Approaches <ul><li>New Ways to see dashboards... </li></ul><ul><li>Conditional Formatting </li></ul><ul><li>R...
Other Dashboards Used <ul><li>Quality Indicator Dashboard </li></ul>
Other Dashboards Used <ul><li>Quality Indicator Dashboard II </li></ul>
Other Dashboards Used <ul><li>Quality Indicator Dashboard III </li></ul>
Other Dashboards Used <ul><li>Quality Indicator Dashboard IV </li></ul>
Other Dashboards Used
QI Definitions
Improvement <ul><li>1. Acute Myocardial Infarction  increase in 7% overall optimal care score </li></ul><ul><li>2. Heart F...
Closing <ul><li>Overview & Benefits </li></ul>
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TR Healthcare And IT Healthcare News July 2008 Attendees

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  • TR Healthcare And IT Healthcare News July 2008 Attendees

    1. 1. Using Dashboards and Physician Profiles for Process Improvement Christy Dean-Benson, BSCIS, MCSE, HCM Manager of Clinical Informatics and Analysis Moses Cone Health System (MCHS) [email_address] 336-832-8724
    2. 2. Overview Dashboards: Define, Value, Success, Formats and Timing Existing Dashboards at MCHS Our History of Dashboards Process Dashboards using Thomson Reuters products
    3. 3. What is a Dashboard? <ul><li>What’s the difference between a Dashboard & Scorecard ? </li></ul><ul><li>Focus will be Dashboards: </li></ul><ul><li>Keeps you focused on the critical areas that affect your hospital's overall performance </li></ul><ul><li>Visually presents important information at a glance </li></ul><ul><li>Mixture of measures equals insights to overall performance </li></ul><ul><li>It’s not a cure-all; it is a tool </li></ul>
    4. 4. Dashboard Usefulness <ul><li>Keeps you focused on the critical areas that affect your hospital's overall performance </li></ul><ul><li>Visually presents important information at a glance </li></ul><ul><li>Mixture of measures equals insights to overall performance </li></ul><ul><li>It’s not a cure-all; it is a leadership tool </li></ul>
    5. 5. The Value <ul><li>Aligns strategies across boundaries within your organization </li></ul><ul><li>Reinforces collaboration </li></ul><ul><li>Allows analysis and the ability to help make decisions </li></ul><ul><li>Monitors performance </li></ul><ul><li>Able to assign goals and objectives to groups </li></ul><ul><li>Saves hours of digging through reports </li></ul><ul><li>Reinforces positive behavior </li></ul><ul><li>Empowers employees </li></ul>
    6. 6. The Value <ul><li>Connecting the dots </li></ul><ul><li>Critical to hospital performance improvement </li></ul><ul><li>Data is only important if you use it to make performance improvements </li></ul>
    7. 7. Steps to a successful dashboard implementation <ul><li>Determine data availability </li></ul><ul><li>Build the necessary infrastructure </li></ul><ul><li>Purchase the necessary tools to extract the data </li></ul><ul><li>Decide on what indicators are most important </li></ul>
    8. 8. Dashboard Formats <ul><li>Dashboards can range in format from an Excel report to an automated graphical dashboard with gauges and drill-down ability </li></ul><ul><li>Using Excel or PowerPoint can be a good way of start and it is cost effective </li></ul>
    9. 9. Take the Time <ul><li>Dashboard reporting in healthcare is gaining value and acceptance. </li></ul><ul><li>Educate data consumers </li></ul><ul><li>Physician/executive champion </li></ul>
    10. 10. Dashboards used at MCHS <ul><li>Quality Dept develops all quality-related dashboards (100-200 indicators) </li></ul><ul><li>Quality Informatics Team maintains dashboards </li></ul>
    11. 11. Dashboards <ul><li>Review 2 dashboards </li></ul><ul><ul><li>MD report cards using Thomson data </li></ul></ul><ul><ul><li>CPI dashboard using Thomson data </li></ul></ul>
    12. 12. MCHS History of MD Profiles <ul><li>First Discussions of a Physician Profiles using Thomson data was discussed in March 2006. </li></ul><ul><li>Previous Vice President of Quality </li></ul><ul><li>Clinical Informatics and Analysis Manager </li></ul><ul><li>Research Data Coordinator </li></ul>
    13. 13. MCHS Purpose <ul><li>Helpful information to MDs </li></ul><ul><li>Not punitive </li></ul><ul><li>Information is empowering </li></ul><ul><li>Not permanent </li></ul><ul><li>Foster improvement </li></ul>
    14. 14. MCHS History of MD Profiles <ul><li>First attempt….created a mock up of only four MDs </li></ul><ul><li>Performed detail data validation thru our HIS </li></ul><ul><li>Discovered that we can extract data from Thomson and import the data into MS Access </li></ul><ul><li>Hopes- Automate the process of putting all this info back together by MD </li></ul>
    15. 15. MCHS History of MD Profiles <ul><li>April 2006 our first mock up (CM Data) </li></ul>
    16. 16. MCHS History of MD Profiles <ul><li>April 2006 our first mock up (PS Data) </li></ul>
    17. 17. MCHS History of MD Profiles <ul><li>Accompanying Dashboard Definition </li></ul>
    18. 18. MCHS History of MD Profiles <ul><li>Next step ... It was presented to medical staff leadership for approval and comments by our EVP of Quality. </li></ul><ul><li>EVP Feedback: Positive </li></ul><ul><li>Suggested changes: </li></ul><ul><ul><li>Add some comparative data to the discharge disposition data </li></ul></ul><ul><ul><li>Include specialty specific average </li></ul></ul><ul><ul><li>Add peer hospital specialty average </li></ul></ul>
    19. 19. MCHS History of MD Profiles <ul><li>June 2006 began to distribute MD Report cards to all 899 physicians. </li></ul>Process: Quarterly distribution to individual mailboxes by administrative staff Who Receives them? All active MD’s and Special/Group Chiefs. Frequency: Every Quarter
    20. 20. MCHS History of MD Profiles <ul><li>MD Report card challenges: </li></ul><ul><li>Physician Acceptance </li></ul><ul><li>Internal clinical process issues that affect MD’s </li></ul><ul><li>Learning Curve for everyone </li></ul><ul><li>Purpose is not to be punitive but to be informative </li></ul><ul><li>How do you handle multiple doctors for one patient? </li></ul><ul><li>Roll out and delivery of profiles </li></ul>
    21. 21. Automated Database <ul><li>Created an automated database to help. </li></ul><ul><ul><li>Details: </li></ul></ul><ul><ul><ul><li>MS Access – menu driven </li></ul></ul></ul><ul><ul><ul><li>Resides on a secure server. Only Clinical Data Group and CQO have access </li></ul></ul></ul><ul><ul><ul><li>Backed-up nightly on a server to tape and to hard disk </li></ul></ul></ul><ul><ul><ul><li>Has been revised numerous times thus far </li></ul></ul></ul>
    22. 22. MCHS Internal Physician Analytics Database
    23. 23. Behind the Scenes 17 Tables
    24. 24. Behind the Scenes 191 Queries
    25. 25. Behind the Scenes 2 Forms
    26. 26. Behind the Scenes 81 Reports
    27. 27. Behind the Scenes 1 Macro
    28. 28. Features: <ul><li>Menus are drop down (Select MD, Specialty, Group) </li></ul><ul><li>“ Click a button” to get: Individual MD or All MD’s for each CM or PS report </li></ul><ul><li>Active Listing of MD’s is maintained with Medical Staff Services </li></ul><ul><li>Database notes (process, reports that used, data scrubbing and importing data) </li></ul>
    29. 29. Features: <ul><li>Menus are drop down (Select MD, Specialty, Group) </li></ul>
    30. 30. Features: <ul><li>Buttons to view reports (Select MD, Specialty, Group) </li></ul>
    31. 31. CareDiscovery Quality Measures (CM) Process in a nutshell <ul><li>Select episode list once you have logged in. </li></ul>
    32. 32. CareDiscovery Quality Measures (CM) Process in a nutshell <ul><li>Make changes as desired and export the episodes. </li></ul>
    33. 33. CareDiscovery Quality Measures (CM) Process in a nutshell <ul><li>Save the export as an Excel file </li></ul>
    34. 34. Polaris Process in a nutshell <ul><li>We created a Complications/Mortality report </li></ul>
    35. 35. Polaris Process in a nutshell <ul><li>Edit Report Filter. </li></ul>
    36. 36. Polaris Process in a nutshell <ul><li>Add the latest quarter available so that you have the latest year of information. </li></ul>
    37. 37. Polaris Process in a nutshell <ul><li>Select your desired quarter and apply changes (check box) and Run </li></ul>
    38. 38. Polaris Process in a nutshell <ul><li>Click Export and save as Excel </li></ul>
    39. 39. Combining Data <ul><li>Combine data from CM and PS </li></ul>PS CM
    40. 40. Final CM Report
    41. 41. Final PS Report
    42. 42. CM Specialty Report
    43. 43. PS Specialty Report
    44. 44. CPI Dashboard <ul><li>Continuous Process Improvement (CPI) dashboard is Excel driven with conditional formatting and hyperlinks </li></ul><ul><li>Published Quarterly to our Quality intranet website for all employees </li></ul><ul><li>14 CPI Teams on one dashboard </li></ul>
    45. 45. CPI Core Measures Collected
    46. 46. CPI Dashboard
    47. 47. CPI Dashboard
    48. 48. CPI Dashboard
    49. 49. CPI Dashboard
    50. 50. New Thoughts/Approaches <ul><li>New Ways to see dashboards... </li></ul><ul><li>Conditional Formatting </li></ul><ul><li>Run Charts </li></ul><ul><li>Speedometers </li></ul><ul><li>Thumbs up/down </li></ul>
    51. 51. Other Dashboards Used <ul><li>Quality Indicator Dashboard </li></ul>
    52. 52. Other Dashboards Used <ul><li>Quality Indicator Dashboard II </li></ul>
    53. 53. Other Dashboards Used <ul><li>Quality Indicator Dashboard III </li></ul>
    54. 54. Other Dashboards Used <ul><li>Quality Indicator Dashboard IV </li></ul>
    55. 55. Other Dashboards Used
    56. 56. QI Definitions
    57. 57. Improvement <ul><li>1. Acute Myocardial Infarction increase in 7% overall optimal care score </li></ul><ul><li>2. Heart Failure increase in 15% overall optimal care score </li></ul><ul><li>3. Pneumonia increase in 16% overall optimal care score </li></ul><ul><li>4. Surgical Infection Prevention increase in 8% overall optimal care score </li></ul>Data From 1Q FY07- 1QFY08
    58. 58. Closing <ul><li>Overview & Benefits </li></ul>

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