1. Performance Measurement and
Reporting System (PMRS)
Helping Healthcare Delivery Systems
Achieve Strategic Goals
May, 2012

2. PMRS: Overview & Benefits
Visual properties:
• Standardized look and feel
• User-controlled drill-downs into charts
Conveniences
• Single-click dashboard production.
• Personalized Home Page
• Single-click chart production
Organizational governance
• Single repository for organizationally-
endorsed performance metrics.
• Values automatically attributed to
division, nursing unit, campus, etc

3. Core User Components
Multi-Level Dashboards
• Common template (colors, fonts,
domains, column names)
• Auto-populated with most recent
values
• Clickable links to charts &
operational definitions
Full-Featured Charts
• Common template (colors, font
sizes)
• Annotations, footnotes, other
interpretative marks. All available
but user can turn display on and off
Personalized “Home Page”
• Clickable links to measures,
dashboards, sites of interest
• Searchable Directory of Measures

4. Core Technical Components
Directory of Measures
• Searchable directory
• Unique, endorsed, reviewed for quality,
• Information about measure (desired
direction, goal, benchmark, etc.)
Summary Data Capture System
• Accepts summary stats through batch
uploads or screen entries
• Auto-checks for accuracy
• Reminders when values are due
• Auto rollups to longer time periods
i2b2
• Research/Operations Warehouse for
values calculated automatically from
data in electronic health record
• Auto-link to PMRS visualization
capabilities

5. Dashboards
Institutionally sanctioned template.
• One-click production
from home page
• Monthly & quarterly
templates available
• Users can select
past months/quarters
• For each measure,
user can click to:
 Chart
 Operational
definition

6. Search Capabilities
Keyword search is
performed
Search results are
returned & filtered
User can easily add selected measure
to “My Metrics” list or to dashboard

7. Personalized Home Page
Users can find & produce:
• Dashboards
• One-click production
• List management
• Metrics
• Current values shown
• One-click to charts
• Hyperlinks to … ?
• Quality Improvement
Project Sharepoint
site
• Professional society
• Whatever the user
wants.

8. Charts
Real-time user control over:
• Time displays
• Summary stats by day, week,
month, or quarter
• Expand or contract horizontal time
axis to show what is important
• Vertical axis scale
• Display of details
• Sample Size
• Centerlines
• Goal lines
• Control limits
• Annotations & footnotes
• “Show By” selected attributes
(multiple lines on same chart)
External interface:
• Export data to MS Excel
• Export image to Power Point

9. Release Dates
• Version 1.0: July 1, 2012
– Home Page
– Dashboard configuration tools
– One-click production
– Line charts & run charts (with goals, annotations & centerlines)
– All measures currently published on CenterLink
– Drill-downs by single attribute
• Version 1.1: September 30, 2012
– Control charts
– Auto-alerts for “special cause”
– Over-time color-coding rules on dashboards
– Drill-downs by two attributes
– Email reminders to enter values
• Version 1.2: December 31, 2012
– Governance support.

10. Open Issues
• Attribution models
• Managing growth
– Requests for new measures in Directory – standards
– Reconciling multiple measures across organization
• Managing expectations
• Institutionalization
– Annual operating budgets for management & upgrades
– New staff roles

11. A JOINT PROJECT BY:
Anderson Center for Health Systems Excellence
Information Services
Biomedical Informatics
Cardinal Consulting
For Additional Information, Contact:
Yiscah Bracha, PhD
Assistant Vice President Data & Analytics
Yiscah.Bracha@cchmc.org