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Making Quality Metrics Actionable

In collaboration with:

The Center for Social Media,Cardiovascular Services

Mayo Clinic is a shareholder in Dabo Health

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My Inpatient Journey

50+care team members from admission through discharge

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Required Data

156+

Meaningful Use Stage 1 59+Meaningful Use Stage 2 34+Hospital Readmission (HRRP) 3+Value Based Purchasing 24+Medicare Shared Savings Program (ACOs) 33+Hospital Acquired Condition (HAC) 3+

CategoryNumber of

Metrics

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Existing Scorecard

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“Applying the power of teamwork and data transparency to improve outcomes and meet the needs of our patients”

— C. Michel Harper, M.D.Executive Dean of Practice

Mayo Clinic Center for Social Media and Dabo Health

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“Leadership wants us to improve metrics. I don't understand how we're doing or what I can do about it. I don't even have enough time for my patients.”Nurse

“It would be great if I could show my unit our performance on patient satisfaction metrics in a simple manner.”Nurse Manager

“I wish I knew who else is working on the same quality project.”Physician Assistant

“I want everyone in my unit to know exactly what metrics we're focused on.”Mid-level Supervisor

“I don't understand how to find my data on Avatar. I get so angry that I just stop.”Physician

“We had a nursing unit scorecard and only two people ever looked at it over the course of a year — I was one of them.”Quality Manager

Problems & Needs

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Nurses + Interaction Designers + Physicians + User Interface Engineers + Nurse Practitioners + User Experience Designers + Quality Managers + User Interface Designers + Physician Assistants

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Making Quality Metrics Actionable

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Learnings: Hospital Metrics

“Who else at St Marys is working on improving readmissions?”NP, PA

“Iʻd like to be able to communicate with nurses at other units (to see what works). Weʻre constantly re-inventing the wheel.”Nurses, Nurse Manager

“How are we doing regionally? Nationally? Compared to the Cleveland Clinic?”RN, MD

“Do patient satisfaction metrics affect Medicare payments to Saint Marys?”MD, PA, NP, Nurse

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Learnings: Unit Metrics

“Who else from 4 Domitilla is working on improving the same metric? I know other folks are doing quality projects—I just donʼt know who they are.”Social workers, pharmacists, RNs, NPs, Pas

“How is our unit doing? Compared to 4 Francis?”RNs, NP, PA

“I want everyone in my unit to know exactly what metrics we're focused on.”Mid-level Supervisor

“There is a unit scorecard, and I wish everyone could see it.”Nurse Manager

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Learnings: Physician Metrics

“There is absolute value in seeing my data clearly. I want to see more of my own data. How do my metrics tie to the institution? To reimbursement? What are the cost drivers? How do I improve?” All MDs

“What are the top performers doing?” (when looking at Physician rankings and their own Avatar scores)MDs

“We know what theyʼre doing differently.” (referring to top performers after viewing physician data)RNs, PAs, NPs

“Can this count towards my ʻMaintenance of Certificationʼ?”MDs

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Metric Viewsduring the Dabo Health Pilot (7/1/13 to 11/30/13)

0

2,500

5,000

1,426

4,737

Enterprise Quality Scorecard

Dabo Health61,000 Users

254 Pilot Users