midas+ statit pimd/ppr
TRANSCRIPT
2014 Midas+ Symposium – May 19-21 – Tucson, AZ 1
Departmental Dashboards in Statit
The Power to Affect Your Organization
Guy March - Product Lead, Midas+ Statit
Susan Hamstra – VP Midas+ Product Operations
Midas+ Statit piMD/PPR
• piMD – Performance Improvement Management Dashboard
• PPR – Provider Performance Review– OPPE
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Statit
• Acquired by Midas+• Started in Statistics and QC >25 years ago• Serving ~650 hospitals in US and Canada• Healthcare• Manufacturing• Services
What we will examine today
• Overview of Statit views• Examples of Departmental Dashboards• Live demonstration of a Scorecard• A client’s use of scorecards/dashboards for
Infection Control
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Terminology• Dashboard - Grouping disparate but related indicators together to tell a story
• “Balanced” Scorecard• Aka: Vector of Measures• Aka: KPI - Key Performance Indicators
– Metrics– Indicators– Measures
Key Factors to Consider• Set up
– Private vs Public
• Too much, too little or just right• Educational needs
– Red/Green– SPC Charts
• Outliers• Triggers• Control Limits
• Transparency
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Key Factors to Consider• Consider your audience
– Board– Infection Preventionists– Nurses– Educators– Finance– HR– Executive Staff
• Location
What type of Chart?
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Different ways to look at a view
• View• Dashboard – High-level• Scorecard – More Detailed View• Trend Matrix – Most Detailed View
Dashboard View
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Process Management Scorecard
Process Management Scorecard
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Demonstration of Hospital Management Scorecard
• Guy March
Sadie Palmisano, MSQuality Data ManagerDepartment of Clinical EpidemiologyThe Ohio State University Wexner Medical Center
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Epidemiology and Statit at The Ohio State Wexner Medical Center
•Scope of Surveillance
•Performance by Class
•Scorecards
•Rare Event Indicators
•Graphing and Drilldown
Statit Infection Control -- Scope of Surveillance
• Surveillance on devices/procedures deemed high risk from assessment:
• CLABSI (all IP units)
• CAUTI (all IP units)
• VAE/VAP (all ICU patients)
• SSI (Abdominal Hyst, Breast, Colon, C-Section, CBGB, CBGC, Total Hip, Total Knee, PVBY, Spinal Fusion)
• HCA MDRO (MRSA, VRE, C. diff, etc. for all IP units)
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Statit Infection Control Performance by Class
Statit Infection Control ScorecardsHow are they used?
Each infection has two sets of indicators:• Charts in “real time”
• Charts delayed to correspond to internal reporting timelines (Prefaced titles with EPI to distinguish the delayed charts)
Data Analyst:• Receives email alerts from “real-time” indicators when rates exceed
targets (benchmarks) and when “out-of-control”
• Forwards relevant alerts to assigned Infection Preventionist, copy Medical Director.
• Acts as trigger for investigation and action prior to official release of scorecard
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Statit Infection Control Scorecards
• Master Infection Control Scorecard
• HCA CAUTI (Monthly – real time)
• HCA CAUTI (Monthly/Quarterly – delayed)
• HCA CLABSI (Monthly – real time)
• Epi Presentation CLABSI (Monthly/Quarterly – delayed)
• HCA VAE (Monthly – real time)
• Epi Presentation Probable VAE (Monthly/Quarterly -- delayed)
• HCA Surgical Site Infections (Monthly/Quarterly)
Statit Publishing How is it used?
Department Administrative Assistant:
• Has defined Statit role with access to Publishing
• Takes screen shots of delayed internal reporting charts for slide bank stored on shared drive
• Updated based on monthly and quarterly deadlines
• Publishing view is preferable for slides because data tables are horizontal instead of vertical
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Statit Infection Control ScorecardsHow are they used?
Infection Preventionists:• Take screen shots of delayed internal reporting charts to
share at various meetings as PowerPoint presentations
Eventually:• If computer is available in scheduled meeting room, use
Statit live to share Epidemiology surveillance data
• Would allow drill-down on data points when questions about specifics arise
Master Infection Control Scorecard
Numbers have been changed for confidentiality reasons.
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HCA Cauti – Monthly (real-time)
Numbers have been changed for confidentiality reasons.
HCA Cauti – Monthly/Quarterly (delayed)
Numbers have been changed for confidentiality reasons.
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HCA CLA-BSI Monthly (real-time)
Numbers have been changed for confidentiality reasons.
HCA CLA-BSI Monthly/Quarterly (delayed)
Numbers have been changed for confidentiality reasons.
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HCA VAE/VAP Monthly (real-time)
Numbers have been changed for confidentiality reasons.
HCA VAE/VAP Monthly/Quarterly (delayed)
Numbers have been changed for confidentiality reasons.
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HCA Surgical Site Infections
Numbers have been changed for confidentiality reasons.
HCA Surgical Site InfectionsStratified by provider
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HCA Surgical Site InfectionsStratified by provider – how is it used?
Infection Preventionists:
•Share SSI rates stratified by provider with Surgical Division/Departmental Chiefs quarterly
•Individual surgeons get their own rate vs. blinded colleagues within their division/department
•If surgeons have questions about infections or the surgical procedure denominators, patient-specific data can be provided through drill down capabilities
Rare Event Indicators
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Rare Event IndicatorsHow are they used?
Infection Preventionists:
• A quick, simple way to check “Days since last Infections”
• Awards are given to floors for hitting certain goals, to reward and recognize high-risk floors’ work in infection prevention
Indicator Graphing
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Indicator Drilldown
Questions?Guy March - Product Lead: [email protected]
Susan Hamstra-VP, Product [email protected]
Special Thanks to Sadie and Stephanie for sharing their experiences