Patel, Millan

Shaak, Kyle, BS

Stoeckle, Johnny J, MD

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationDeveloping a Primary Care Practice Dashboard forTracking Clinical Process MetricsMillan PatelMillan.Patel@lvhn.orgJohnny J. Stoeckle MDLehigh Valley Health Network, John.Stoeckle@lvhn.orgKyle Shaak BSLehigh Valley Health Network, Kyle.Shaak@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtPatel, M. Stoeckle, J. J., Shaak, K. (2019, August). Developing a Primary Care Practice Dashboard for Tracking Clinical Process Metrics.Poster Presented at: LVHN Research Scholar Program Poster Session, Lehigh Valley Health Network, Allentown, PA.Lehigh Valley Health Network, Allentown, PennsylvaniaTable 2: Quadruple Aim ObjectivesImprove Quality of CareImprove Patient ExperienceReduce Costs Improve Provider and Staff Wellbeing1. Improve awareness of in-office quality metric performance1. Reduce missed opportunities for patients to receive best-practice care1. Reduce the need for unnecessary visits1. Improve clarity around roles and responsibilities2. Identify variability in addressing quality metrics during office visits2. Increase access by negating the need for unnecessary visits2. Reduce costs secondary to delayed care 2. Allow all team members to operate at “top-of license”23. Provide a framework for managers to reinforce standard work performance where opportunities exist3. Increase efficiency and quality of appointments with better pre-visit preparation3. Decrease time spent on generating not-met and other reports that the dashboard can do automatically 3. Reduce provider burden for addressing missed standard work• Primary care practices are responsible for improving clinical quality metrics • Current reports focus on Downstream Metrics—traditional quality metrics that measure the final result of some clinical workflow • Need for a tool able to identify missed opportunities, provide feedback, and develop practice and provider-specific workflow optimizations • Potential to assist in the LVHN’s initiatives to address the Quadruple AimDeveloping a Primary Care Practice Dashboard for Tracking Clinical Process Metrics Millan Patel, Dr. John J. Stoeckle MD, Kyle Shaak MPHIntroductionMethodsResults ConclusionFuture RecommendationsObjective: Design an electronic dashboard to display real-time performance feedback on the process of completing in-office quality opportunities for all LVHN primary care practices• Conducted 3 interviews with practice managers and clinical coordinators at LVHN primary care locations at Cedar Crest, Hamburg, and Nazareth Road Table 1: Interview TakeawaysDesign Features Analysis1. Focus on Breast Cancer Screening, Colorectal Screening, and A1c Testing High priority within the network and have more involved clinical workflows2. Process steps to focus on are placing orders and scheduling appointmentsRepresent in-office opportunities that clinicians and medical staff have control of completing while the patient is in the office3. Metrics broken down by provider Increases accountability and encourages self improvement4. Metrics updated and displayed by work week Fits well with existing week by week workflow. Smaller and more frequent data sets are easier to comprehend5. Reports look forward one to two weeks for future care opportunitiesAllows the tool to be used as a pre-visit tool to identify and prepare for upcoming in-office opportunities6. Reports look retrospectively to assess performance and progressIncentivizes improvement and increases visibility of the practice’s quality of care trends7. Shows patient level progress in meeting endpoint metricsAssociating opportunities to specific patients helps to make sure that opportunities are met when that patient visits the office• Based on the feedback from the interviews, the following design features for the dashboard were identified as relevant and advantageous to the final product 1. Begin software development and implementation in Tableau 2. Conduct more stakeholder interviews on process metrics to collect, analyze, and report 3. Pilot the first iteration of the dashboard to select practices and collect feedback with a follow-up survey 4. Release final dashboard to all primary care practices• Quadruple Aim—four objectives for healthcare optimization: improving quality of care, improving patient experience, reducing costs, and improving provider and staff wellbeing1Validate need for the dashboardInquire if and how process metrics are presently usedPresent a mock-up of the dashboard and solicit feedbackReceive feedback on the original Primary Care DashboardInterview GoalsThe table above shows the list of design features devised after the interviews and an explanation of their significanceThe table above outlines how the dashboard benefits LVHN in all aspects of the Quadruple Aim1. The IHI Triple Aim. (n.d.). Retrieved from http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx 2. What is top-of-license nursing practice? (n.d.). Retrieved from https://www.advisory.com/research/nursing-executive-center/multimedia/video/2014/defining-top-of-license-practiceReferences

Developing a Primary Care Practice Dashboard for Tracking Clinical Process Metrics

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Developing a Primary Care Practice Dashboard for Tracking Clinical Process Metrics

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