Quality enchancment is not only a nice-to-have. It’s a vital must-do for any well being system that hopes to survive within the period of value-based care. But opinions range extensively on one of the best ways to handle data for higher outcomes.
Robert Altemose, RN, medical operations analytics director at Altamonte Springs, Florida-based IntroductionHealth (which till this previous August was often called Adventist Health System) explains, doing so retrospectively is not efficient – true high quality enchancment has to be achieved proactively and in actual time.
At HIMSS19, in a presentation together with his colleague, Judi Reed, senior supervisor of medical operations analytics and person expertise at IntroductionHealth, Altemose will present how his workforce has helped the well being system make the leap from retrospective to real-time analytics, nudging its medical workers towards higher-quality care because it’s delivered.
They’ll present how IntroductionHealth obtained buy-in from high management and the clinicians within the trenches, mixed new applied sciences with its current IT infrastructure and designed environment friendly and efficient dashboards to convey analytics to the bedside.
First issues first: “Leadership engagement is key to the deployment and effective use of real-time analytics,” stated Altemose. “Without analytics of this kind being driven from the top down there is no impetus for the front-line users to engage.”
In addition, for these medical end-users, “it is best for processes to be as standardized and as well defined as possible prior to building a real time analytics platform,” he defined. “However, it is not a prerequisite for success. Real-time analytics, when properly built, tend to quickly identify where a process breaks down or has not been followed.”
But the “most important aspect of successfully leveraging real-time analytics is metric selection,” stated Altemose. “When deciding on what to include there isn’t much value in exposing metrics that cannot inspire action.”
At IntroductionHealth, for instance, “I handpicked metrics that allow clinicians to take action before there is a negative impact to the patient and left anything that was classified as ‘good to know’ on the cutting room floor,” he defined.
And what ought to be the larger emphasis in initiatives corresponding to these? People or expertise?
“Neither can function independently,” stated Altemose. “The staff needs to be engaged in using the tool for the organization to realize the value the application can provide. However, if the application is difficult to use, requires a lot of work to find the actionable items, or is filled with metrics that don’t drive change then there can be no improvements. Both must work in concert to maximize the value the tool can bring.”
Indeed, buy-in from docs and nurses is non-negotiable for efficient real-time analytics, which “cannot be successful without clinician involvement,” he stated. “Feedback from the end users and process owners throughout the design, and building phases is an absolute must. Continuing to listen following go-live is also necessary for continued success.”
That stated, nonetheless, there’s a additionally “a significant risk of analysis paralysis,” Altemose warned. “A strong, politically savvy, application owner is necessary to ensure that only the content with the greatest opportunity for having the most impact is included.”
At IntroductionHealth, the medical ROI of real-time data is already displaying itself.
“This application has impacted CLABSI scores, CAUTI scores, as well as flu vaccine and pneumo vaccine compliance rates,” stated Altemose. “These are all metrics that impact a hospitals CMS Star rating and we have seen improvements in our star ratings as well.”
Altemose and Reed’s presentation, “Using Real-Time Analytics to Improve Patient Clinical Outcomes,” is scheduled for Wednesday, February 13, from 4-5 p.m. in room W206A.
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