Lindsay Anne Fox1, Kathleen E Walsh2, Elisabeth G Schainker3. 1. Department of Pediatrics, Tufts Medical Center Floating Hospital for Children, Boston, Massachusetts; and lfox@tuftsmedicalcenter.org. 2. James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. 3. Department of Pediatrics, Tufts Medical Center Floating Hospital for Children, Boston, Massachusetts; and.
Abstract
BACKGROUND AND OBJECTIVES: Leaders of pediatric hospital medicine (PHM) recommended a clinical dashboard to monitor clinical practice and make improvements. To date, however, no programs report implementing a dashboard including the proposed broad range of metrics across multiple sites. We sought to (1) develop and populate a clinical dashboard to demonstrate productivity, quality, group sustainability, and value added for an academic division of PHM across 4 inpatient sites; (2) share dashboard data with division members and administrations to improve performance and guide program development; and (3) revise the dashboard to optimize its utility. METHODS: Division members proposed a dashboard based on PHM recommendations. We assessed feasibility of data collection and defined and modified metrics to enable collection of comparable data across sites. We gathered data and shared the results with division members and administrations. RESULTS: We collected quarterly and annual data from October 2011 to September 2013. We found comparable metrics across all sites for descriptive, productivity, group sustainability, and value-added domains; only 72% of all quality metrics were tracked in a comparable fashion. After sharing the data, we saw increased timeliness of nursery discharges and an increase in hospital committee participation and grant funding. CONCLUSIONS: PHM dashboards have the potential to guide program development, mobilize faculty to improve care, and demonstrate program value to stakeholders. Dashboard implementation at other institutions and data sharing across sites may help to better define and strengthen the field of PHM by creating benchmarks and help improve the quality of pediatric hospital care.
BACKGROUND AND OBJECTIVES: Leaders of pediatric hospital medicine (PHM) recommended a clinical dashboard to monitor clinical practice and make improvements. To date, however, no programs report implementing a dashboard including the proposed broad range of metrics across multiple sites. We sought to (1) develop and populate a clinical dashboard to demonstrate productivity, quality, group sustainability, and value added for an academic division of PHM across 4 inpatient sites; (2) share dashboard data with division members and administrations to improve performance and guide program development; and (3) revise the dashboard to optimize its utility. METHODS: Division members proposed a dashboard based on PHM recommendations. We assessed feasibility of data collection and defined and modified metrics to enable collection of comparable data across sites. We gathered data and shared the results with division members and administrations. RESULTS: We collected quarterly and annual data from October 2011 to September 2013. We found comparable metrics across all sites for descriptive, productivity, group sustainability, and value-added domains; only 72% of all quality metrics were tracked in a comparable fashion. After sharing the data, we saw increased timeliness of nursery discharges and an increase in hospital committee participation and grant funding. CONCLUSIONS: PHM dashboards have the potential to guide program development, mobilize faculty to improve care, and demonstrate program value to stakeholders. Dashboard implementation at other institutions and data sharing across sites may help to better define and strengthen the field of PHM by creating benchmarks and help improve the quality of pediatric hospital care.
Authors: Megan Duckworth; Emily Leung; Theresa Fuller; Jenzel Espares; Brittany Couture; Frank Chang; Alexandra C Businger; Sarah Collins; Anuj Dalal; Anne Fladger; Jeffrey L Schnipper; Kumiko O Schnock; David W Bates; Patricia C Dykes Journal: J Gerontol Nurs Date: 2017-04-01 Impact factor: 1.436
Authors: Kevin J O'Leary; Julie K Johnson; Milisa Manojlovich; Jenna D Goldstein; Jungwha Lee; Mark V Williams Journal: BMC Health Serv Res Date: 2019-05-08 Impact factor: 2.655