Description. The availability of data to frontline managers in an organization has the potential to be a powerful way to improve performance of clinical teams. Often, data platforms provide aggregated data that allows senior leaders to monitor (and fret about) the status of a problem. Our prior platforms did not prioritize the day-to-day and week-to-week needs of our frontline leaders in managing the performance in their clinical area. We developed a data platform specifically designed to support the work of frontline clinical managers in improving the reliability and resilience of the delivery of care of evidence-based bundle elements. Displayed data elements are actionable and clearly communicate current system conditions at the local level. 7-day rolling bundle compliance is clearly displayed in order to create a rapid-cycle feedback loop for teams and allow early detection of a change in performance.
Clinical outcome data is displayed using run charts to denote performance over time, as these are easier for frontline leaders to interpret when compared to more traditional process control charts. The design is simple and uniform across all hospital-acquired conditions (HACs). Performance data are aggregated to communicate broader organizational performance to the executive team in a simple display that communicates current performance and highlights ongoing challenges. We also made the platform available to all team members as a large interactive display to generate engagement with the data and foster a commitment to data transparency across the organization.
We have seen dramatic improvements in compliance with evidence-based bundles and reductions in hospital-acquired conditions since the data platform was deployed 18 months ago. The data platform operationalizes multiple principles of resilience engineering and joint cognitive system design.
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hree key takeaways / learning objectives- Designing a platform that prioritizes and supports the work of frontline clinical managers effectively is an important means of driving broad improvement across a large organization.
- Displaying data by clinical unit in a way that is transparent leverages the pride that people take in the areas in which they work to drive and manage local performance.
- The integration of rapid feedback loops (7-day rolling data) supports local learning and allows teams to rapidly detect and respond to drift in performance. Moving from statistical process control displays to 12-month rolling outcome data allows progress to be easily communicated rapidly across the organization.
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easurable resultsWe have seen dramatic increases in local compliance with evidence-based bundles and reductions in hospital-acquired conditions in the 18-months since the platform was deployed. Our 12-month rolling HAC rates are currently amongst the lowest since they began to be tracked in the organization, despite record-setting clinical volumes. We would be happy to share performance data during the presentation.
