UCSF. Analytics Strategies, Processes & Technologies: Synergistic Partnerships that Improve Care and Operations Years of IT Collaboration

Transcription

1 UCSF Analytics Strategies, Processes & Technologies: Synergistic Partnerships that Improve Care and Operations Sandra Ng, MSN, RN-BC Assistant Director Business Intelligence Program August 3, 2014 UCCSC Years of IT Collaboration

2 Agenda Background Journey, strategy and approach Tool used & applications developed Outcomes accomplished Lessons Learned / Next steps

3 Two site, 650 bed academic medical center Ranked #8 in 2014 U.S News & World Report ANCC Magnet Accredited Institution Children s Hospital within a Hospital (180 beds) Feb 2015, +289 bed Children, Women & Cancer hospitals 102 clinics with ~775,000 ambulatory visits annually ~177k patient days ~28k discharges ~17k home health visits ~37,500 emergency visits About faculty and staff (full & part time) ~2,750 RNs (includes non union RNs) 2,100 Credentialied physicians and surgeons 400 Allied Health Professionals Over 75 adult specialties and 50 pediatric specialties

4 Project Goals Enhance clinical enterprise performance improvement & reporting capacity Select a technology solution to support data management & analytical work products Produce meaningful reports and templates to reflect performance, provide transparency & increase accountability Shift employee efforts from data collection and manipulation to performance improvement activities Create standardized repeatable process to produce analytical work products Access to and analysis of data is the number one underserved IT need across UCSF Joe Bengfort UCSF CIO 4

5 Journey, Strategy & Process Team Provide Value Process Internal / External Virtual Reporting Low hanging fruit Scope 60 days Iterative

6 Enterprise BI & DW Domains Finance & Administration Data Marts Data Marts Core EDW Patient Care Data Marts HR/ Payroll Research Data Marts Data Marts Education 6

7 Dashboard Creation Process Request Intake Prioritize & Governance Develop Dashboard Dashboard Intake Form Online Intake Form Change Request Form Prioritized using criteria on the Prioritization Worksheet BI Steering Committee prioritizes dashboards to be developed Assign project team Iterative development Requirements Identify data sources Design ETL & data mgmt Design UI Dashboard prototype User testing/validation Launch, Train & Communicate 7

8 Dashboards - Live Name FlashDash FlashDash + Research DischDash QualDash v1.2 Service Line Research Data Browser Dashboard Status as of 8/1/14 Description Dashboards - in Development Name Verbal / Telephone Orders Balanced Scorecard IT Service Now HB Revenue Cycle School of Medicine Education Operational Metrics (LOS, Volume, Cash, Case Mix) Operational Metrics w/ Research patient specific data Discharges before noon metrics 388 Metrics (Infection, Core Measures, Safety, Patient Sat Volumes / Costs by Service Line De-identified Research cohort selection tool Description Communicates performance Quality, Finance, Operations and Patient Satisfaction Internal IT metrics Replace other report needs Medical student competency scores for students and advisors 8

9 Accomplishments & Outcomes by 6/26/14 Data / Metrics 550 Service Line Sources 923 Live Optimized Development Research 9 Team Applications Twelve Sessions Discharges Research Service Line Users Discharges Executive Quality Avg days for application development Quality Reports streamlined Twenty Eight Resources External 33% Internal 67% Executive Days team in place 393 Analysts time saved 18hours/mo New Requests since launch 38 9

10 Lessons Learned Executive sponsorship Ownership / data governance Clear purpose Scope & Expectations Iterative Measure success Celebrate / disseminate Thanks to Accolade Advisors, Kloud Data & Prominence Advisors with tool expertise & knowledge transfer! The perfect is the enemy of the good 10

11 Demo Quality Dashboard 11

12 Accessing dashboard via EHR 12

13 Quality Dashboard High level view Displays process with outcome metrics Nurse sensitive and global quality Unit/service breakdown 13

14 Metric Detail tab drills / views Unit specific: 13L, Oct 2013, Bundle Compliance 14

15 Metric Detail tab drills / views Unit specific: 13L, All 2013, Bundle Compliance w/ graph 15

16 Patient Detail tab with link to Epic 16

17 Hyperspace integration opens patient chart in Epic Provided Full transparency Self Service 17

18 Other dashboards Discharges before noon (DishDash) Research Data Browser Executive Dashboard (FlashDash) Service Line Dashboard 18

19 DischDash improved patient flow 19

20 Research Data Browser cohort selection 20

21 Executive Dashboard daily view of operational indicators High level volume & financial metrics Keeps a pulse on performance daily 21

22 Service Line Dashboard - costs 22

23 Appendices 23

24 Intake Form Online Intake Form Change Request Form 24

25 Prioritization & Governance Prioritized using criteria on the Prioritization Worksheet Business Requirements Data Requirements BI Build Requirements VS. Impact to organization BI Steering Committee - Prioritizes dashboards to be developed based on analysis 25

26 Dashboard Development Process - Iterative Assign project team Iterative development Requirements Identify data sources Design ETL & data mgmt Design UI Dashboard prototype User testing/validation Launch, Train & Communicate 26

27 Questions? Contact Sandra Ng, MSN, RN-BC