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Enterprise Information Management & Analytics: Liberating Data & Information

Lifesaving & Life Affirming Power in the Numbers

Since March, the Enterprise Information Management & Analytics Team has helped complete and launch three new dashboards that support UCSF’s strategic initiatives around operational efficiency & value, patient safety and satisfaction

RevDash (HB Revenue Tracker Dashboard) is a dashboard developed by the Decision Support Services department that provides an easy tool for tracking Hospital Billing revenue, while ensuring the timely posting of charges. It allows revenue managers to compare posted charges to target and baseline. It also them to monitor late charges. The dashboard was launched on April, 29, 2015.

 

Gross Patient Revenue Dashboard

 

Revenue Trend Dashboard

 

In addition to a summary page, detailed pages include a deep dive into Revenue & Activity and Late Charges. RevDash also contains a specific report tab allows for printing and exporting to Excel of pre-defined tabular views of data.

Next steps include integration with APeX to assist the workflow to work a queue to facilitate revenue cycle activities.

 

Readmissions Dashboard

The Readmissions Dashboard or ReDash, launched May 15, 2015, is an innovative tool that reports on hospital readmission and hospital return information, including rates and process metrics related to discharges. Performance on metrics can be viewed from both the unit and service level.

This dashboard calculates inpatient readmission rates using UHC’s definition and CMS’ definition for the Medicare Value Based Purchasing Population and the Medicare Fee For Service Populations. It also provides information on the locations where patient return to the hospital, such as inpatient, emergency department and observation only. This information is crucial to understanding readmission rates and for identifying details about these populations, such as where patients return and process measures that may impact outcomes.

 

Readmissions Rate

By investigating characteristics about readmitted patients, staff can begin to assess trends and assess disparities in diagnosis, discharge dispositions, language, race, etc. For example, understanding if discharges to skilled nursing facilities display a higher rate of hospital return could help inform UCSF clinicians to focus educational efforts at these types of institution to provide safer care for patients and prevent care relapse.

 

The Process Measures tab allows the exploration of process metrics completion rates by service and discharging attending provider and their correlation with readmissions.. One example includes a focus on timely discharge summary signing. This is an important metric as the discharge phone call program and staff rely on a timely discharge summary note in APeX to have appropriate information to follow up and connect patients to resources as needed. By measuring timeliness of these summary notes, it helps inform services of their performance to facilitate this important transition in care. 

 

Together, the information provided by this dashboard drives behaviors & initiatives to improve transitions, reduce readmissions / returns and increases patient safety through the continuum of care.

 

Patient Satisfaction

ExperienceDash or Patient Experience Dashboard was launched May 18, 2015 and is UCSF’s first comprehensive dashboard for CGCAHPS and Press Ganey patient experience survey results. It displays organizational, departmental and provider-level performance on key patient experience survey measures.

 

UCSF uses patient survey results to evaluate the patient experience, track our progress to improve care and service, and identify areas of excellence and opportunities for improvement. In addition, the Centers of Medicare & Medicaid Services (CMS) has re-structured reimbursements to factor in patient experience survey scores.

Obtaining timely and targeted patient satisfaction results was challenging for leadership and staff, creating a barrier to improving patient satisfaction. The UCSF Health Experience Team was constantly answering questions and providing custom reports. A decision was made to acquire the patient satisfaction data from the vendor and to create a self-service, interactive dashboard that is available to all staff.

 

The Patient Satisfaction Dashboard has a Summary Page that shows patient satisfaction scores as they relate to IAP and departmental goals. An Outpatient Tab provides the ability to dive into specifics such as provider, clinic and question level performance. Also available are new types of data, such as Specialty benchmarks, that were not previously available. Currently, physicians are able to compare their outpatient practices to the performance of a similar mapped service to understand how they compare against peers nationally, across UHC institutions and across California. This comparison is unprecedented in UCSF history.

 

Patient Satisfaction

Future enhancements will include: additional percentile ranking comparisons; survey comments; survey results for inpatient areas and emergency departments; a physician specific view; and an ad hoc page to allow data discovery and exploration.