8/19/2015. Using Your Data and Metrics to Improve Care and Performance. Objectives. Agenda

Transcription

1 Using Your Data and Metrics to Improve Care and Performance The Carolinas Center 39th Annual Hospice & Palliative Care Conference September 29, 2015 Tom Gualtieri-Reed, MBA Healthcare Consultant Spragens & Associates, LLC Objectives Identify 2 opportunities or challenges where you can use data to improve care or performance Identify 3 existing data sources that can assist you in improving care or performance Identify 3 actions you can take to use existing data and develop metrics to improve care or performance 2 Agenda Setting the context: Why are we here? What is important to measure? How will you measure your progress? How will you use what you measure? Q&A 3 1

2 Setting Context: Why Are We Here? Team Health In Hospital Mortality Rates Regulatory Reporting Staff Turnover Patient Falls Readmit Rates Cancer Referrals Transition to Hospice Need for Data!!! Referral Patterns Pain Management Patient Satisfaction New Competitors Expense Reduction Hospice LOS Pay for Performance Revenue Declines 4 The Purpose is Quite Simple Data and information help us learn so we can improve But we often make it more complicated than it needs to be and we get overwhelmed and don t look at anything. 5 A Common Problem You Are Not Alone! 6 2

3 Data Serves Many Purposes Today s session is designed to help you as leaders develop your skills at prioritizing and using data to improve the performance of your team and organization 7 Steps to Using Your Data and Metrics to Improve Performance What is important to measure? How will you measure your progress? How will you use what you measure? What is the problem you are trying to solve? What is important to your stakeholders? What data do you have? What data do you need? Who will review the data? What will you do with the information? 8 Group and Table Discussions: What is Important to Measure? What information do you need to run your business? What are you trying to improve? Why? (Pick 5-10 measures) Who are your most important stakeholders? What is important to those stakeholders? (Pick 3-5 stakeholders) 9 3

4 Prioritizing What is Important Do not try to collect data on everything. Think about what you need and what your key stakeholders need. Example A: You are an independent hospice % of palliative care patients transferred to hospice Hospice length of stay Example B: You are owned by a health system and were asked to build a home-based palliative care team Readmission rates ICU length of stay 10 Examples of Metrics Metric Reduced admissions, crisis, ED use Improved status, duration in research study, survival Improved accessibility and continuity for patients and referring providers Better use of ICU beds Reduced inpatient mortality Commentary Importance depends on type of admission, payment environment, predictability. May increase research effectiveness, future research $, patient participation. May promote patient loyalty, reduce resource use, and help with market share. Hospital partner may be seeking improved capacity (for new patients). Rankings may matter. Others 11 A Framework for Data and Metrics Stakeholders Categories Regulators Quality of Care Board Hospital / Health System Patients and Families Referring Providers Payers Financial Service & Satisfaction Operational People & Culture New Products & Markets (Growth) 12 4

5 Lessons Learned What to Measure Get out and ask! Conduct a needs assessment and find out what is important to key stakeholders. You can t measure everything. Take the time to organize and prioritize the most important data and metrics you will track. Avoid freezing up and getting overwhelmed. Stage the collection and synthesis. Select 3-4 areas or stakeholders to focus on first. TIP: Make sure you figure out what is important to your stakeholders, particularly those who are paying for your services! 13 Group and Table Discussion: How Will You Measure Your Progress? What do you measure today? What data is readily available? What have been the most reliable sources? What challenges have you faced? (e.g ease of getting data) How have you managed the production of your metrics and data? (e.g. do you have a data analyst?) 14 Sources of Data External Regulatory or Public Reporting Internal Internal Financial, Volume and Staffing Reports Electronic Medical Record Chart Audits Patient and Family Feedback National or Regional Organizations or Networks Staff Feedback Quality Improvement Reports Hospital, Health System or Referring Provider Volumes and Data 15 5

6 Lessons Learned How to Measure Keep it simple. Avoid the trap of building a mansion when all you needed was a 1 bedroom apartment. Get help. Assign someone on your team to collect and synthesize the data. You may benefit from hiring a data vendor to get started. The data will not be perfect. Remember, the purpose is to learn and improve. You will learn as you collect, question and synthesize your data. TIP: Start with what you have readily available. 16 Group Discussion: How to Use What You Measure How do you use your data to make decisions or allocate resources? e.g. Do you review data and metrics with your leadership team? With staff? With your board? What tips or advice do you have for others? What has worked well? 17 Example Dashboard Quality of care Improve moderate to severe pain within x hours Financial Meet budget targets within x% Service and Satisfaction 90% of patients/families recommend us Increase likelihood to refer scores by top 5 referring providers Operational Improve time to consult by x days or hours People & Culture Reduce staff turnover to x% New Products & Markets Increase cancer referrals by x% TIP: Pick 1-2 measures per category to improve each year or over some specified time period. 18 6

7 Lessons Learned Using Your Data Start with a short list and build. e.g. Pick 1-2 metrics per category to focus on. Create a 1 or 2 page dashboard document. Review at your leadership or team meetings. (quarterly, monthly, weekly) Celebrate successes! Use the data to motivate and create the change and energy you want. TIP: Remember that your purpose is to learn and improve! 19 Review: Steps to Using Your Data and Metrics to Improve Performance What is important to measure? How will you measure your progress? How will you use what you measure? What is the problem you are trying to solve? What is important to your stakeholders? What data do you have? What data do you need? Who will review the data? What will you do with the information? 20 Q&A 21 7

8 A. What is important to measure? Using Your Data and Metrics to Improve Performance WORKSHEET 1. What information do you need to run your business? What are you trying to improve? Why? (Pick 5-10 measures) Important measures or outcomes Why? 2. Who are your most important stakeholders? What is important to those stakeholders? (Pick 3-5 stakeholders) Stakeholder e.g. Cancer Center, hospital, etc. Important measures or outcomes e.g Time to consult

9 B. How will you measure your progress? 1. What do you measure today? What data is readily available? Consider using categories (e.g. Quality of Care, Financial, Operational, etc.) 2. What have been the most reliable sources? What challenges have you faced? (e.g. ease of getting data) 3. How have you managed the production of your metrics and data? (e.g. do you have a data analyst?) C. How will you use what you measure? 1. How do you use your data to make decisions or allocate resources? e.g. Do you review data and metrics with your leadership team? With staff? With your board? 2. What tips or advice do you have for others? What has worked well?