Goal: Practice regularly produces reports on how providers and/or care teams are performing and meeting quality goals, transparently shares them within the organization, and has an effective system for follow up.

Strategies

• Define measures that the practice will monitor, relate these to strategic aims, and use them to drive performance
• Monitor measures as frequently as possible and share metrics with all staff
• Use run charts to display data over time and link changes implemented to the data points
• Adopt a philosophy of performance data transparency
• Use data walls to share metrics and progress and celebrate success
• Develop a database of PDSAs or other small scale tests that all staff can access to catalog tests of change and their results; use the data base to align and balance priorities for implementation of successful changes and spread
• Include metrics on organization’s website
• Identify a set of EHR-derived clinical quality and utilization measures that are meaningful to the practice team
• Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or provider (panel)
• Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level
• Create data dashboard that functionally consolidates usable information
• for QI projects and lines of business activities
• Create standard organization-level reporting and communication about QI work
• Create meaningful, useful data displays for front-line staff evaluation of progress
• Make data easy to access by maximizing information technology and use of business intelligence tools
• Use a data wall in the lunch room and encourage staff questions and reflections
• Investigate and use benchmarks from national organizations
• Show inflection points as related to change in workflow or processes
• Assign individual staff that can champion success in a certain measure
• Provide readiness huddles daily to track progress toward goals
• Ask patients how they define improvement in quality and service
• Include patient satisfaction data and patient feedback about high performers in regular reporting to staff and community
• Consider designating a data/panel/population health manager position
• Use “Stop light” reporting on monthly progress

Resources

Capturing High Quality Electronic Health Records Data to Support Performance Improvement