VCSQI - 16

Milestone 16: Practice regularly produces and shares reports on performance at both the organization and provider/care team level, including progress over time and how performance compares to goals. Practice has a system in place to assure follow up action where appropriate.

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

Charting Tool.pptx