midas+ statit pimd/ppr

2014 Midas+ Symposium – May 19-21 – Tucson, AZ 1

Departmental Dashboards in Statit

The Power to Affect Your Organization

Guy March - Product Lead, Midas+ Statit

Susan Hamstra – VP Midas+ Product Operations

Midas+ Statit piMD/PPR

• piMD – Performance Improvement Management Dashboard

• PPR – Provider Performance Review– OPPE


Statit

• Acquired by Midas+• Started in Statistics and QC >25 years ago• Serving ~650 hospitals in US and Canada• Healthcare• Manufacturing• Services

What we will examine today

• Overview of Statit views• Examples of Departmental Dashboards• Live demonstration of a Scorecard• A client’s use of scorecards/dashboards for

Infection Control


Terminology• Dashboard - Grouping disparate but related indicators together to tell a story

• “Balanced” Scorecard• Aka: Vector of Measures• Aka: KPI - Key Performance Indicators

– Metrics– Indicators– Measures

Key Factors to Consider• Set up

– Private vs Public

• Too much, too little or just right• Educational needs

– Red/Green– SPC Charts

• Outliers• Triggers• Control Limits

• Transparency


Key Factors to Consider• Consider your audience

– Board– Infection Preventionists– Nurses– Educators– Finance– HR– Executive Staff

• Location

What type of Chart?


Different ways to look at a view

• View• Dashboard – High-level• Scorecard – More Detailed View• Trend Matrix – Most Detailed View

Dashboard View


Scorecard View

Trend Matrix View


Trend Matrix View

Cardiac Center Scorecard


Cardiac Center Scorecard

Education Department


Process Management Scorecard

Process Management Scorecard


Finance Department

Finance Department


Demonstration of Hospital Management Scorecard

• Guy March

Sadie Palmisano, MSQuality Data ManagerDepartment of Clinical EpidemiologyThe Ohio State University Wexner Medical Center


Epidemiology and Statit at The Ohio State Wexner Medical Center

•Scope of Surveillance

•Performance by Class

•Scorecards

•Rare Event Indicators

•Graphing and Drilldown

Statit Infection Control -- Scope of Surveillance

• Surveillance on devices/procedures deemed high risk from assessment:

• CLABSI (all IP units)

• CAUTI (all IP units)

• VAE/VAP (all ICU patients)

• SSI (Abdominal Hyst, Breast, Colon, C-Section, CBGB, CBGC, Total Hip, Total Knee, PVBY, Spinal Fusion)

• HCA MDRO (MRSA, VRE, C. diff, etc. for all IP units)


Statit Infection Control Performance by Class

Statit Infection Control ScorecardsHow are they used?

Each infection has two sets of indicators:• Charts in “real time”

• Charts delayed to correspond to internal reporting timelines (Prefaced titles with EPI to distinguish the delayed charts)

Data Analyst:• Receives email alerts from “real-time” indicators when rates exceed

targets (benchmarks) and when “out-of-control”

• Forwards relevant alerts to assigned Infection Preventionist, copy Medical Director.

• Acts as trigger for investigation and action prior to official release of scorecard


Statit Infection Control Scorecards

• Master Infection Control Scorecard

• HCA CAUTI (Monthly – real time)

• HCA CAUTI (Monthly/Quarterly – delayed)

• HCA CLABSI (Monthly – real time)

• Epi Presentation CLABSI (Monthly/Quarterly – delayed)

• HCA VAE (Monthly – real time)

• Epi Presentation Probable VAE (Monthly/Quarterly -- delayed)

• HCA Surgical Site Infections (Monthly/Quarterly)

Statit Publishing How is it used?

Department Administrative Assistant:

• Has defined Statit role with access to Publishing

• Takes screen shots of delayed internal reporting charts for slide bank stored on shared drive

• Updated based on monthly and quarterly deadlines

• Publishing view is preferable for slides because data tables are horizontal instead of vertical


Statit Infection Control ScorecardsHow are they used?

Infection Preventionists:• Take screen shots of delayed internal reporting charts to

share at various meetings as PowerPoint presentations

Eventually:• If computer is available in scheduled meeting room, use

Statit live to share Epidemiology surveillance data

• Would allow drill-down on data points when questions about specifics arise

Master Infection Control Scorecard

Numbers have been changed for confidentiality reasons.


HCA Cauti – Monthly (real-time)


HCA Cauti – Monthly/Quarterly (delayed)



HCA CLA-BSI Monthly (real-time)


HCA CLA-BSI Monthly/Quarterly (delayed)



HCA VAE/VAP Monthly (real-time)


HCA VAE/VAP Monthly/Quarterly (delayed)



HCA Surgical Site Infections


HCA Surgical Site InfectionsStratified by provider


HCA Surgical Site InfectionsStratified by provider – how is it used?

Infection Preventionists:

•Share SSI rates stratified by provider with Surgical Division/Departmental Chiefs quarterly

•Individual surgeons get their own rate vs. blinded colleagues within their division/department

•If surgeons have questions about infections or the surgical procedure denominators, patient-specific data can be provided through drill down capabilities

Rare Event Indicators


Rare Event IndicatorsHow are they used?

Infection Preventionists:

• A quick, simple way to check “Days since last Infections”

• Awards are given to floors for hitting certain goals, to reward and recognize high-risk floors’ work in infection prevention

Indicator Graphing


Indicator Drilldown

Questions?Guy March - Product Lead: [email protected]

Susan Hamstra-VP, Product [email protected]

Special Thanks to Sadie and Stephanie for sharing their experiences

midas+ statit pimd/ppr

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