Performance Measurement and Reporting System (PMRS)

Helping Healthcare Delivery Systems Achieve Strategic Goals

May, 2012

Visual properties:

• Standardized look and feel

• User-controlled drill-downs into charts

Conveniences

• Single-click dashboard production.

• Personalized Home Page

• Single-click chart production

Organizational governance

• Single repository for organizationally-endorsed performance metrics.

• Values automatically attributed to division, nursing unit, campus, etc

PMRS: Overview & Benefits

Multi-Level Dashboards• Common template (colors, fonts,

domains, column names)• Auto-populated with most recent

values• Clickable links to charts &

operational definitions

Full-Featured Charts• Common template (colors, font

sizes)• Annotations, footnotes, other

interpretative marks. All available but user can turn display on and off

Personalized “Home Page”• Clickable links to measures,

dashboards, sites of interest• Searchable Directory of Measures

Core User Components

Directory of Measures• Searchable directory• Unique, endorsed, reviewed for quality, • Information about measure (desired

direction, goal, benchmark, etc.)

Summary Data Capture System• Accepts summary stats through batch

uploads or screen entries• Auto-checks for accuracy• Reminders when values are due • Auto rollups to longer time periods

i2b2• Research/Operations Warehouse for

values calculated automatically from data in electronic health record

• Auto-link to PMRS visualization capabilities

Core Technical Components

• One-click production from home page

• Monthly & quarterly templates available

• Users can select past months/quarters

• For each measure, user can click to: Chart Operational

definition

Institutionally sanctioned template.

Dashboards

User can easily add selected measure to “My Metrics” list or to dashboard

Keyword search is performed

Search results are returned & filtered

Search Capabilities

Users can find & produce:

• Dashboards• One-click production• List management

• Metrics• Current values shown• One-click to charts

• Hyperlinks to … ?• Quality Improvement

Project Sharepoint site

• Professional society • Whatever the user

wants.

Personalized Home Page

Real-time user control over:• Time displays

• Summary stats by day, week, month, or quarter

• Expand or contract horizontal time axis to show what is important

• Vertical axis scale

• Display of details• Sample Size• Centerlines• Goal lines• Control limits• Annotations & footnotes

• “Show By” selected attributes (multiple lines on same chart)

External interface:

• Export data to MS Excel• Export image to Power Point

Charts

Release Dates• Version 1.0: July 1, 2012

– Home Page– Dashboard configuration tools– One-click production– Line charts & run charts (with goals, annotations & centerlines)– All measures currently published on CenterLink– Drill-downs by single attribute

• Version 1.1: September 30, 2012– Control charts– Auto-alerts for “special cause”– Over-time color-coding rules on dashboards– Drill-downs by two attributes– Email reminders to enter values

• Version 1.2: December 31, 2012– Governance support.

Open Issues

• Attribution models• Managing growth

– Requests for new measures in Directory – standards– Reconciling multiple measures across organization

• Managing expectations• Institutionalization

– Annual operating budgets for management & upgrades– New staff roles

A JOINT PROJECT BY:Anderson Center for Health Systems ExcellenceInformation ServicesBiomedical InformaticsCardinal Consulting

For Additional Information, Contact: Yiscah Bracha, PhDAssistant Vice President Data & AnalyticsYiscah.Bracha@cchmc.org