Monthly Writings

Evaluations and reviews of the latest in the field.

Do You Have an Ideal Clinical Dashboard?

SUMMARY:

  • Data drives much of healthcare, but more data does not always mean better and more actionable insights.

  • Clinical Dashboards highlight the most important trends and results for clinicians to allow them to engage in change.

  • Clinical dashboards need to ensure the correct data is measured and displayed without too much “noise” (irrelevant or too much data).


REVIEW

The Purpose of a Clinical Dashboard is to Provide Insight into 3 Categories:

  •  Performance Improvement on practice areas to address

  • Quality and Safety – track agreed upon clinical guidelines and benchmarks

  • Management and Operations – department level data to support day to day functions and care services

     

    The Value of Clinical Dashboards are to:

  • Integrate disparate and poorly organized data into an easy to understand format.

  • Aggregate data into a centralized location

  • Highlight the essential metrics for greatest opportunity of improvement based on important trends.

     

    Goals of a Clinical Dashboard are to Easily Depict:

  •  What happened

  • Why it happened

  • What may happen

  • What action should be taken

     

Your ideal dashboard should be able to answer all of the above items

Differences between a dashboart, detailed report and data visualization

Ideal Clinical Dashboard

 

1.       Can the dashboard provide easily assessable quality clinical data?

  • Assess the need to maintain or change clinical direction

  • Provide the correct fidelity of data (volume, frequency, duration of collection) to draw conclusions

  • Is the data presented as patient disease severity adjusted allowing cross unit comparisons

 

2.      Appropriate format of current comparisons used within the dashboard

  • Benchmark:

    • Useful to compare one site to another

    • Should highlight a change in direction

  • Historic Comparisons – evaluate data delivered in the recent past

  • Standards are met:

    •  Used to assess quality of care expectations

    • Based on standards from accreditation body, own organization goals, or both.

    • Compare your performance data to agreed upon goals

3.      Control Charts

  • ·Helps to identify data outside an accepted zone

  • Typically classified as excellent; acceptable; needs follow up

 

Common Clinical Dashboard Mistakes:

  • Lack of real time or high quality data

  • Clear goal(s) of Dashboard not established

  • Too many KPIs per Dashboard

  • Incorrect representation of data

  • Cluttered, confusing or too much data

  • Lack of patient severity adjustment to compare across

  • Data not grouped logically

 

Ideal Dashboard Design Considerations:

  • Meaningful/actionable data and insights to provider

  • Clinical indicators based on widely accepted, published standards/guidelines

  • Couple reported data with other relevant information:

    • Patient context

    • Predictive algorithms

    • Clinical decision support algorithms

  • ·Easily interpreted performance data of individual or team performance

CONCLUSIONS:

  • Clinical dashboards take data from different sources and aggregate them into easy to read and interpret insights.

  • When done correctly, clinical dashboards area useful for monitoring, measuring and analyzing relevant data.

Erkan Hassan