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Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis
BACKGROUND: Measuring and reporting outcome data is fundamental for health care systems to drive improvement. Our electronic health record built a dashboard that allows each primary care provider (PCP) to view real-time population health quality data of their patient panel and use that information t...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6621998/ https://www.ncbi.nlm.nih.gov/pubmed/31296211 http://dx.doi.org/10.1186/s12913-019-4327-3 |
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author | Twohig, Patrick A. Rivington, Jaclyn R. Gunzler, Douglas Daprano, Joseph Margolius, David |
author_facet | Twohig, Patrick A. Rivington, Jaclyn R. Gunzler, Douglas Daprano, Joseph Margolius, David |
author_sort | Twohig, Patrick A. |
collection | PubMed |
description | BACKGROUND: Measuring and reporting outcome data is fundamental for health care systems to drive improvement. Our electronic health record built a dashboard that allows each primary care provider (PCP) to view real-time population health quality data of their patient panel and use that information to identify care gaps. We hypothesized that the number of dashboard views would be positively associated with clinical quality improvement. METHODS: We performed a retrospective analysis of change in quality scores compared to number of dashboard views for each PCP over a five-month period (2017–18). Using the manager dashboard, we recorded the number of views for each provider. The quality scores analyzed were: colorectal cancer (CRC) screening rates and diabetic patients with an A1c greater than 9% or no A1c in the past year. RESULTS: Data from 120 PCPs were included. The number of dashboard views by each PCP ranged from 0 to 222. Thirty-one PCPs (25.8%) did not view their dashboard. We found no significant correlation between views and change in quality scores (correlation coefficient = 0.06, 95% CI [− 0.13, 0.25] and − 0.05, 95% CI [− 0.25, 0.14] for CRC and diabetes, respectively). CONCLUSION: Clinical dashboards provide feedback to PCPs and are likely to become more available as healthcare systems continue to focus on improving population health. However, dashboards on their own may not be sufficient to impact clinical quality improvement. Dashboard viewership did not appear to impact clinician performance on quality metrics. |
format | Online Article Text |
id | pubmed-6621998 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-66219982019-07-22 Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis Twohig, Patrick A. Rivington, Jaclyn R. Gunzler, Douglas Daprano, Joseph Margolius, David BMC Health Serv Res Research Article BACKGROUND: Measuring and reporting outcome data is fundamental for health care systems to drive improvement. Our electronic health record built a dashboard that allows each primary care provider (PCP) to view real-time population health quality data of their patient panel and use that information to identify care gaps. We hypothesized that the number of dashboard views would be positively associated with clinical quality improvement. METHODS: We performed a retrospective analysis of change in quality scores compared to number of dashboard views for each PCP over a five-month period (2017–18). Using the manager dashboard, we recorded the number of views for each provider. The quality scores analyzed were: colorectal cancer (CRC) screening rates and diabetic patients with an A1c greater than 9% or no A1c in the past year. RESULTS: Data from 120 PCPs were included. The number of dashboard views by each PCP ranged from 0 to 222. Thirty-one PCPs (25.8%) did not view their dashboard. We found no significant correlation between views and change in quality scores (correlation coefficient = 0.06, 95% CI [− 0.13, 0.25] and − 0.05, 95% CI [− 0.25, 0.14] for CRC and diabetes, respectively). CONCLUSION: Clinical dashboards provide feedback to PCPs and are likely to become more available as healthcare systems continue to focus on improving population health. However, dashboards on their own may not be sufficient to impact clinical quality improvement. Dashboard viewership did not appear to impact clinician performance on quality metrics. BioMed Central 2019-07-11 /pmc/articles/PMC6621998/ /pubmed/31296211 http://dx.doi.org/10.1186/s12913-019-4327-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Twohig, Patrick A. Rivington, Jaclyn R. Gunzler, Douglas Daprano, Joseph Margolius, David Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis |
title | Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis |
title_full | Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis |
title_fullStr | Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis |
title_full_unstemmed | Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis |
title_short | Clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis |
title_sort | clinician dashboard views and improvement in preventative health outcome measures: a retrospective analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6621998/ https://www.ncbi.nlm.nih.gov/pubmed/31296211 http://dx.doi.org/10.1186/s12913-019-4327-3 |
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