Hospitals (inpatient)

Recombinant By Deloitte can help hospitals deploy clinical data warehouse and reporting systems for tracking quality performance and improvement. The many pressures both for maintaining safety and public reporting requirements for accreditation at inpatient medical facilities requires a 360 degree view of how patients are being cared for through views of data for physicians and administrators to consistently improve patient care at their facilities.

Board and leading indicators reporting

Hospitals have a number of specialized vendors and clinical systems that provide information to quality departments about performance. Consolidating and standardizing this information into concise and actionable views in a centralized system can be a major challenge. Types of data included in printed board reports, quality dashboards, or balanced score cards vary including core measures, patient satisfaction/Press Ganey scores, departmental measures like surgical quality, specific state mandated Department of Public Health (DPH) reporting guidelines, third party employer funded organizations like Leapfrog, utilization rates, Emergency Department (ED) wait times, Average Length of Stay (ALOS), and many more. Seeing more information is less critical than seeing information in a way that helps management teams to focus on areas of improvement and reward teams for high performance. Comparing groups and providing information to each team at the appropriate level across institutions, clinics, and providers makes it even more of a challenge to present information in a meaningful way.

Recombinant By Deloitte can help hospitals organize this information into a warehouse of indicators that can be used to generate both printed reports and reports visible through web-based portals. Our team includes specialists with experience managing hospital clinical decision support teams that can help structure a data warehouse and clinical intelligence projects. The Selectrus report library and Data Trust schema help to support this mission with capabilities that have been deployed at other institutions to solve their challenges with reporting indicators.

Improving core measures visibility and performance

Collecting data for Joint Commission core measures reporting often results in high abstracting costs and low visibility into current performance on measures. The current approach for reporting includes a long process that makes it hard to take action in time to improve results before they are reported. Often six to nine months elapse between a patient encounter and when a measure is later visible to the hospital based on that encounter. A clinical data warehouse and analysis solution for core measures can reduce that time while improving the process both for collecting data and executing improvement campaigns.

Capabilities:

• Reduce the level of effort for abstractors by automating chart reviews through natural language processing to find and highlight content relevant to measures quickly within unstructured and structured patient records to support core measures abstractors
• Automate workflows to reduce paper based collection of data and focus teams on the electronic capture of information
• Process collected data in parallel to benchmarking organizations to reduce the latency for viewing current results so that actions can be taken within a reporting period
• Establish profiles of individual teams and physicians to identify where improvement opportunities and leading practices exist
• Maintain up-to-date logic for calculating measures as they change

Benefits to Hospitals

• Improve results in publicly reported Joint Commission core measures

• Increase patient safety and consistency of care

• Improve management of costs and resources

• Reduce ALOS

• Collect and integrate leading practices into workflows