Quality Improvement-
The Competitive Edge!
Beaumont- Dearborn
Beaumont- Taylor
Katherine Vitale MD
Mary McKinney RN, ACQR
CONFIDENTIAL AND PRIVILEGED PEER REVIEW AND PATIENT SAFETY WORK PRODUCT”
In the beginning Temp 02 was a P4P…
How are we going to get these folks engaged and improving?
DB January 2017 TY January 2017
Lots of opportunity!!!
Galileo provided an answer
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How can I use this
information?
Create Friendly Competition
Using the User Management Tool we created
numerical ID’s that would be top-secret
By Exporting the Provider lists into
an excel spreadsheet we were
able to create blinded ID’s.
We separated CRNA’s from
Attendings, sorted by case count
and used evens on one and odds
on the other to make the numbers
random.
Private Stuff
We exported provider performance to an Excel Spreadsheet
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Using Excel allows you to
filter, hide and add graph
info.
We used our P4P
measures as a focus.
Using the spreadsheet we created the Performance Graph
• The hide function allows you to
make this anonymous
• The filters allow you to display
specific information
• The sort function gives you the
ability to put the graph in an
order that works for you!
Here is an example of the Performance Graph
• Randomized Blinded ID’s
• Where they stand for the month
• Number of cases
This particular graph is
alphabetical.
For our group we sort by case
count to show that even those
doing high numbers of cases
can get a great score!!
Did it work?
An upward trend occurred after providing the graphs. Interest was piqued!
JAN-17 FEB-17 MAR-17 APR-17 MAY-17 JUN-17 JUL-17 AUG-17 SEP-17 OCT-17 NOV-17 DEC-17 JAN-18 FEB-18 MAR-18 APR-18 MAY-18 JUN-18 JUL-18 AUG-18
Temp 02 Dearborn
First graphs provided
at March meeting
Scores are moving in the
right direction!
New performance graphs
shared at July Meeting
New performance graphs
shared at November Meeting
Where are we today?
Dearborn
Consistently at or above target!
Taylor
Consistently above target!
Pul 01 road to success
Taylor November 2017
Taylor YTD 2018
Dearborn November 2017
Dearborn YTD 2018
With consistently good scores we didn’t make the
performance graphs until 2018!
Then came Pul 01 as P4P with a YTD target of 97.5
Time to get to work!
Once we had our new champ in place it was time to meet with
staff to share this info!
How to make it a smooth process
Private Stuff
EPIC upgrade
provides IBW
highlighted and
higher on the
sidebar list so
providers can find
it easily
Great
suggestion
Dr. Haus!!
IBW adjusted
Default
Using all the tools
We shared with staff how adjusting the default to actual IBW
made the settings very accurate
Looking good for improvement
• We are continuing to find inventive ways of getting info out to
a provider group that is hands on and not a lot of time to meet
and greet!
• We have shared the provider performance graphs at casual
gatherings such as having a “Lunch and Learn” which has
encouraged dialogue regarding successes and how to get
there!
• We found that sharing info that is specific leads to a better
understanding and meeting the individual measure!
Thank you for your time
