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Driving Quality with Visual Management Scott Knoer, MS, PharmD, FASHP Chief Pharmacy Officer Cleveland Clinic Scott Knoer, MS, PharmD, FASHP Chief Pharmacy.

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Presentation on theme: "Driving Quality with Visual Management Scott Knoer, MS, PharmD, FASHP Chief Pharmacy Officer Cleveland Clinic Scott Knoer, MS, PharmD, FASHP Chief Pharmacy."— Presentation transcript:

1 Driving Quality with Visual Management Scott Knoer, MS, PharmD, FASHP Chief Pharmacy Officer Cleveland Clinic Scott Knoer, MS, PharmD, FASHP Chief Pharmacy Officer Cleveland Clinic

2 Objectives Identify various operational and clinical metrics to incorporate into your dashboards Discuss the development of an electronic pharmacy dashboard Describe the utilization of the system and improved outcomes seen by pharmacy leadership

3 50 Buildings on 180 acre main campus 9 Community Hospitals 18 Family Health Centers / 7 Ambulatory Surgical Centers 2,700 Physicians 11,000 Nurses 43,000 Caregivers 1,300 Residents and Fellows 65 Accredited Training Programs

4 Cleveland Clinic Florida Weston, Fl Additional Locations Cleveland Clinic Nevada Lou Ruvo Center for Brain Health (Las Vegas) Cleveland Clinic Canada Toronto Health & Wellness Center

5 Additional Locations Cleveland Clinic Abu Dhabi, UAE Sheikh Khalifa Medical City Abu Dhabi, UAE

6 Cleveland Clinic Pharmacy Enterprise (2012) – 743 Pharmacy FTEs –$66 M Salary Expense –$367 M Drug Expense Drug Budget $367,000,000

7 How do you keep track of it all? Business intelligence Business Review Deck Quality Dashboard Readmissions Core Measures HCAHPS MedBoard Turn-around times CoPAT dashboard Home Care Knowledge portal

8 Business Review Deck User defined Key Performance Metrics Benchmark Quality Financials Key Volume Indicators # of doses Just data: not necessarily benchmarked Top Projects Goals Have discussion Are we on task or not?

9 Business Review Deck Development Two ½ day sessions Maintenance Monthly input Financials feed directly Manual Standard product across Cleveland Clinic (proprietary) Review Monthly review with dept. leadership Opportunity to discuss issues with the team

10 Pharmacy Business Review Deck

11 Top Projects

12 Quality / Risk Management

13 Key Volume Indicators

14 Key Volumes

15 Productivity / Financial

16 Quality Dashboard System wide Drill down Core Measures SCIP HCAHPS Readmissions Also have financial dashboard

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21 SCIP

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23 MedBoard® Retrospective Turn-around times Identifies areas to focus on Real Time Where is the dose right now? Where was it delivered to?

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27 CoPAT Dashboard Community Parenteral Anti-Infective Therapy Quality and financial Referrals / market share Outcomes Readmissions

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30 Knowledge Portal Proactively manage automated dispensing cabinets Inventory Controlled substances diversion

31 Knowledge Portal Home Screen

32 Knowledge Portal – Watch List

33 Dashboard Challenges Purchase product vs. create Data feed Direct Manual Ensuring your team understands the importance Not useful if not updated Accountability Using it What is your process to review

34 Opportunities Drive quality and finances HCAHPS scores By hospital By nursing unit Core measures Readmissions Ambulatory business Scripts Revenue Wait times Oversedation


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