Presentation on theme: "Driving Quality with Visual Management"— Presentation transcript:
1 Driving Quality with Visual Management Scott Knoer, MS, PharmD, FASHPChief Pharmacy OfficerCleveland Clinic
2 ObjectivesIdentify various operational and clinical metrics to incorporate into your dashboardsDiscuss the development of an electronic pharmacy dashboardDescribe 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 Centers2,700 Physicians11,000 Nurses43,000 Caregivers1,300 Residents and Fellows65 Accredited Training ProgramsSo what does our Pharmacy Enterprise look like physically today? Where are our Bricks and Mortar?
4 Cleveland Clinic Nevada Lou Ruvo Center for Brain Health (Las Vegas)Additional LocationsCleveland Clinic FloridaWeston, FlCleveland Clinic CanadaToronto Health & Wellness CenterToronto – Health & Wellness CenterAbu Dhabi, UAEViennaChina4
5 Cleveland Clinic Abu Dhabi, UAE Sheikh Khalifa Medical CityAbu Dhabi, UAEAdditional LocationsCleveland Clinic Abu Dhabi, UAEToronto – Health & Wellness CenterAbu Dhabi, UAEViennaChina5
6 Cleveland Clinic Pharmacy Enterprise (2012) 743 Pharmacy FTE’s$66 M Salary Expense$367 M Drug ExpenseDrug Budget $367,000,0006
7 How do you keep track of it all? Business intelligenceBusiness Review DeckQuality DashboardReadmissionsCore MeasuresHCAHPSMedBoardTurn-around timesCoPAT dashboardHome CareKnowledge portal
8 Business Review Deck User defined Key Performance Metrics BenchmarkQualityFinancialsKey Volume Indicators# of dosesJust data: not necessarily benchmarkedTop ProjectsGoalsHave discussionAre we on task or not?
9 Business Review Deck Development Maintenance Two ½ day sessionsMaintenanceMonthly inputFinancials feed directlyManualStandard product across Cleveland Clinic (proprietary)ReviewMonthly review with dept. leadershipOpportunity to discuss issues with the team
10 Pharmacy Business Review Deck Benchmark against a standard (user defined)Red, Green, Yellow
18 Drill down into individual hospital – Here we looked at CC South Pointe
19 System HCAHPS scores. Can also then drill down into individual hospitals.
20 System Core Measures for HF: ACE / ARB for LVSD
21 SCIPClick on Core Measures and drill down. Here looking at Percentage of cardiac surgeries with 6AM Blood Glucose. Can also look at Antibiotic within one hour prior to surgery
22 SCIP Order Set Optimization Ensuring appropriate ABX to cover for pathogens typically associated with those types of surgeriesABX available in Pyxis for 1st dosesCommunication between floor and pre-op. Case start timing process measures (still have opportunity here)
23 MedBoard® Retrospective Real Time Turn-around times Identifies areas to focus onReal TimeWhere is the dose right now?Where was it delivered to?
31 Knowledge Portal Home Screen CareFusion Knowledge Portal reportsCare Fusion gives us similar types of indicators for our automated dispensing cabinet data and controlled substance data on the home page of their data tool, Knowledge portal.
32 Knowledge Portal – Watch List The Diversion watch list is a one-click from the home page that aggregates several markers for potential diversion and ranks them via percentile. This has allowed us to quickly identify certain users to audit.
33 Dashboard Challenges Purchase product vs. create Data feed DirectManualEnsuring your team understands the importanceNot useful if not updatedAccountabilityUsing itWhat is your process to review
34 Opportunities Drive quality and finances HCAHPS scores Core measures By hospitalBy nursing unitCore measuresReadmissionsAmbulatory businessScriptsRevenueWait timesOversedation