Clark Fork Valley Hospital Dashboard Journey

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Clark Fork Valley HospitalDashboard Journey

• Many changes since 2002 in
• Presentation
• Communication
• Dashboard reviewed by
• Senior Management
• Governing Board
• PI Committee

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Indicators for Dashboard

• Volume Indicators
• Acute Care Admits, AC ALOS/Hrs, AC ADC
• ER visits, of admits from ER, transferred
  out of ER, of Observation Admits
• Deliveries normal, C/Section, Newborn
  Transfers, OB Patient days
• Hospital Wide ADC, Swing Bed Admits ADC
• Total OP visits, HH Episodes, Hospice Pts
• OP Surgeries/Procedures, IP Surgeries, Total
  Surgeries
• Clinic visits for Bull River Clinic, Thompson
  Falls Clinic, Plains Clinic, Hot Springs Clinic

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Financial Indicators

• Days in Accounts Receivable
• Medicare Money
• Medicaid Money
• Commercial Money
• Self Pay Money

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Risk Management Indicators

• of Cases pending Litigation
• Patient Surveys-Excellent/Good ()
• Total Med. Errors, Med Errors for AC, Med
  Errors for LTC
• Adverse Drug Reactions
• Patient Falls, AC Falls, LTC Falls, of
  Falls with Injuries
• AMA
• Employee Injuries

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Clinical/UR Indicators

• Returns to ER within 72 hours
• Readmissions within 30 days
• Unplanned return to surgery
• Unplanned admission after OP surgery
• Mortality Rate ()
• Nosocomial Infection rate for AC
• Nosocomial Infection rate for NH

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Performance Improvement Indicators

• PI Teams in Progress
• PI Teams Completed

• Changes in 2oo4
• Legend for Benchmark
• CFVA Average of Prior Year
• CFVB Budget
• CFVS Strategic Plan
• VHA Volunteer Hospitals of America

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Changes in 2007

• Color coding some of the data
• Legend
• ALERT
• CAUTION
• ON TARGET
• No clear definition of terms

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Updating Modifying Dashboard

• Started in mid 2007 for changes in 2008
• Dr. Dean French, CMO/Hospitalist
• Dr. Greg Hanson, Chief of Staff/Governing Board
• Reduce number of indicators on Dashboard
• Expand Patient Satisfaction results
• Add Core Measures
• Legends Defined
• Red Alert (gt 19 off target)
• Orange Caution (10 19 off target)
• Yellow (1 9 off target)
• Green At goal or Above

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Volume Indicators

• Acute Care LOS/Hrs
• Benchmark - Budget
• Acute Care ADC
• ER visits
• Observation hours
• Swing Bed ADC
• Total OP Visits
• Surgery Minutes
• Family Medicine Network - Visits

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Financial Indicators

• Benchmark Strategic Plan
• Days Cash On Hand Number of days, of average
  operating expenses per day, that are available in
  cash.
• EBITA Earnings Before Interest Taxes Deductions
  Allowances
• S B /NR Percentage of net revenue used to
  cover cost of salaries, benefits professional
  fees.
• Days in AP Number of days, of average expenses
  per day that have not been paid.
• Days in AR Number of days, of average
  collections per day, which are uncollected.

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Risk Management Indicators

• Total Number of Med Errors, Adverse Drug
  Reactions
• NH Falls, Acute Care Falls, Falls with
  injuries
• Inpatient AMA ()
• Employee injuries
• Unplanned Return to ER within 72 hrs
• Readmission within 30 days
• Unplanned return to surgery
• Unplanned admission after OP Surgery
• Never Events
• Benchmarks CFVA, CFVB, PIN, VHA, Nat

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Quality/Satisfaction Indicators

• Mortality Rate ()
• Nosocomial Infection Hospital Wide ()
• ER Overall Score - Rank
• ER Likelihood of Recommendation - Rank
• Inpatient Overall Score - Rank
• IP Likelihood of Recommendation - Rank
• CHF Core Measures - met
• Pneumonia Core Measures - met
• Acute MI Core Measures - met
• Surgical Site Infection Prevention - met
• Benchmarks PIN, CFVS

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Communication

• Education of employees involve them
• Introduction to staff
• Going for the Green
• Included with paychecks monthly

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Dashboard next step

• Full Dashboard with paychecks starting October.
• Full Disclosure

• http//www.Cfvh.org/default.aspx
• About CFVH
• Annual Performance Reports
• Dashboard Reports
• 2009 March Dashboard Report
• Dashboard Description

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Conclusion

• Dashboard is ongoing
• Continually refining improving
• Benchmarks updated
• Dashboard template shared
• Involve the stake holders
• Transparency of reporting Dashboard
• Impacted improvement in measures