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Dashboard and Health Care Benchmark Evaluation

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Dashboard and Health Care Benchmark Evaluation

Introduction

Dashboards and other reports can provide crucial information about how well an organization is meeting benchmarks set by local, state, and federal laws and policies. Healthcare organizations need to be able to use this information to determine the most effective strategies for quality and performance improvement. This activity asks you to review various dashboards and reports used by Mercy Medical Center, a Vila Health affiliated hospital, and determine where the organization is falling short.

Scatterdesk

Voice Mail

Evelyn Unger

Senior Human Resources Generalist

Hey there. This is Evelyn Unger; sorry I missed you. I just wanted give you a little more context for the report you’ve been asked to pull together on our dashboard metrics. The main thing is that we’re trying to get a better understanding of how to evaluate the information these dashboards are providing. The goal is to be able to use the data as actionable information.

So – if you could review the materials I’ve provided to you and use one of the two dashboards as the source of the data, that would be great. You’ll need to do some external research probably in order to determine external benchmarks and standards. Oh … and remember that while there may be a couple of underperforming areas, your recommendations should be based on the actions that will deliver the best improvement to overall quality or performance.

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Public Health Dashboard – Diabetes

New Patients Last Quarter by Race

  • African American – 17 (3%)
  • American Indian – 73 (13%)
  • Asian – 34 (6%)
  • White – 355 (63%)
  • Other – 11 (2%)
  • Blank/Declined – 73 (13%)

New Patients Last Quarter by Gender

  • Male – 214 (38%)
  • Female – 347 (62%)
  • Blank/Declined – 2

New Patients Last Quarter by Age

  • 20 or younger – 118 (21%)
  • 21-44 – 51 (9%)
  • 45-64 – 214 (38%)
  • 65+ – 180 (32%)
  • Blank/Declined – 0
 Q1 2015Q2 2015Q3 2015Q4 2015Q1 2016Q2 2016Q3 2016Q4 2016
Eye Exam41673341281627
Foot Exam252748736273
HgbA1c111238712332136

 

2016 Fact Sheet

Mercy Medical Center (Shakopee, MN)

Mercy Medical Center is one of the region’s top choices for high quality health care. Don’t just take our word for it though. Here are some of the accolades we’ve received:

  • Highest Safe Surgery Rating by a consumer advocacy magazine.
  • Healthgrades Outstanding Patient Experience Award.
  • Shakopee Ledger Top 20 Workplaces 2014 & 2015.
  • Women’s Choice Award for the Best Hospital for Patient Experience in Emergency Care.

Shakopee Demographics

FemaleMaleTotal Population
18,23517,95736,192

 

< 2021-4445-64> 65
12,12614,7326,0992,371

 

WhiteAsianHispanic – LatinoOtherAfrican AmericanTwo or more racesAmerican Indian
28,537 (76%)3,822 (10%)2,890 (7%)1,661 (4%)1,601 (4%)1,016 (4%)433 (1%)

 

Shakopee Ledger

Top 20 Workplaces 2014 & 2015

 20052015
Hospital Rooms (All Private)62 (70 licensed)85 (93 licensed)
Medical / Surgical Rooms3356
Special Care Unit88
Family Birth Rooms1717
Children’s Care Pediatric Rooms44
Operating Rooms5 and 1 C – Section8 and 1 C – Section
Emergency Room Treatment Bays1621
Endoscopy Rooms22

 

 2015
Physicians433
Volunteers (15 — 94 yeard old)200
Inpatient Admissions5,735
Surgical Procedures4,627
Births1,328
Emergency Room Visits29,893
Urgent Care Visits9,586
Outpatient Encounters119,535
Physical, Occupational, Speech/Language Therapy Visits28,636
Pediatric Therapy Visits11,987
Sleep Center Visits783
Radiology Procedures59,335
Cardiac Rehab Visits7,158
Cardiopulmonary Visits19,676
Cancer Center Visits7,781

Hospital CEO Dashboard

Local Readmission Rates

COPDPneumoniaHeart Failure
20.1 (31%)18.7 (29%)26.4 (40%)

National Readmission Rates

COPDPneumoniaHeart Failure
20.2 (34%)16.9 (29%)22.0 (37%)

Medical & Surgery

FallsMedication ErrorsPressure SoresPatient InjuriesDocumentation Errors
2015 = 14 / 2016 = 102015 = 4 / 2016 = 82015 = 4 / 2016 = 32015 = 3 / 2016 = 42015 = 3 / 2016 = 4

Labor & Delivery

FallsMedication ErrorsPressure SoresPatient InjuriesDocumentation Errors
2015 = 3 / 2016 = 02015 = 5 / 2016 = 02015 = 0 / 2016 = 02015 = 1 / 2016 = 02015 = 9 / 2016 = 1

Orthopedics

FallsMedication ErrorsPressure SoresPatient InjuriesDocumentation Errors
2015 = 8 / 2016 = 102015 = 2 / 2016 = 22015 = 5 / 2016 = 32015 = 4 / 2016 = 42015 = 4 / 2016 = 3

Bariatric Services

FallsMedication ErrorsPressure SoresPatient InjuriesDocumentation Errors
2015 = 16 / 2016 = 182015 = 7 / 2016 = 72015 = 4 / 2016 = 32015 = 3 / 2016 = 12015 = 16 / 2016 = 23

 

 

 Average Daily CensusAverage Daily RN FTEsScheduled RN FTEs
ICU181114
PICU171213.5
Med Surg231416
Labor and Delivery161010
Orthopedics126.256.5
West 1201315.25
West 2138.59.5
North 1189.7512.75

 

Conclusion

In this activity, you had the opportunity to review various dashboards and other reports in order to evaluate Mercy Medical Center’s performance against local, state, and federal requirements. Use the information you acquired here as well as external research into appropriate standards to complete your course assignment.

 

Credits

Subject Matter Expert:Bressie, Marylee

Interactive Design:Olson, Lori

Media Instructional Designer:Pearson, Felicity

Instructional Designer:Hagen, Brian

Project Manager:Hall, Nakeela

 

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