Copyright 2018. College of Healthcare Information Management Executives (CHIME) All rights reserved. Reprints with permission only. 1 Healthcare Analytics: How Can We Identify Variations That Support Change? James Jose, MD Children’s Healthcare of Atlanta October 16, 2018 Analytics and the “Big Picture”
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Copyright 2018. College of Healthcare Information Management Executives (CHIME)
All rights reserved. Reprints with permission only. 1
Healthcare Analytics: How Can We Identify Variations
That Support Change?
James Jose, MDChildren’s Healthcare of AtlantaOctober 16, 2018
Analytics and the “Big Picture”
Copyright 2018. College of Healthcare Information Management Executives (CHIME)
All rights reserved. Reprints with permission only. 2
Getting to “All Better”
Use of visual analytics to map variations in asthma care in the emergency department
From: Understanding variations in pediatric asthma care processes in the emergency department using visual analytics, J Am Med Inform Assoc. 2015;22(2):318-323. doi:10.1093/jamia/ocu016. Rahul Basole, Mark Braunstein, Vikas Kumar, Hyunwoo Park, Minsuk Kahng, Duen chau, Acar Tamersoy, Daniel Hirsh, James Bost, Burton Lesnick, Beth Schissel, Michael Thompson.
Copyright 2018. College of Healthcare Information Management Executives (CHIME)
All rights reserved. Reprints with permission only. 3
Realizing Value from Analytics
From: Understanding variations in pediatric asthma care processes in the emergency department using visual analytics, J Am Med Inform Assoc. 2015;22(2):318-323. doi:10.1093/jamia/ocu016. Rahul Basole, Mark Braunstein, Vikas Kumar, Hyunwoo Park, Minsuk Kahng, Duen chau, Acar Tamersoy, Daniel Hirsh, James Bost, Burton Lesnick, Beth Schissel, Michael Thompson.
Questions and ChallengesHow can analytic tools make a real difference for patient care?
1. How can we configure partnerships to design effective analytic strategies?
2. What must we know about a process to make analytic insights meaningful?
3. How can we promote lasting value?4. Beyond “analytic and presentation tools” – What are
we missing?
Copyright 2018. College of Healthcare Information Management Executives (CHIME)
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Thinking about variation
Walter Shewhart’s 1924 Memo to Western Electric Employees
Copyright 2018. College of Healthcare Information Management Executives (CHIME)
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Process Control Chart - Rules for Identifying “Special Cause” Variation
Why does variation matter?
Standards are of little service if there is no “process control” to administer them.
Studies have shown that simple elimination of variation can reduce cost and improve quality.
Transforming an organization or building an effective culture, requires elimination of “useless variation.”
Copyright 2018. College of Healthcare Information Management Executives (CHIME)
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Approach to Variation• Determine your strategic focus to reduce variation • Set measurable goals • Acquire and analyze data • Understand your data • Identify areas of focus • Implement improvements
“Health Care Leader Action Guide: Understanding and Managing Variation” report of the American Hospital Association’s Task Force on Variation in Health Care SpendingAccessible at: http://www.hret.org/quality/projects/healthcare-leader-action-guide-understandingmanaging-variation.shtml
Approach to Managing Variation• Determine a strategic focus to reduce variation based
on value to organization and individuals. Engagement starts here.
• Set measurable goals that fit sustainable operational activities.
• Acquire and analyze data to understand and influence. • Understand your data. Understand the roles and
workflows that produced your data. • Identify areas of focus. Understand how your data
motivates clinicians and staff. • Help your clinical partners implement improvements.
Copyright 2018. College of Healthcare Information Management Executives (CHIME)
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Bronchiolitis Guideline and Analytics • Purpose: Reduce unnecessary use of bronchodilators
and diagnostic testing • Process Design:
Clinical Practice Guideline updated to reflect practice changes of unnecessary use of treatments
Qlik Application designed to monitor resource use.
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The “Bronchiolitis App”
Bronchiolitis analytics prior to new program
Previous Analytic Tools• Hard to interpret• Reports not real time• Took months to drill
down on data.
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Copyright 2018. College of Healthcare Information Management Executives (CHIME)
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