J Med Syst - Anesthesia report card - a customizable tool for performance improvement.

Tópicos

{ measur(2081) correl(1212) valu(896) }
{ record(1888) medic(1808) patient(1693) }
{ data(1714) softwar(1251) tool(1186) }
{ perform(999) metric(946) measur(919) }
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Resumo

RPOSE: Measuring and providing performance feedback to physicians has gained momentum not only as a way to comply with regulatory requirements, but also as a way to improve patient care. Measurement of structural, process, and outcome metrics in a reliable, evidence-based, specialty-specific manner maximizes the probability of improving physician performance. The manner in which feedback is provided influences whether the measurement tool will be successful in changing behavior. We created an innovative reporting tool template for anesthesiology practitioners designed to provide detailed, continuous feedback covering many aspects of clinical practice.METHODS: The literature regarding quality metric measurement and feedback strategies was examined to design a reporting tool that could provide high quality information and result in improved performance of clinical and academic tasks. A committee of department leaders and information technology professionals was tasked with determining the measurement criteria and infrastructure needed to generate these reports. Data was collected in a systematic, unbiased manner, and reports were populated with information from multiple databases and software systems. Feedback would be based on frequently updated information and allow for analysis of historical performance as well as comparison amongst peers.RESULTS: A template for an anesthesia report card was created. Categories included compliance, credentialing and qualifications, education, clinical and operating room responsibilities, and academic achievements. Physicians were able to choose to be evaluated in some of the categories and had to meet a minimum number of criteria within each category. This allowed for customization to each practitioner's practice. Criteria were derived from the measures of academic and clinical proficiency, as well as quality metrics. Criteria were objective measures and data gathering was often automated. Reports could be generated that were updated daily and provided historical information, and information about peers in the department and within each subspecialty group.CONCLUSIONS: We demonstrate the creation of an online anesthesia report card that incorporates metrics most likely to engender positive changes in practice and academic responsibilities. This tool provides timely and customized information for each anesthesia practitioner, designed to be easily modifiable to improve the quantity, quality, and substance of metrics being measured. Finally, our tool could serve as a template for a performance measuring tool that can be customizable to a wide variety of practice settings, and upon which both monetary and non-monetary incentives might be based in the future.

Resumo Limpo

rpose measur provid perform feedback physician gain momentum way compli regulatori requir also way improv patient care measur structur process outcom metric reliabl evidencebas specialtyspecif manner maxim probabl improv physician perform manner feedback provid influenc whether measur tool will success chang behavior creat innov report tool templat anesthesiolog practition design provid detail continu feedback cover mani aspect clinic practicemethod literatur regard qualiti metric measur feedback strategi examin design report tool provid high qualiti inform result improv perform clinic academ task committe depart leader inform technolog profession task determin measur criteria infrastructur need generat report data collect systemat unbias manner report popul inform multipl databas softwar system feedback base frequent updat inform allow analysi histor perform well comparison amongst peersresult templat anesthesia report card creat categori includ complianc credenti qualif educ clinic oper room respons academ achiev physician abl choos evalu categori meet minimum number criteria within categori allow custom practition practic criteria deriv measur academ clinic profici well qualiti metric criteria object measur data gather often autom report generat updat daili provid histor inform inform peer depart within subspecialti groupconclus demonstr creation onlin anesthesia report card incorpor metric like engend posit chang practic academ respons tool provid time custom inform anesthesia practition design easili modifi improv quantiti qualiti substanc metric measur final tool serv templat perform measur tool can customiz wide varieti practic set upon monetari nonmonetari incent might base futur

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