Leveraging an Electronic Platform to Monitor Execution of Actionable Process Measures

Session Description: The execution of best practices or leading process measures affect the quality of care we deliver to our patients and positively affects overall quality outcomes.

A 10-hospital system recognized the need to develop a reliable resource to monitor performance on leading process measures that also provides an opportunity for real-time course correction.

The Infection Prevention and Clinical Quality departments consulted and collaborated with multidisciplinary teams of different quality committees to identify the actionable process measures that bedside associates can execute daily.

The Quality and Safety Daily Management Tool is a dashboard that automatically compiles real-time daily performance of process measures affecting six leading quality metrics, namely, Central Line-associated Bloodstream Infection (CLABSI), Catheter-associated Urinary Tract Infection (CAUTI), Venous Thromboembolism (VTE), Hospital-acquired Pressure Injury (HAPI), FALLS, and SEPSIS.

The tool is divided into 2 main sections: the Daily Care Snapshot that summarizes performance of the actionable process measures and the Process Measures Table that provides more patient-specific details.

The tool boasts of features that allow for a quick visualization of the performance of each of the process measures, hover features to show best practice and entries in the Electronic Health Record (EHR), and icons to alert on pending tasks or increased risk for injury or infection.

The tool was intended for use during Interdisciplinary Model of Care (IMOC) rounds by the patient’s care team when reviewing plan of care. Additionally, unit and hospital leaders like Managers, Directors, Infection Preventionists, and Quality Improvement associates use the tool to quickly identify process measures that need to be addressed immediately.

The Quality and Safety Daily Management Tool was implemented in June 2024. The tool is expected to evolve as work around quality metrics evolve. Quality and Infection Prevention are monitoring outcome measures to evaluate the success of the tool.