Dyads Data Better Together AASA Webinar June 27
Dyads & Data, Better Together AASA Webinar June 27, 2018
Speakers and Agenda Nicholas (Nick) Nguyen, MHA Administrator Division of Cardiology Duke University Medical Center Developing the Data Relationship Barb Petit, MBA Administrator, Surgical Services Department of Surgery University of Texas Medical Branch Dyads & Data in Practice
Developing the Data Relationship q. Building Trust: Making a connection q. Establish Data Ground Rules q. Data and Decision-Making: Data visualization across missions q. Data and Influencing Behaviors: The power of choice architecture
BUILDING TRUST DEVELOPING PARTNERSHIPS
Partnerships • Common Core Values • Respect for each others strengths and acknowledging weaknesses • Communication and setting ground rules/standard operating procedures Elements of good team development extend from large and small groups to individual partnerships- e. g. Chair/Administrator, Service Line-Department Partners, Individual faculty https: //www. cardiovascularbusiness. com/topics/health-it/dyads-data-better-together-talk-data-strengthen-your-leadership-team
Partnerships
Establishing Data Ground Rules • Decide how data will be presented • Resolve to learn each other’s data language • Agree on goals and define critical metrics & timing for ongoing evaluation
Data types • Dashboards, Reports, Scorecards • Surveys- e. g. faculty survey • Data visualization tools- e. g. Tableau – Data across missions • • Research Education Clinical Administrative – space/faculty affairs • Data as information
DATA VISUALIZATION ACROSS MISSIONS
Duke Dept. of Medicine Examples 1. 2. 3. 4. Research Space Faculty Affairs Faculty Compensation and Equity Key Principles: • Data at your fingertips • Ability to drill down • Incorporate as a discussion tool in the decision-making process
DOM- Research Dashboard For demonstration purposes only
DOM- Space Dashboard For demonstration purposes only
DOM- Space Density Dashboard For demonstration purposes only
DOM- Faculty Affairs Dashboard For demonstration purposes only
DOM- Faculty Comp Dashboard For demonstration purposes only
DATA AND INFLUENCING BEHAVIORS: THE POWER OF CHOICE ARCHITECTURE
Behavioral Economics: Choice Architecture https: //www. behavioraleconomics. com/mini-encyclopedia-of-be/choice-architecture/
“Nudge” behavior • Understand how decisions are made • Define the problem • Diagnose the underlying cause – Insufficient motivation – Cognitive biases • Design the solution – (Show the data) – deciding how to present the data • Test the solution
Choice Architecture Examples Opt-in vs. Opt-out Country A (Opt-Out) 99% Rx Co-Pays: Mail vs. Retail Country B (Opt-In) 12% How do you design the solution set to “nudge” your Chair/Faculty ?
HBR: Leaders as Decision Architects “Leaders as Decision Architects”. HBR May 2015. Beshears and Gino https: //hbr. org/2015/05/leaders-as-decision-architects
Dyads & Data, Better Together: In practice Barb Petit, MBA Administrator, Surgical Services Department of Surgery University of Texas Medical Branch 21
Sharing Information to Define Priorities • Institutional Quality – “Best Care” • Departmental • Individual 22
Sharing Information to Define Priorities Institutional: • Vizient Ranking/Metrics • Access 23
Domain Weights Efficiency, Equity; 5% 10% Patient Centeredness; 15% Effectiveness; 20% Mortality; 25% Safety; 25% 24
Cost + LOS Equity, 5% Efficiency; 10% Mortality; 25% Patient Centered 15% Effective 20% Safety; 25% PSI Readmin + Excess Days 25
Access – Median New Patient Lag Time Dyad Sep Oct Nov Q 1 Actual Q 1 Target Dec Jan Feb Q 2 Actual Q 2 Target Mar Dermatology Internal Medicine Allergy Cardiology Endocrinology Gastroenterology General Internal Medicine Geriatrics Infectious Disease Hematology/Oncology Nephrology Pulmonary Rheumatology Family Medicine Neurological Surgery Neurology Ophthalmology Orthopedics Otolaryngology Pediatrics Developmental - Behavioral Pediatrics Pediatric Allergy & Immunology Pediatric Cardiology Pediatric Chronic Care Pediatric Endocrinology Pediatric Gastroenterology Pediatrics General Pediatric Genetics Pediatric Hematology Oncology Pediatric Infectious Diseases Pediatric Nephrology Pediatric Neurology Psychology, Clinical Child & Adolescent Psychiatry Adult Psychiatry Child Radiation Therapy Surgery Urology Women's Health 34 7 7 60 15 3 8 20 7 48 29 16 3 28 21 7 7 8 74 51 7 22 6 59 2 45 7 4 31 9 26 5 10 49 17 5 5 35 19 49 37 28 3 27 18 8 7 7 50 85 7 28 8 43 3 91 7 3 20 68 29 5 10 82 16 5 7 13 13 42 30 30 3 31 18 7 7 8 42 99 8 35 11 49 3 34 7 8 29 43 29 6 9 63 16 5 7 21 15 48 33 27 3 28 18 7 7 8 66 89 7 29 8 50 3 45 7 5 21 42 16 5 10 41 20 7 9 11 20 27 16 24 7 28 28 8 7 13 62 97 7 26 8 70 2 19 7 3 24 24 22 4 11 47 20 4 9 12 14 14 27 35 5 27 28 7 7 7 63 108 8 48 8 57 2 10 7 6 28 42 28 7 8 41 13 3 7 11 20 41 21 49 2 44 34 7 7 6 82 109 9 29 7 66 2 40 7 8 56 49 20 7 14 55 15 4 8 12 14 34 19 36 3 31 10 8 7 7 63 117 12 41 7 72 2 18 6 6 36 34 22 6 12 43 15 4 8 11 15 35 21 41 3 34 19 8 7 7 70 112 9 42 7 65 2 18 7 6 36 40 15 15 38 27 27 35 39 23 27 8 8 6 7 8 8 8 13 4 7 19 8 11 10 9 7 16 7 9 10 6 7 14 8 14 14 7 9 25 7 12 9 5 7 15 10 17 16 4 8 17 8 15 19 5 6 15 9 Apr Q 3 Actual May Q 3 Target 16 6 8 35 20 6 11 8 14 43 20 35 3 20 16 6 7 7 69 112 8 32 7 84 3 41 7 5 16 45 9 5 8 49 25 10 9 12 45 56 29 37 3 18 12 3 6 8 105 11 28 6 15 1 6 15 21 46 15 6 10 39 20 4 11 17 17 42 21 31 3 19 19 6 7 7 70 111 8 33 8 72 3 27 6 6 18 42 15 5 9 39 19 7 9 11 18 26 15 22 7 27 27 7 7 10 62 96 7 26 7 69 2 19 6 3 24 24 19 7 11 41 19 3 12 21 17 24 21 28 3 16 21 7 7 7 70 100 7 34 8 42 3 20 6 8 19 37 25 35 35 29 28 34 35 15 15 5 7 15 9 14 14 7 9 22 7 13 13 10 7 16 9 9 18 5 6 18 8 9 7 5 5 16 7 11 13 6 6 17 8 14 14 7 8 19 7 5 8 37 19 7 9 10 16 25 15 20 7 26 26 6 6 10 62 95 7 25 7 68 2 19 6 3 23 23 26
Sharing Information to Define Priorities Departmental: • Quality – Vizient, NSQIP • Access • Financial 27
Departmental: Vizient Inpatient Quality Indicator (IQI) • Volume • Mortality Patient Safety Indicator (PSI) • Pressure Ulcers • VTE • Postop Sepsis • Etc… 28
Departmental: NSQIP Mortality Morbidity • • • Ventilator >48 hrs. Unplanned reintubation VTE Sepsis Etc… 29
Scorecard Median New Patient Lag Plastic Surgery 30
Scorecard OR Cases Colorectal Surgery 31
Scorecard WRVUs (Work RVUs) Neurosurgery 32
Sharing Information to Define Priorities Individual: • Clinical Productivity • Academic Productivity • Professional Development and or Advancement 33
Diving Into Data to Improve Performance • Vizient Groupings 34
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my. POWER Report 38
Monitoring Results 39
Institutional: Vizient Rankings 40
Departmental: Access: Hitting Targets! As of 5/11 Surgery Urology Neurosurgery m. NPL Q 3 6 days 17 days 18 days m. NPL Goal Q 3 8 days 19 days 26 days 41
Departmental/Individual: Academic Research 2017: 42
Departmental/Individual: Academic Research 2017: UTMB SOM (54/139): $75, 253, 072 Departments of Surgery UTMB (27) $4, 010, 218 Baylor (28) $3, 636, 136 UT SW (53) $ 999, 566 Texas A&M (63) $ 462, 420 UTMB Surgery: Top Department in Texas 43
QUESTIONS? 44
- Slides: 44