Background In Australia, aged care and disability service providers are legally required to maintain comprehensive and accurate clinical documentation to meet regulatory and funding requirements and support safe and high-quality care provision. However, evidence suggests that poor-quality clinical data and documentation are widespread across the sector and can substantially affect clinical decision-making and care delivery and increase business costs. Objective In the Optimizing the Quality of Clinical Data in an Australian Aged Care and Disability Service to Improve Care Delivery and Clinical Outcomes (OPTIMISE) study, we aim to use an Agile Lean Six Sigma framework to identify opportunities for the optimization of clinical documentation processes and clinical information systems, implement and test optimization solutions, and evaluate postoptimization outcomes in a large postacute community-based health service providing aged care and disability services in Western Australia. Methods A 3-stage prospective optimization study will be conducted. Stage 1 (baseline [T0]) will measure existing clinical data quality, identify root causes of data quality issues across services, and generate optimization solutions. Stage 2 (optimization) will implement and test changes to clinical documentation processes and information systems using incremental Agile sprints. Stage 3 (evaluation) will evaluate changes in primary and secondary outcomes from T0 to 12 months after optimization. The primary outcome is the data quality measured in terms of defects per unit, defects per million opportunities, and Sigma level. The secondary outcomes are care delivery (direct care time), clinical incidents, business outcomes (cost of quality and workforce productivity), and user satisfaction. Case studies will be analyzed to understand the impact of optimization on clinical outcomes and business processes. Results As of June 1, 2022, stage 1 commenced with T0 data quality audits conducted to measure current data quality. T0 data quality audits will be followed by user consultations to identify root causes of data quality issues. Optimization solutions will be developed by May 2023 to inform optimization (stage 2) and evaluation (stage 3). Results are expected to be published in June 2023. Conclusions The study findings will be of interest to individuals and organizations in the health care sector seeking novel solutions to improve the quality of clinical data, support high-quality care delivery, and reduce business costs. International Registered Report Identifier (IRRID) DERR1-10.2196/39967
BACKGROUND Poor quality clinical data and documentation is widespread across the Australian aged care and disability services sector and can significantly affect clinical decision-making and care delivery. The OPTIMISE study aims to improve the quality of clinical data in a large post-acute health service providing aged care and disability services in Western Australia, through design and implementation of a novel, purpose-built clinical information system. OBJECTIVE The OPTIMISE study aims to improve the quality of clinical data in a large post-acute health service providing aged care and disability services in Western Australia, through design and implementation of a novel, purpose-built METHODS A three-stage prospective implementation study using an Agile Lean Six Sigma framework will be undertaken. Stage 1 (Pre-Implementation) will measure existing clinical data quality and identify root causes of data quality issues across the service. Stage 2 (Implementation) will design, test and implement a novel purpose-built clinical information system using incremental Agile sprints, and Stage 3 (Post-Implementation) will evaluate change in primary and secondary outcomes from baseline to 12 months after system implementation. The primary outcome is data quality measured in terms of Defects Per Unit and Defects Per Million Opportunities. Secondary outcomes are care delivery (direct care time), clinical incidents, business outcomes (cost of quality, workforce productivity), and user satisfaction. Case studies will be analysed to understand impacts of the purpose-built clinical information system on client outcomes and business processes. RESULTS As of 1 June 2022, Stage 1 is currently underway with baseline data quality audits in progress to identify current data quality and system strengths and limitations. Baseline data quality audits will be followed by user consultations to identify root causes of data quality issues. Clinical information requirements will be developed by August 2022 to inform the new system build (Stage 2) and evaluation (Stage 3). CONCLUSIONS Study findings will be of interest to individuals and organisations in the healthcare sector seeking novel technology solutions to improve the quality of clinical data and support high quality care delivery and reduce business costs. CLINICALTRIAL N/A
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