Development of Performance Tracking for a Pediatric Hospitalist Division

Abstract

We describe a systematic approach to the development of performance indicators for a pediatric hospitalist division that can be used to measure performance on a division and physician level. We outline steps to develop a broad-spectrum quality tracking process to standardize clinical care and build invaluable resources for quality improvement research.

The Creation of a Pediatric Hospital Medicine Dashboard: Performance Assessment for Improvement

“…Finally, the utility of our dashboard is limited by the current lack of evidence and consensus for quality metrics as well as benchmarks within PHM that lead to improvement in health outcomes. 22,[27][28][29][30][31][32] We anticipate that this will also be the largest barrier to PHM-wide dashboard implementation. In addition, this lack of performance benchmarks limits conversations with hospital administrations regarding the value that we add.…”

“…20,21 Although previous publications have demonstrated tracking quality metrics, core measures, and/or value-added activities, there are no publications of PHM groups implementing a dashboard that follows the broad range of metrics recommended by the PHM Dashboard Committee or tracks measures across multiple sites. 7,22,23 Our division meets regularly with the administrations of our hospital partners to assess the program but found we were limited to reviewing a narrow set of productivity metrics. We therefore aimed to create a dashboard including a broad range of metrics that we could use to inform our division and key stakeholders, including hospital administrations, about our work.…”