907 / Hospital dashboard: a strategic tool for improving citizens'involvement

ITALY
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Communication
Other There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
1. Implementation of a directional dashboard as a fundamental tool for planning and scheduling process in the Ospedale Maggiore di Crema (Italy) and for collecting and communicating to workers and citizens/patients the results achieved in terms of quality of care.
2. to identify the key success factors of the health care organization and related set of performance measures;
3. to help make the vision and the strategy clear, contributes to communicate and link strategic objectives and measures, shows the results obtained and promotes strategic feeback and learning;
4. to communicate clinical results and information to citizens in a usable and understandable way.
Description of the Patient Safety Practice
 
Background
Health Care administrators are implementing modern management tools in their organizations oriented to link strategic and short-term action planning (i.e. balanced scorecard).

Content
We describe the implementation of the directional dashboard as a fundamental tool for planning and scheduling process in the Ospedale Maggiore di Crema (Lombardia Region, Italy) and for collecting and communicating to workers and citizens/patients the results achieved in terms of quality of care.
We have identified the key success factors of the health care organization and related set of performance measures.
According to the indications of Agenas we have collected the results of the indicators in the following areas:
1) accessibility and usability of services
2) appropriateness of care processes
3) outcome
4) economic efficiency
5) organizational efficiency
6) involvement of citizens.
For every area we have identified some indicators ( n.161) that represent the results obtained over time.
Many of these indicators regard quality and safety of care (i.e. timely executions of surgical procedures or medications -PTCA, antibiotic therapy in pneumonia- mortality and morbidity of AMI and stroke, hospital infections and so on).
Equal importance has been given to the economic aspects to demonstrate the correct use of the economic resources to the stakeholders. If available, indicators are chosen between AHRQ, AGenAS, Regione Lombardia indicators.
The report is periodically spread to the whole hospital and to the citizens. This practice helps make the vision and the strategy clear, contributes to communicate and link strategic objectives and measures, shows the results obtained and promotes strategic feeback and learning.
Particular importance is given to communicate clinical results and information in a usable and understandable way.
At this stage of implementation citizens/patients were not involved
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
There is no specified text here
There is no specified text here
There is no specified text here
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Not relevant
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
No
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Nurses
Pharmacists
Economist
Administrative support (secretary, clerk, receptionist etc.)
Clinical manager
Quality manager
Risk manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
No
Short description of the service users' level of involvement
Not known
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
http://buonepratiche.agenas.it/practicesedit.aspx?id=4396
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Other
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
Yes
Total number of person days required to implement this Patient Safety Practice
Clinical staff: 0
External consultants: 0
Support staff: 0
Managerial staff: 0
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 0
External consultants: 0
Support staff: 0
Managerial staff: 0
Others: 0
Not relevant: 0
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
14789.32
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: FRANCESCA GIPPONI - ROBERTO SFOGLIARINI
Country: ITALY
Organisation: A.O. OSPEDALE MAGGIORE - CREMA
E-mail: qualita@hcrema.it
Phone: 0373/280865-280727
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