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NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

Assessment 1: Dashboard Metrics Evaluation


Capella University

FPX 6004

Professor’s Name

December, 2023

Dashboard Metrics Evaluation

In evaluating the diabetic patient dashboard at Mercy Medical Center, a critical examination of key performance metrics is paramount to gauge its efficacy against established standards. Globally, healthcare organizations are steadfastly engaged in quality and safety initiatives, aligning their programs with national, state, and federal benchmarks. The adherence to stringent governmental standards, notably the Health Insurance Portability and Accountability Act (HIPAA), is imperative in the pursuit of healthcare goals. By scrutinizing the dashboard’s strengths and weaknesses, this study aims to contribute insights that go beyond mere compliance, fostering an environment that not only meets regulatory requirements but also enhances the overall quality of care provided to diabetic patients (Twohig et al., 2019). The comprehensive assessment will provide valuable data to refine and optimize the dashboard, ensuring it aligns seamlessly with healthcare best practices and contributes meaningfully to patient outcomes.

Evaluation of Dashboard Metrics

Analyzing data from Mercy Medical Center in Shakopee City reveals a total of 36,192 individuals, including 17,957 males and 18,235 females. The city has a diverse cultural population, with 28,537 identified as whites, 2,890 as Hispanics, and 433 as Indians. The medical center, known for its good reputation, has a dedicated workforce of 433 highly experienced professionals who have conducted 4,627 surgeries, with a consistent influx of patient visits. Despite these positive aspects, concerns arise when examining the dashboard metrics against benchmarks. Notably, there’s a significant decline in HgbA1c exams over observed quarters, a crucial measure for monitoring diabetes control. This consistent underperformance raises concerns about the quality of care, as documented in 2019 and 2020. Additionally, the low rate of foot exams, important in preventing diabetes-related complications, is a significant cause for worry. While eye exams show some fluctuation, they remain relatively higher compared to foot and HgbA1c exams. The dataset lacks sufficient information to comprehensively address the performance of new diabetes patients, posing a challenge in evaluating metrics.

Fluctuations in Dashboard Metrics

Concerns arise from Mercy Medical Center’s dashboard data, specifically regarding fluctuations in two vital metrics: foot examinations and HgbA1c tests. These metrics are crucial for evaluating diabetes levels in patients and preventing its escalation through timely healthcare services (Seyedi et al., 2023). Notably, the National Healthcare Quality and Disparity Report (NHQDR) sets a benchmark of 84% for foot examinations. However, in 2019 and 2020, only 40.8% and 41.3% of 563 patients underwent this examination, falling well below the national benchmark. Similarly, the HgbA1c test, with a national benchmark of 79.5% in 2020, contrasts sharply with Mercy Medical Center’s performance at 48.3%. These disparities are significant, given the influence of local, state, and federal healthcare policies like the California Diabetes Prevention and Control Program (CDPCP) and Merit-based Incentive Payment (MIPS), which establish benchmarks for diabetes management. It is crucial to address gaps in information, such as data accuracy and metric relevance, to prevent misinterpretations that may hinder effective healthcare practices.

Addressing Gaps in Dashboard Benchmark Evaluation

Ensuring a meaningful evaluation of benchmarks requires addressing gaps in information that could affect the accuracy and relevance of metrics. These gaps involve making results comparable, choosing appropriate benchmarks, and understanding how tests impact health outcomes (Fareed et al., 2021). Filling these gaps is vital to prevent misleading assessments of diabetes test performance and improve overall healthcare practices. Further research and consultation with relevant regulatory bodies are crucial to ensure a thorough and accurate evaluation of the organization’s performance. By taking these steps, we can enhance the reliability of benchmark assessments and contribute to more effective healthcare practices that better serve the needs of patients.

Analysis of Staffing as a Challenge of Meeting Prescribed Benchmarks

Having a well-qualified and adequate medical staff is crucial for medical facilities, especially in managing conditions like diabetes. At Mercy Medical Center, the level of staffing proves to be a critical factor that impacts the achievement of recommended diabetes test benchmarks. Difficulties in recruiting and keeping qualified medical professionals may result in a shortage of trained individuals responsible for conducting vital diabetes tests (Drake et al., 2020). This shortage can cause delays in the medical center’s ability to meet national benchmarks, affecting the timely and effective management of diabetes among patients. Addressing challenges related to staffing is essential for ensuring that medical facilities can consistently provide the necessary care and meet the established standards for diabetes testing.

Consequences of Benchmark Non-Compliance

Not reaching set benchmarks in healthcare organizations, as seen in the Mercy Medical Center data, has significant consequences affecting care quality, patient outcomes, and the institution’s reputation. Especially in HgbA1c and foot exams, missing benchmarks can result in delayed diagnoses, worsening health issues, higher healthcare costs, and lower patient satisfaction (Kundury & Hathur, 2020). This failure impacts both the clinical and operational aspects of the organization. In the regulated healthcare environment, falling short of benchmarks can lead to legal and regulatory challenges. The underlying assumption in this analysis suggests that improving benchmark performance is linked to better care quality, improved patient outcomes, a stronger organizational reputation, and the establishment of a sustainable healthcare system. Recognizing and addressing these challenges is vital for healthcare organizations to provide high-quality care, satisfy patient needs, and maintain a positive reputation within the healthcare community.

Evaluation of Benchmark Underperformance

Mercy Medical Center faces a challenge in meeting benchmarks for diabetes care, specifically in foot examinations and HgbA1c tests, with a benchmark under 45, contrasting with a higher national standard. Following the national benchmark aligns with the goal of offering better patient care, leading to improved outcomes by controlling foot ulcers and managing glycemic levels. The interprofessional team at Mercy Medical Center plays a crucial role in enhancing patient care, as seen in the observed underperformance in the dashboard from 2019 to 2020. Efficient training and adherence to National Healthcare Quality and Disparity Report (NHQDR) guidelines can significantly contribute to improved performance in conducting necessary pre-diagnosis tests (AHRQ, 2021)  (Keller et al., 2022). The consequences of benchmark underperformance go beyond impacting community trust; they also affect funding and patient access to care (Khan et al., 2021). Implementing evidence-based practices presents a substantial opportunity to enhance quality, performance, and health outcomes, addressing the challenges faced by Mercy Medical Center in diabetes care.

Addressing Underperformance in Foot Exams for Enhanced Quality and Performance

A key area of improvement identified in the Mercy Medical Center dataset centers around the low rate of foot exams. These exams are crucial for detecting early signs of foot complications in diabetes patients, and neglecting them can lead to severe health issues. Elevating the rate of foot exams to meet established benchmarks presents a significant opportunity for enhancing the well-being of diabetic patients (Kurz et al., 2022). Addressing the underperformance in foot exams emerges as a compelling strategy, promising not only improved quality of care but also better patient outcomes and substantial financial benefits. These improvements collectively contribute to an overall enhancement in Mercy Medical Center’s performance, reinforcing its commitment to providing comprehensive and effective healthcare for individuals with diabetes.

Ethical Actions to Address Underperformance

In assessing dashboard benchmarks at Mercy Medical Center, putting ethical actions at the forefront is crucial. Stakeholders, including therapists, clinicians, and nutritionists, need to follow the ethical code of healthcare practice to enhance high-quality patient care for diabetes control. Regardless of cultural diversity, transparency, fairness, and accountability are vital. Healthcare policies should be crafted to guide practices and ensure alignment with national benchmarks (Cooney & Kipperman, 2023). Taking a proactive approach, screenings for patients help address underperformance issues and uphold ethical standards. Ethical responsibility goes beyond diagnosis and treatment; it also emphasizes preventive measures, highlighting the importance of regular foot exams for diabetic patients. Sustainable actions involve establishing standardized protocols, implementing training programs, and monitoring performance to ensure accountability (Makokha et al., 2022). Guided by ethical principles, these actions empower patients to make informed decisions about their healthcare, fostering a culture of continuous improvement and patient-centered care.

NHS FPX 6004 Assessment 1: Dashboard Metrics Evaluation Conclusion

In assessing how Mercy Medical Center performs against healthcare benchmarks in diabetes care, a crucial priority arises to improve patient outcomes and uphold the organization’s reputation. Addressing underperformance in benchmarks, especially in foot exams, stands as a key opportunity to enhance the quality of care and ensure the organization’s long-term success. This study emphasizes the importance of maintaining high standards to achieve the best possible outcomes for patients and to establish sustained success for Mercy Medical Center. The focus on remedying underperformance in benchmarks reflects a commitment to ongoing improvement, ultimately benefiting both the organization and the individuals it serves.

NHS FPX 6004 Assessment 1: Dashboard Metrics Evaluation References

Cooney, K., & Kipperman, B. (2023). Ethical and practical considerations Associated with companion animal euthanasia. Animals, 13(3), 430.

Drake, H., Kheiri, A., Özcan, E., & Burke, K. (2020). Recent advances in selection hyper-heuristics. European Journal of Operational Research, 285(2), 405–428.

Fareed, N., Swoboda, M., Chen, S., Potter, E., Wu, Y., & Sieck, J. (2021). U.S. COVID-19 State government public dashboards: An expert review. Applied Clinical Informatics, 12(02), 208–221.

Keller, C., Caballero, M., Tamma, D., Miller, A., Dullabh, P., Ahn, R., Shah, V., Gao, Y., Speck, K., Cosgrove, E., & Linder, A. (2022). Assessment of changes in visits and antibiotic prescribing during the agency for healthcare research and quality safety program for improving antibiotic use and the COVID-19 pandemic. JAMA Network Open, 5(7), e2220512–e2220512.

Khan, S., Dogra, R., Miriyala, V., Salman, U., Ishtiaq, R., Patti, K., Kumar, A., Sandho, G., Jacob, K., Luthra, K., Sharma, R., Ravikumar, R., Edara, D., Pittampalli, S., Sood, D., Khatri, V., Mahajan, V., Avasthi, S., Auoad, A., & Katragadda, S. (2021). Clinical characteristics and outcomes of patients with CoronaVirus Disease 2019 (COVID-19) at Mercy Health Hospitals, Toledo, Ohio. PLOS ONE, 16(4), e0250400.

Kundury, K., & Hathur, B. (2020). Intervention through a short messaging system (SMS) and phone call alerts reduced HbA1C levels in ~47% type-2 diabetics–results of a pilot study. PLOS ONE, 15(11), e0241830.

Kurz, E., Schwesig, R., Pröger, S., Delank, S., & Bartels, T. (2022). Foot tapping and unilateral vertical jump performance in athletes after knee surgery: an explorative cross-sectional study. BMC Sports Science, Medicine and Rehabilitation, 14(1).

Makokha, P., Ondondo, O., Kimani, K., Gachuki, T., Basiye, F., Njeru, M., Junghae, M., Downer, M., Umuro, M., Mburu, M., & Mwangi, J. (2022). Enhancing accreditation outcomes for medical laboratories on the strengthening laboratory management toward accreditation programme in Kenya via a rapid results initiative. African Journal of Laboratory Medicine, 11(1).

Seyedi, S., Griner, E., Corbin, L., Jiang, Z., Roberts, K., Iacobelli, L., Milloy, A., Boazak, M., Rad, B., Abbasi, A., Cotes, O., & Clifford, D. (2023). Using HIPAA (Health Insurance Portability and Accountability Act)–compliant transcription services for virtual psychiatric interviews: Pilot comparison study. JMIR Mental Health, 10(1), e48517.

Twohig, A., Rivington, R., Gunzler, D., Daprano, J., & Margolius, D. (2019). Clinician dashboard views and improvement in preventative health outcome measures: A retrospective analysis. BMC Health Services Research, 19(1).

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