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Brittni Makund



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  • OS24 - Evolving Approaches to Patient Care (ID 29)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/07/2017, 10:30 AM - 12:00 PM, Room 201CD

    • OS24.06 - Dashboards Driving Quality: A Focused Example Using Suicide Risk Assessments (ID 130)

      Brittni Makund, Performance Improvement, Centre for Addiction and Mental Health; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: The Centre for Addiction and Mental Health (CAMH) is Canada’s largest mental health and addictions facility. A strategic priority for CAMH is the promotion of safety, with a particular focus on the prevention of violence directed at self or others. A critical component of this strategy is focused on suicide risk prevention, with the expectation that all inpatients are screened for suicide risk within 24 hours of admission. At the time, available reporting tools were unable to communicate compliance and quality data to stakeholders, resulting in low compliance and accountability in assessing patients. Accordingly, a dashboard to monitor changes was developed as a resource to access just in time compliance data to ensure assessment completion.

      Methodology/Approach: This performance management initiative involved four phases; beginning with quality assurance audits. Phase two involved working directly with stakeholders to determine what information would be clinically meaningful. Phase three focused on the development of a manual report which provided weekly data to Managers, allowing for monitoring of compliance rates over time. The final phase of the project included the development of an online dashboard with just in time completion rates, providing flexibility for comprehensive analysis.<img alt="image1 sra ehealthj.jpg" annotation="" id="image://21" src="https://cpaper.ctimeetingtech.com/deliver_media_imagick.php?congress=ehealth2017&auth_hash=0f336be8c9cf7736527856f012e5bf6593aa3496&id=21&width=350&height=350&download=0" title="image1 sra ehealthj.jpg" />

      Finding/Results: In the second quarter of 2015/16, SRA compliance was significantly below the target of 90%, at 78% completion. The aforementioned dashboards were designed in Q3 and implemented in Q4 of 2015/16. Following dashboard launch, a increase in compliance was observed the following quarter (94%), and has remained above target since that time. <img alt="image2 sra ehealthj.jpg" annotation="" id="image://22" src="https://cpaper.ctimeetingtech.com/deliver_media_imagick.php?congress=ehealth2017&auth_hash=723007530ad2f64a8ba75ad354a1986a385bca8a&id=22&width=350&height=350&download=0" title="image2 sra ehealthj.jpg" />

      Conclusion/Implication/Recommendations: This dashboard empoweres CAMH to set new standards in safety and meaningful reporting. By aligning strategic priorities with enterprise reporting, CAMH provides stakeholders the opportunity to push measurable improvement initiatives within their areas. Future integration of agreed best practices will expand these dashboards beyond compliance, into care planning and driving a higher quality of care for CAMH patients.

      140 Character Summary: A performance management approach focused on increasing suicide risk assessment compliance rates through clinical engagement and implementation of dashboards.

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