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Development, implementation and user experience of the Veterans Health Administration (VHA) dialysis dashboard.

Publication ,  Journal Article
Fischer, MJ; Kourany, WM; Sovern, K; Forrester, K; Griffin, C; Lightner, N; Loftus, S; Murphy, K; Roth, G; Palevsky, PM; Crowley, ST
Published in: Bmc Nephrol
April 16, 2020

BACKGROUND: Adults with end-stage renal disease (ESRD) requiring chronic dialysis continue to suffer from poor health outcomes and represent a population rightfully targeted for quality improvement. Electronic dashboards are increasingly used in healthcare to facilitate quality measurement and improvement. However, detailed descriptions of the creation of healthcare dashboards are uncommonly available and formal inquiry into perceptions, satisfaction, and utility by clinical users has been rarely conducted, particularly in the context of dialysis care. Therefore, we characterized the development, implementation and user experience with Veterans Health Administration (VHA) dialysis dashboard. METHODS: A clinical-quality dialysis dashboard was implemented, which displays clinical performance measures (CPMs) for Veterans with ESRD receiving chronic hemodialysis at all VHA facilities. Data on user experience and perceptions were collected via an e-mail questionnaire to dialysis medical directors and nurse managers at these facilities. RESULTS: Since 2016 the dialysis dashboard reports monthly on CPMs for approximately 3000 Veterans receiving chronic hemodialysis across 70 VHA dialysis facilities. Of 141 dialysis medical directors and nurse managers, 61 completed the questionnaire. Sixty-six percent of respondents did not find the dashboard difficult to access, 64% agreed that it is easy to use, 59% agreed that its layout is good, and the majority agreed that presentation of data is clear (54%), accurate (56%), and up-to-date (54%). Forty-eight percent of respondents indicated that it helped them improve patient care while 12% did not. Respondents indicated that they used the dialysis dashboard for clinical reporting (71%), quality assessment/performance improvement (QAPI) (62%), and decision-making (23%). CONCLUSIONS: Most users of the VHA dialysis dashboard found it accurate, up-to-date, easy to use, and helpful in improving patient care. It meets diverse user needs, including administrative reporting, clinical benchmarking and decision-making, and quality assurance and performance improvement (QAPI) activities. Moreover, the VHA dialysis dashboard affords national-, regional- and facility-level assessments of quality of care, guides and motivates best clinical practices, targets QAPI efforts, and informs and promotes population health management improvement efforts for Veterans receiving chronic hemodialysis.

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Published In

Bmc Nephrol

DOI

EISSN

1471-2369

Publication Date

April 16, 2020

Volume

21

Issue

1

Start / End Page

136

Location

England

Related Subject Headings

  • Veterans Health
  • Urology & Nephrology
  • United States Department of Veterans Affairs
  • United States
  • Renal Dialysis
  • Quality Improvement
  • Quality Assurance, Health Care
  • Patient Care
  • Outcome Assessment, Health Care
  • Medical Informatics
 

Citation

APA
Chicago
ICMJE
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Fischer, M. J., Kourany, W. M., Sovern, K., Forrester, K., Griffin, C., Lightner, N., … Crowley, S. T. (2020). Development, implementation and user experience of the Veterans Health Administration (VHA) dialysis dashboard. Bmc Nephrol, 21(1), 136. https://doi.org/10.1186/s12882-020-01798-6
Fischer, Michael J., Wissam M. Kourany, Karen Sovern, Kurt Forrester, Cassandra Griffin, Nancy Lightner, Shawn Loftus, et al. “Development, implementation and user experience of the Veterans Health Administration (VHA) dialysis dashboard.Bmc Nephrol 21, no. 1 (April 16, 2020): 136. https://doi.org/10.1186/s12882-020-01798-6.
Fischer MJ, Kourany WM, Sovern K, Forrester K, Griffin C, Lightner N, et al. Development, implementation and user experience of the Veterans Health Administration (VHA) dialysis dashboard. Bmc Nephrol. 2020 Apr 16;21(1):136.
Fischer, Michael J., et al. “Development, implementation and user experience of the Veterans Health Administration (VHA) dialysis dashboard.Bmc Nephrol, vol. 21, no. 1, Apr. 2020, p. 136. Pubmed, doi:10.1186/s12882-020-01798-6.
Fischer MJ, Kourany WM, Sovern K, Forrester K, Griffin C, Lightner N, Loftus S, Murphy K, Roth G, Palevsky PM, Crowley ST. Development, implementation and user experience of the Veterans Health Administration (VHA) dialysis dashboard. Bmc Nephrol. 2020 Apr 16;21(1):136.
Journal cover image

Published In

Bmc Nephrol

DOI

EISSN

1471-2369

Publication Date

April 16, 2020

Volume

21

Issue

1

Start / End Page

136

Location

England

Related Subject Headings

  • Veterans Health
  • Urology & Nephrology
  • United States Department of Veterans Affairs
  • United States
  • Renal Dialysis
  • Quality Improvement
  • Quality Assurance, Health Care
  • Patient Care
  • Outcome Assessment, Health Care
  • Medical Informatics