Analytics Boost Clinical Best Practices At Tampa General Hospital
A recent article in Healthcare IT covers how Tampa General Hospital used analytics to boost use of clinical best practices. Clinicians reduced one specific test order from roughly 90 per month to five – helping with antimicrobial stewardship along the way.
Tampa General Hospital was experiencing difficulty accessing analytics on orders and process workflows. Any information had to come from a custom report which took days to produce. Data wasn’t easily accessible and sometimes led to more questions which put the same time-consuming cycle in motion.
This process placed an enormous burden on the business intelligence team. They had to endlessly produce report after report so that staff could continue improving hospital quality.
The ultimate goal was to improve sepsis protocol compliance and identify and eliminate outdated order sets in seconds rather than days or weeks.
Doctor Peter Chang, MD, Chief Medical Informatics Officer at Tampa General Hospital, and his team decided to accomplish this with the help of LogicStream Health’s analytics software.
MEETING THE CHALLENGE
Tampa General uses the analytics software primarily for clinical process improvement.
With the software, staff can delve into ordering and workflow patterns and review data in near-real time. This improves lagging outcomes by implementing and managing process measure best practices.
Multiple staff departments can also use a utilization management program in the software to track ordering and alerting trends. For example, order sets can be ranked based on use frequency and engage with clinicians to minimize variability around best practices.
Analytics software helped Tampa General comply with sepsis protocols.
The analytics software built a patient population based on a sepsis alert order built into the EHR. This population helps staff analyze how well clinical alerts were followed and if the correct orders were used.
LogicStream Health software also helps staff see individual response rates to clinical alerts. This identifies those who accept and react to alerts and those who ignore them. This provides staff with information to council clinicians, refine alerts, prevent alert fatigue and minimize workflow disruption.
The analytics software helped Tampa General identify and eliminate outdated order sets.
Even if an order set is published, clinical care and guidelines can certainly change over time. Tampa General uses LogicStream to review the most popular order sets and analyze the ordering patterns from those order sets.
They are also are able to examine order sets that are not frequently used and decide if the order sets should be modified or removed from production. Currently, Tampa General is in the process of developing a review structure across all specialties to help us expediently reach our quality goals. This feat wouldn’t have been possible just a couple of years ago.
The number of test orders decreased from roughly 90 per month to 5 per month, and the C. diff rate decreased by 50 percent in one month.
Tampa General saw a significant increase in usage of the sepsis order set and compliance with orders placed. Clinicians are also responding to alerts in a timely manner. This prevents septic patients from developing severe sepsis, creating a decline in sepsis mortality.
LogicStream Health also helped the hospital improve quality with Clostridium difficile (C. diff). Tampa General first identified and eliminated multiple versions of the C. diff order set. This allowed them to standardize the workflow very quickly and ensure appropriate lab test utilization.
Finally, the software supports Tampa General’s antimicrobial stewardship efforts, since clinicians no longer are ordering antibiotics for false-positive cases.