Improving Health Care Management in Hospitals Through a Productivity Dashboard

Health information systems have been developed to help hospital managers steer daily operations, including key performance indicators (KPIs) for monitoring on a time-aggregated basis. Yet, current literature lacks in proposals of productivity dashboards to assist hospitals stakeholders. This research focuses on two related problems: (1) hospital organizations need access to productivity information to improve access to services; and (2) managers need productivity information to optimize resource allocation. This research consists in the development of dashboards to monitor information obtained from a hospital organization to support decision makers. To develop and evaluate the productivity dashboard, the Design Science Research (DSR) methodology was adopted. The dashboard was evaluated by stakeholders of a large Portuguese hospital who contributed to iteratively improving its design toward a useful decision support tool. Additionally, it was ascertained that monitoring productivity needs more study and that the dashboards on these themes are valuable assets at a monitoring level and subsequent decision-making process.

[1]  Marie T. Egan,et al.  Clinical Dashboards: Impact on Workflow, Care Quality, and Patient Safety , 2006, Critical care nursing quarterly.

[2]  K. Marsolo,et al.  Applications of Business Analytics in Healthcare. , 2014, Business horizons.

[3]  Shusaku Tsumoto,et al.  Estimation of Service Quality of a Hospital Information System Using a Service Log , 2014, Rev. Socionetwork Strateg..

[4]  Riad Alharbey,et al.  Predictive Analytics Dashboard for Monitoring Patients in Advanced Stages of COPD , 2016, 2016 49th Hawaii International Conference on System Sciences (HICSS).

[5]  Jennifer G Stadler,et al.  Improving the Efficiency and Ease of Healthcare Analysis Through Use of Data Visualization Dashboards , 2016, Big Data.

[6]  J S Rakich,et al.  The Balanced Scorecard in Healthcare Organizations: A Performance Measurement and Strategic Planning Methodology , 2001, Hospital topics.

[7]  Xiaoni Zhang,et al.  Bi Application: Dashboards for Healthcare , 2011, AMCIS.

[8]  William A. Mattingly,et al.  Real-time enrollment dashboard for multisite clinical trials , 2015, Contemporary clinical trials communications.

[9]  Nadim Anani,et al.  Integrated information visualization to support decision making for use of antibiotics in intensive care: design and usability evaluation , 2013, Informatics for health & social care.

[10]  Reza Safdari,et al.  Development of Performance Dashboards in Healthcare Sector: Key Practical Issues , 2015, Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH.

[11]  Paulo Cortez,et al.  Business intelligence in banking: A literature analysis from 2002 to 2013 using text mining and latent Dirichlet allocation , 2015, Expert Syst. Appl..

[12]  N. Black,et al.  Health care productivity , 2006, BMJ : British Medical Journal.

[13]  Vickie Nguyen,et al.  Dashboard visualizations: Supporting real-time throughput decision-making , 2017, J. Biomed. Informatics.

[14]  Miguel de Castro Neto,et al.  European benchmarking in healthcare: Analysis by country with highlight on Portugal , 2017, 2017 12th Iberian Conference on Information Systems and Technologies (CISTI).

[15]  Ashish Jha,et al.  Hospital governance and the quality of care. , 2010, Health affairs.

[16]  M. Marks,et al.  A proposed dashboard for pediatric hospital medicine groups. , 2012, Hospital pediatrics.

[17]  Monica Chiarini Tremblay,et al.  Using the dashboard technology properly. , 2008, Health progress.

[18]  Wayne W. Eckerson Performance Dashboards: Measuring, Monitoring, and Managing Your Business , 2005 .

[19]  Jose Carlos Caiado,et al.  Business intelligence admission to hospital emergency , 2013, 2013 8th Iberian Conference on Information Systems and Technologies (CISTI).

[20]  Bernhard E. Riecke,et al.  Visual Analytics for Public Health: Supporting Knowledge Construction and Decision-Making , 2013, 2013 46th Hawaii International Conference on System Sciences.

[21]  Andy Koronios,et al.  Data Quality for Emergency Department BI Dashboard , 2010, ICE-B 2010.

[22]  Detlev Smaltz,et al.  The operating room dashboard. , 2010, The Journal of surgical research.

[23]  Wanda Presthus,et al.  Business Intelligence to the People. A Case Study of Dashboard Adoption in the Health Care sector , 2015 .

[24]  Niels Martin,et al.  Developing an emergency department crowding dashboard: A design science approach. , 2017, International emergency nursing.

[25]  Bruce McLeod,et al.  Matching capacity to demand: a regional dashboard reduces ambulance avoidance and improves accessibility of receiving hospitals. , 2010, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[26]  P. Silva,et al.  Hospital database workload and fault forecasting , 2012, 2012 IEEE-EMBS Conference on Biomedical Engineering and Sciences.

[27]  Mostafa Langarizadeh,et al.  Evaluation of Effective Dashboards: Key Concepts and Criteria , 2017, The open medical informatics journal.

[28]  Maribel Yasmina Santos,et al.  A data-driven analytics approach in the study of pneumonia's fatalities , 2015, 2015 IEEE International Conference on Data Science and Advanced Analytics (DSAA).

[29]  Markus Stout,et al.  Real-Time Electronic Dashboard Technology and Its Use to Improve Pediatric Radiology Workflow. , 2018, Current problems in diagnostic radiology.

[30]  Christopher M. McDermott,et al.  Hospital operations and length of stay performance , 2007 .

[31]  Jim Ryan,et al.  Key Performance Indicators across the Perioperative Process: Holistic Opportunities for Improvement via Business Process Management , 2017, HICSS.

[32]  Guy Paré,et al.  Motivations underlying the adoption of ERP systems in healthcare organizations: Insights from online stories , 2014, Inf. Syst. Frontiers.

[33]  Anne M. Stack,et al.  Development, Implementation, and Use of an Emergency Physician Performance Dashboard , 2017 .

[34]  CortezPaulo,et al.  Business intelligence in banking , 2015 .

[35]  Jean-Pierre Kuilboer,et al.  The Impact of Business Intelligence on Healthcare Delivery in the USA , 2014 .

[36]  Jean Gordon,et al.  Continuous Improvement in the Management of Hospital Wards: The Use of Operational Dashboards , 2013 .

[37]  Martin Henkel,et al.  Value and goal modelling in healthcare , 2007 .

[38]  Steve Wexler,et al.  The Big Book of Dashboards: Visualizing Your Data Using Real-World Business Scenarios , 2017 .

[39]  Tobias Knabke,et al.  The Impact of In-Memory Technology on the Agility of Data Warehouse-based Business Intelligence Systems - a preliminary Study among Experts , 2015, Wirtschaftsinformatik.

[40]  Jim Ryan,et al.  A Balanced Perspective to Perioperative Process Management Aligned to Hospital Strategy , 2014, Int. J. Heal. Inf. Syst. Informatics.

[41]  Tobias Mettler,et al.  Understanding business intelligence in the context of healthcare , 2009, Health Informatics J..

[42]  Zahra Kavosi,et al.  Key performance indicators in hospital based on balanced scorecard model , 2016 .

[43]  Alan R. Hevner,et al.  Design Science in Information Systems Research , 2004, MIS Q..

[44]  I. Pike,et al.  Interactive Dashboards : Using Visual Analytics for knowledge Transfer and Decision Support , 2013 .

[45]  Jun Sun,et al.  Understanding health information technology adoption: A synthesis of literature from an activity perspective , 2015, Inf. Syst. Frontiers.

[46]  Cole Nussbaumer Knaflic,et al.  Storytelling with Data: A Data Visualization Guide for Business Professionals , 2015 .

[47]  Howard M Hill Measuring productivity in bioanalysis. , 2012, Bioanalysis.

[48]  Julie Fisher,et al.  Improving service of online health information provision: A case of usage-driven design for health information portals , 2014, Information Systems Frontiers.

[49]  G. Nelson The Healthcare Performance Dashboard : Linking Strategy to Metrics , 2010 .

[50]  Larry A. Mallak DPM and DFID: Interactive tools for evidence-based decision making , 2009, PICMET '09 - 2009 Portland International Conference on Management of Engineering & Technology.

[51]  Bay Arinze A model for delivering smart healthcare using patient-facing dashboards, Clinical DSS and Electronic Health Records , 2014, 2014 IEEE 27th Canadian Conference on Electrical and Computer Engineering (CCECE).

[52]  Andrew Sharpe,et al.  The Measurement of Output and Productivity in the Health Care Sector in Canada: An Overview , 2007 .

[53]  Brian E. Dixon,et al.  An informatics approach to medication adherence assessment and improvement using clinical, billing, and patient-entered data , 2014, J. Am. Medical Informatics Assoc..

[54]  James P. McGlothlin,et al.  Improving patient care through analytics , 2016, 2016 4th International Symposium on Computational and Business Intelligence (ISCBI).

[55]  Sotiris Pavlopoulos,et al.  Using key performance indicators as knowledge-management tools at a regional health-care authority level , 2005, IEEE Transactions on Information Technology in Biomedicine.

[56]  Daniel Kartawiguna,et al.  Evaluation of radiology data warehouse implementation on education, research, and quality assurance , 2016, 2016 International Conference on Information Management and Technology (ICIMTech).

[57]  Danu Pranantha,et al.  Development of dashboard for hospital logistics management , 2010, 2010 IEEE Conference on Open Systems (ICOS 2010).

[58]  C. Aydin,et al.  Leveraging Nurse‐related Dashboard Benchmarks to Expedite Performance Improvement and Document Excellence , 2005, The Journal of nursing administration.

[59]  Yiannis Koumpouros,et al.  Balanced scorecard: application in the General Panarcadian Hospital of Tripolis, Greece. , 2013, International journal of health care quality assurance.

[60]  I. James,et al.  Clinical dashboard: use in older adult mental health wards , 2013 .

[61]  Ramin Khorasani,et al.  Business Intelligence Tools for Radiology: Creating a Prototype Model Using Open-Source Tools , 2010, Journal of Digital Imaging.