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Development and Implementation of ExPLORE Clinical Practice, a Web-accessible Comparative Outcomes Tool for
Peter D McNair1, Jade Fang2, Stephan Schwarzwaelder1
1Palo Alto Medical Foundation Research Institute.
EGEMS (Washington, DC)
|April 8, 2015
Summary
Clinicians now have access to ExPLORE Clinical Practice, a tool offering granular, peer-comparative outcomes data to enhance patient care quality. This system facilitates local quality improvement discussions and peer advice for better clinical results.
Area of Science:
- Health Services Research
- Clinical Informatics
- Quality Improvement
Background:
- Clinicians lack specific data on their care outcomes and comparisons with peers.
- Existing quality indicators are often hospital-wide and not relevant to individual practices.
- Effective quality improvement requires granular, clinically specific feedback and peer-mediated advice.
Purpose of the Study:
- To report on the development and implementation of ExPLORE Clinical Practice, a web-based tool for comparative outcomes analysis.
- To provide hospitals and clinicians in California with actionable data for improving patient care.
Main Methods:
- Iterative development and refinement of web-based comparative outcome reporting tools.
- Creation of procedure-patient outcome pairs tailored to specific medical specialties.
- Incorporation of a comments section for interpreting results and linking them to successful clinical strategies.
Main Results:
- 76 reports are currently available, comparing individual California hospitals to statewide outcomes.
- Each report includes 115 to 251 statistically evaluated outcomes.
- The system provides electronic access to comparative data for quality improvement.
Conclusions:
- ExPLORE Clinical Practice leverages data to improve patient outcomes through specific measures and user-friendly design.
- The system supports local quality improvement initiatives and peer-to-peer advice generation.
- Advances in data utilization are crucial for supporting clinicians in enhancing patient care.
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