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Health Information Technology (HIT)
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Using Participatory Design to Engage Physicians in the Development of a Provider-Level Performance Dashboard and

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    Developing effective performance feedback systems for clinicians requires a focus on collaborative improvement. Physicians prefer patient-centered metrics and internal motivation for meaningful engagement with quality improvement tools.

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    Area of Science:

    • Healthcare Quality Improvement
    • Health Informatics
    • Medical Education

    Background:

    • Performance feedback systems are crucial for quality improvement in healthcare.
    • Practical guidance for developing these feedback systems is limited.
    • This study addresses the need for a structured approach to feedback system development.

    Purpose of the Study:

    • To develop a practical performance dashboard and feedback system for hospitalist physicians.
    • To explore physician preferences regarding feedback design, metrics, and incentives.
    • To identify behavior change interventions for enhancing dashboard engagement.

    Main Methods:

    • Utilized participatory design methodology with 20 hospitalist physicians.
    • Conducted six design sessions and two surveys to gather input.
    • Applied the Capability Opportunity Motivation and Behavior (COM-B) model for intervention planning.

    Main Results:

    • Physicians favored collaborative approaches and internal motivation over competition and external incentives.
    • Preferred feedback tools for clinical practice improvement, not punitive measures.
    • Found clinical and patient-centered metrics most motivating for behavior change.

    Conclusions:

    • A performance dashboard was developed and piloted with hospitalists.
    • Ongoing evaluation monitors engagement and physician attitudes.
    • Future steps include targeted feedback interventions to enhance performance.