Reporting & Analytics

Report on Critical Success Factors

CareSelect Imaging includes a set of reporting tools that easily allow users to collect and analyze decision support data including benchmarking, impact data and quality improvement. CareSelect Imaging reporting includes four baseline reports designed to benchmark critical success metrics for the implementation of decision support. The easy to use reports track critical metrics including order appropriateness, decision support detail, impact and red-rate.

Organizations can use CareSelect Imaging reporting to answer vital questions, such as which providers are ordering inappropriate studies frequently, which users are following the clinical decision support (CDS) recommendations, and how many orders are changed because of decision support feedback.

Optimize Guideline Delivery

CareSelect Imaging generates valuable impact data which is published to the reporting package and can be integrated into a broader enterprise analytics program.
Each report has been specifically designed to enable a successful CareSelect Imaging implementation and is presented in a personalized, intuitive dashboard.
CareSelect Imaging data can be incorporated into comprehensive population health management strategies, value based payment models and clinical quality improvement initiatives.

CareSelect Imaging can reduce variance in clinical practice patterns and identify gaps in care to improve outcomes. When providers establish a standard of care using evidence ­based best practices and routinely evaluate and benchmark against those standards using CareSelect Imaging Reporting and Analytics, organizations can target key opportunities for outcome improvements.

Reporting for Every Day Use

CareSelect Imaging reporting tools enable users to track the impact of clinical guidelines on order appropriateness and to open up valuable clinical dialogues to continuously improve guideline delivery and quality.

The reports can be easily tailored around a variety of parameters including modality, clinical topics, and provider groups. Healthcare providers can create a culture of continuous improvement by incorporating data driven metrics created specifically to track the success with guideline delivery.

All of the decision support interaction data recorded by CareSelect Imaging is always available within the EMR and enterprise analytics platforms, while CareSelect Imaging Reporting offers on demand access to key tracking metrics that enable healthcare providers to routinely monitor critical success factors.

Decision Support Steering Committee

Change management is a crucial part of any CareSelect Imaging project. A team of clinical and operational leadership, should lead the change management process and should be responsible for driving implementation strategy and ensuring that clinical, quality, and operational targets are met.

Benchmark Provider Interaction Levels

Once the project leadership is identified, it is important to understand how providers are interacting with the system. The main workflow change introduced by CareSelect Imaging involves replacing a free text Reason for Exam (RFE) with a searchable list of structured reasons for exam for imaging tests.

With over 3000 clinical indications contained within CareSelect Imaging and the potential to add more when necessary per site, these structured RFEs ensure that an exam is properly coded up front, and provide the furnishing provider with a clear medical question to answer, improving the quality of the result. As always, an appropriateness score and unique Decision Support Number (DSN) for that structured indication and exam combination is recorded with the order, enabling benchmarking and an understanding of improvement opportunities.

Enable Targeted Advisories

After identifying areas for targeted improvements, sites often develop strategies for improving proper provider-system interaction levels such as:

• Localizing indications
• Configuring the EMR to restrict free-text
• Creating and executing plans to address areas of improvement

The Order Appropriateness report can also be used to establish system wide benchmarks that should be used as a baseline to measure the impact of CareSelect Imaging.

Identify System Impact

Once utilization and appropriateness benchmarks are established, the reporting tools continue to provide a picture of the impact that CareSelect Imaging is having on ordering patterns.

Sites should formulate a strategy to address clinical areas where there is an unusually high red rate or high degree of variation among providers. Successful strategies include steps to educate providers, including sharing individualized data. Some sites also may elect to enable more aggressive advisories at the point of order-entry. These advisories will inform the ordering provider that there is a potentially more appropriate exam for their patient, according to the appropriateness guidelines. At that time, the provider may select the more appropriate exam, or continue with the selected exam if there is a patient condition that requires the potentially less appropriate exam.

The implementation of NDSC’s CareSelect Imaging is the foundation of an aligned and flexible tool that can directly impact provider reimbursement, whether under today’s value based payment models and increasingly in the future under MACRA.

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