Data Capacity Survey | Foundation For Health Care Quality

Thank you for taking a few minutes to fill out our survey regarding the uptake of the Bree Collaborative Guidelines.

In 2011, the Washington State Legislature established the Dr. Robert Bree Collaborative so that public and private health care stakeholders would have the opportunity to identify specific ways to improve health care quality, outcomes, and affordability in Washington State. Each year, our members identify health care services with high variation in the way that care is delivered, that are frequently used but do not lead to better care or patient health, or that have patient safety or equity issues. For most topics, we form an expert work group to develop evidence-based recommendations. We have developed a number of guidelines that depend on an organizations IT infrastructure to support best practices in clinical care. For example, best practices often involve electronic patient referrals or an organizations ability to aggregate patient data to identify patients with high risk conditions. We would appreciate your help in gaining a better understanding of the spread and use of our guidelines and how IT infrastructure can act as a barrier or facilitator for implementing best practices in care. This survey asks about HIMSS data maturity models. You can review HIMSS models here: https://www.himss.org/what-we-do-solutions/digital-health-transformation/maturity-models

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For the purposes of this survey the term "implementation" can be understood to mean; use of a guideline in part or full in the course of clinical practice, health care contracting, policy making, educational programs, or other health care related activities; and/or use of guidelines to fulfill the elements of an initative, regulation, or requirements.

QA1 Has your organization taken any actions to implement any of the Bree Guidelines? *

Yes
No
I don't know

QS11 To what extent do you agree with the following statements about the use of Bree guideline reports for data exchange and transparency in terms of your UNDERSTANDING AND ABILITIES?

QS11a The use of the guidelines increased my/our UNDERSTANDING of what data should be captured and shared with others on my/our team.

QS11b From my perspective, the use of the guidelines guidelines increased our organizations ABILITY to implement data sharing solutions with other partners.

QS11c The use of the guidelines increased our organizations ABILITY to implement analytics capabilities.

QS11d The goals for REFERRALS were were clear in all guidelines we used.

We are interested in learning more about IT capabilities that may affect your organizations ability to implement guidelines.

HIMSS Continuity of Care model (CCMM)

QS9 Continuity of care is much more complex than implementing information and technology in a single care setting. Multiple stakeholders must act in concert to provide an environment that facilitates the best care and value. Thinking about your organizations capabilities for DATA EXCHANGE AND TRANSPARANCY that support CONTINUITY OF CARE across care types, settings and populations - which level of the HIMSS Continuity of Care model (CCMM) are you best aligned with? You can find the full description of each of these stages using the website address at the end of this question. *

Stage 0 - Limited or no e-communication
Stage 1 - Basic peer-to-peer data exchange
Stage 2 - Patient centred clinical data using basic system-to-system exchange
Stage 3 - Normalised patient record using structural interoperability
Stage 4 - Care coordination based on actionable data using a semantic interoperable patient record
Stage 5 - Community-wide patient records using applied information with patient engagement focus
Stage 6 - Closed loop care coordination across care team members
Stage 7 - Knowledge driven engagement for dynamic, multi-vendor, multi-organisational interconnected healthcare delivery model
I don't know/ Not applicable

https://www.himss.org/what-we-do-solutions/digital-health-transformation/maturity-models/continuity-care-maturity-model-ccmm

QS12 Introduction: The Rural Health Information Hub defines successful care coordination programs as ones that "focus on meeting the needs of each individual, beyond healthcare services, including transportation, home safety, nutrition, and literacy. Care coordination involves addressing more than just the medical needs of a patient and supporting the entire person." Referring to using data for CONTINUITY OF CARE, to what extent do you agree with the following statements for the use of Bree guidelines for continuity of care GOALS?

QS12a The goals for DATA TRANSPARENCY (such as sharing information with patients) were clear in all the guidelines we used.

QS12b The goals for DATA STANDARDIZATION were clear in all of the guidelines we used.

HIMSS Levels - AMAM model

QS10 Analytics serve to improve many facets of a healthcare business beyond clinical decision support, such as an organization’s operational and financial aspects. Thinking about your organizations DATA CAPABILITIES AND USE for ANALYTICS to support health care services and decisions - which level of the HIMSS Analytics Model or Analytics Maturity (AMAM) are you best aligned with? You can find the full description of each of these stages using the website address at the end of this question. *

Stage 0 - Fragmented point solutions
Stage 1 - Foundation building: data aggregation and initial data governance
Stage 2 - Core data warehouse workout: centralised database with an analytics competency center
Stage 3 - Efficient, consistent internal and external report production and agility
Stage 4 - Measuring and managing evidence based care, care visibility, and waste reduction
Stage 5 - Enhancing quality of care, population health, and understanding the economics of care
Stage 6 - Clinical risk intervention & predictive analytics
Stage 7 - Personalized medicine & prescriptive analytics
I don't know/ Not applicable

https://www.himss.org/what-we-do-solutions/digital-health-transformation/maturity-models/adoption-model-analytics-maturity-amam

QS13 Referring to data for ANALYTICS CAPABILITIES, to what extent do you agree with the following statements for the use of Bree guidelines for analytics capabilities GOALS?

QS13a The goals for DATA AGGREGATION capabilities were clear in all guidelines we used.

QS13b The goals for DATA COLLECTION were clear in all of the guidelines we used.

QS13c The goals for POPULATION HEALTH MANAGEMENT (such as sharing information with patients) were clear in all the guidelines we used.