User`s Manual - Washington State Hospital Association
Contents
1. In Internet Explorer go to Tools Internet Options Select the Security tab make sure that in Select a zone window that Internet is selected Select Custom Level and scroll down to Display mixed content in the Miscellaneous section Change it from Prompt to Enable Click OK then Yes then OK to make the change have Excel 2007 Do I need to do anything differently Yes The application can only read data from files that have been saved in the Excel 97 2003 format If your files save in an Excel 2007 format Such as xlsx you must first convert them to the 97 2003 format You can do this by right clicking the file select Save As and select Save as type to be Microsoft Office Excel 97 2003 worksheet xls The file will now be in the correct format and can be uploaded Some of our unit names have changed Some new units have been added How do change this on our data entry sheet If you need a change to the data entry sheet contact Ken Rudberg kenr wsha orgq and he will make the required changes 22 Appendix A Interpreting Control Charts Control charts also know as Statistical Process Control charts are a tool used to study how a process changes over time They consist of O Data Points representing measurements taken over time 35 Sigma A center line calculated from the average of the data points An upper control limit r2. Testing ss m a Awi O A Pressure Ulcer Prevalence Testing 45 3 0 O Sug 08 A Skill Hix Contract Testing F 14 9 ma Augi A Skill Mix LPH Testing 15 0 na Augde F Skill Mix RH Testing E thes nal Aug 08 DO a Skill Mix UAP T esting 16 0 nmal ug08 The Indicator Name describes what is being measured and which hospital it is being measured for The Status Column shows whether or not the measure is reaching its target and whether it has improved or deteriorated since the last period The Drill down magnifying glass allows you to see the indicator at the unit level The Current Value displays data for the most recently uploaded time period The Target is a value that can be set for each indicator The SPC Alert or Statistical Process Control Alert tells you if the most recent data point is statistically different from the trend as a whole The Updated Column gives you information on when data was last uploaded to the system for that indicator The Informational Link can connect you to best practice research articles and other documents relating to that particular indicator We d stattpivo Lis valet Po application you must first l fami Statit pilD Washington State Hospital Association Patient Days Project upload your data by doing gggindicators i Dash Board Upload Project Data to WSHA Site the fol lowi ng Score Card Fi
3. tab to change the indicators you want to track Click on My Home to change what is displayed on your home page To receive email notifications about these indicators such as when they fall below their target click on the My Subscriptions tab Here you can click on the indicator uncheck the Use system Default Settings box and then click on the email notification options you would like for that indicator Note You must be set up as an email user within the system before using thie subscription feature This option may or may not be available to you depending on your user account type My Score Card My Indicators My Home My Subscriptions My Indicators Nursing Sensitive Indicators Subscription gt Falls with Injury Testing gt Nursing Care Hours RN Testing gt Pressure Ulcer Prevalence Testing Use System Default Settings 11 Publishing The Publishing option on the menu allows you to create a report in MS Word for printing The View allows you select which set of indicators you want to use for the report Publish to MS Word Use Group to specify which category of indicators you want to select from View Group a The Indicators are selected from this list If E you want to select more than one indicator to Indicators 3 report on hold down the CTRL key while making your selection nternet Site Image Select the Style of chart you would l
4. C Ln T T T TE helps with data display analysis and timely dissemination and is a powerful tool for those who work with quality data For more information contact Ken Rudberg at KenR wsha org Washington State Hospital Association 9 Table of Contents Quick Start Guide 4 The Menu e Statit piMD 9 e Dashboard 9 e Score Card 9 e Find Indicators 10 e Indicator Performance by Class 10 e Indicator Trend Matrix 11 e My Indicators 11 Publishing 12 Administration 13 Logging Off 13 Uploading Data 14 Viewing Your Data 16 Upload Errors 18 Technical Requirements 20 FAQs 20 Appendix A Interpreting Control Charts 23 Vendor Thanks 26 Quick Start Guide Welcome to the Quality Benchmarking S
5. JavaScript in Internet Explorer 7 1 From the Tools menu or the Tools drop down in the upper right choose Internet Options 2 Click the Security tab 3 Click Custom Level 4 Scroll to the Scripting section of the list Click Disable or Enable 5 Close and restart your browser To enable or disable Java and JavaScript in Internet Explorer 6 or earlier 1 From the Tools menu choose Internet Options 2 Click the Security tab 21 3 In versions 5 and 6 click Custom Level In version 4 click Custom and then Settings 4 Java Scroll to the Java section In version 6 you will find this section under Java VM under Java permissions To disable Java click Disable Java To re enable Java click a different setting such as High Safety or Medium Safety 5 JavaScript Scroll to the Active scripting section of the list In version 6 this is under Scripting Click Disable or Enable 6 Close and restart your browser Why does a window pop up saying This page contains both secure and nonsecure items when clicking on the chart The QBS website is secure and the locked padlock icon in the lower right corner of your browser confirms this When clicking on a chart the data is pulled from a different location which cannot be confirmed as secure by your browser If you wish to prevent the pop up message from displaying you can change your browser settings When you receive the error message click Yes
6. screen and select a file type from the menu that is displayed 12 Administration By selecting Administration and then Edit my Information from the menu you can change your name and email address in the system You can also change your password using this option Logging Off To log out of the system either choose the Logoff option at the bottom of the menu or click on the Exit button in the upper right corner of the screen This is the most secure way to exit the Quality Benchmarking System 13 Uploading Data The following instructions will explain how to upload data to the Quality Benchmarking System so that it can be viewed 1 Log on to the QBS website using your username and password If you feel you should have access to the Quality Benchmarking System and you don t have a username and password please contact your hospital s OneHealthPort quality administrator If you are not sure who your OneHealthPort quality administrator is go to www wsha org page cfm ID 0249 for more information 2 Locate the blue folders along the left side of the screen and click on the one labeled Upload Data The folder will expand and continue by clicking on Upload Your Hospital Project Data 3 In the blue area in the lower left corner select the project that you wish to upload data for and click on the Display button 4 If you do not already have a blank project Excel file saved to your c
7. 0O a S ko af os 3 w iO Month phase change within the application By doing so we are telling the application that we no longer want to compare the data points that occur after the intervention with the data points before the intervention Essentially we are comparing the process to the new standard so that we can see if further changes are making a difference If the chart indicates that a shift has occurred due to a process change resulting in one or more red data points then it might be a good time to indicate a process phase shift on the chart You can do this by clicking on the data point and clicking on Identify Process Change We can also get some information on Post Intervention Compared to Baseline the statistical significance of the change by clicking on the green dividing line It Statistically Improved shows us that the process is statistically improved when compared to the baseline and that the intervention did make a difference We can now Baseline Post Intervention Difference implement a new intervention and track changes compared to the new baseline to see if those changes improve the process Phase Phase Mean 10 89 agre Fees eae Nurnerator Total Ab 4 f Denominator Total Ald 303 211 H of Walid Periods 4 a 25 The Washington State Hospital Association Patient Safety Program would like to thank the following vendors for their support on this project 7 All dashboards are no
8. 12 3 all users depending on your Skill Mix LPN Testing Sep08 n a 126 14 4 2 2 15 0 9 9 20 1 ivileqes Skill Mix RN Testing Sep08 n a 77 3 72 3 97 8 74 2 78 4 67 9 PAES Skill Mix UAP Testing Sep08 n a 101 13 3 0 0 10 9 11 7 12 0 10 Indicator Trend Matrix The Indicator Trend Matrix is a series of thumbnail charts from a particular view and group of indicators After making this selection on the menu you select your view and group from the pulldown menus in the lower left corner of the screen After clicking Display your charts will be shown in the main window The bars above the thumbnails indicate their status compared to their targets Larger trend displays may be viewed by clicking on the individual thumbnails Nursing Sensitive Indicators View wshapublic Falls with Injury Testing Nursing Care Hours RN Testing Nursing Care Hours Total Testing 12 00 11 50 11 00 10 50 10 00 Sep 08 Sep 08 Aug 08 Patient Falls Testing 301 00 5 00 101 00 a 15 00 a ee 10 00 5 00 Aug 08 Pressure Ulcer Prevalence Testing Skill Mix Contract Testing 0901 06 My Indicators This option allows you to cofigure the way that data is displayed Here you can set what is displayed when you click on the My Indicators link in the menu as well as what is on your home page when first logging on to QBS Click on the My Indicators
9. Benchmarking Washington State Hospital Association User s Manual Comments Questions Contact Ken Rudberg at kenr wsha org or 206 577 1851 The Quality Benchmarking System QBS is a secure web based application that allows hospitals to input data and then track compare and analyze the data for use in quality improvement QBS is brought to you at no charge by the Washington State Benchmarking Hospital Association s Patient Safety System Program and its core features include The ability to upload data and see the data displayed immediately Data displayed in trend bar and control charts including drill downs roll ups and data comparisons with benchmarks A dashboard of measures providing quick information on which measures are reaching their targets and if they are improving The ability to link to resources that can help improve care The ability to notate comments and action plans directly on the charts and Exported data printed in reports displayed in presentations or analyzed in Statistical software packages Hospitals have the ability to share their data with other hospitals to aid 3 Sigma their quality improvement efforts As improvement projects are 3 Sigma implemented users can focus on RH Hours Per Patient Day whether these interventions are truly making a difference QBS Miay 06 Jun 08 Aug 08 Sep U6 Oct 08 Mov 08 Dec 08 Apr 08 oo oo oc oI Ci C
10. Count Status there are further breakdowns by group they can Efficiency 7 M ES be accessed using the drilldown arrow on the right Paane gt i F side of the dashboard To view the Scorecard for Hand Hygiene 3 EEL a each indicator in the pane below the Dashboard es Vv lick on the square to the right of the indicator aa ie T s M E status Further instructions are listed in the pane directly below the Dashboard The Scorecard This displays a table of indicators by type An indicator view is a collection of indicators that are organized for viewing together Select this in the lower left corner along with the Group the type of indicator e g hand hygiene that you would like displayed You can also choose whether the indicators are displayed alphabetically or in order of best to worst performance For further instructions on how to display data on the Scorecard look in the output screen before making your selection Hand Hygiene View All Public Current SPC Status Indicator Value Target Alert Updated Y ICU Overall TESTING Fe 1244 144 0 Feb 08 D Y Non ICU Overall TESTING gt 63 1 r20 Feb 08 D Patient Days TESTING 18 036 ra Feb 0g The status shows column shows both the current state of each indicator whether the indicator has reached the target for the most recent period with a colored circle A green circle means that the indicator has met its target a yellow circle means that the indi
11. all measure as well as any comments specific tO view trena char by unit amp the indicator These comments can include things sein ICU Overall TESTING like the indicator description the process expert and other relevant notes The Bar Chart displays unit level drill down information that is displayed in the trend chart above Hand Washes Patient Day The Comment Section shows additional information that is relevant to the particular indicator These fields are configurable and can use custom labels Mr John Q Test View the Trend Chart by Unit to see all of the gt unit s information displayed on a single chart Note wees l i v This display can be difficult to read when there are __ more than five units represented 16 Hand Washes Patient Day ICU Overall TESTING Unit ALL 150 0 100 0 50 0 00 he he he F m m m an iG L Gi ie a Month or action plan is designated by a green symbol on the chart The comment itself is displayed below the trend chart at the bottom of the screen Sep F Oo By selecting Compare Unit Performance we are able to see a table that shows the values for each unit for that particular time period Selecting Edit Comment Action Plan allows the user to enter information about a particular chart point in a text field This comment is then saved to the chart and is accessible to anyone viewing
12. ange in data attributable to the system or process being measured i e expected up and down in the data Special Cause Variation Also know as nonrandom variation it is a change in data due to an outside event or change in the process i e something unexpected or different happened When you identify data points that fall outside of the control limits it is important to try and determine what has changed with the process Were staffing levels different that month Did nurses receive extra training Once you discover the cause of the process change you can decide how you might want to change that process to improve results There are other ways that special cause variation can be identified If several data points in a row are either increasing or decreasing this can identify nonrandom variation in the process If several data points in a row are above or below the center line this can also indicate special cause variation If either of these criteria are met the QBS application will make those data points red This is another indication that something is unusual or has changed in the process If there are many points outside of the control limits it is likely that the process being measured is not in statistical control This could occur if there is no single process or way of doing things If there were no normal process for rounding on patients for example it would be difficult to tell whether Pressure Ulcer Prevalence Testing o
13. anizations using one common security solution Subscribers register only once and are issued a single digital ID that provides single sign on across all participating sites In addition all parties within the trusted community enter into a common contractual framework that addresses HIPAA requirements and other information sharing issues Finally OneHealthPort serves as a single source of training and promotion to get online services adopted and drive usage Visit us at www OneHealthPort com Innovation through Collaboration IN Hy S That s what Inland Northwest Health Services is all about We represent an approach to health Infand Northwest care that is unlike any other in the world Health Services overseeing several collaborative services that work on behalf of the region s major competing hospitals We develop new solutions through unprecedented partnerships and innovative technologies bringing safer more cost effective and higher quality care to Spokane the Inland Northwest and potentially the nation Visit us at www inhs org 26
14. be based on the indicator Title Owner Expert Target Status or Validation Status You can also choose to view only the indicators with a current SPC Alert A search using the keyword Testing resulted in the following Indicator SPC Expert Admin ae d we ICU Overall TESTING Mr John O Test WSHA Sep 0 Non ICU Overall TESTING Mr John O Test WSHA Feb 08 Patient Days TESTING Mr John O Test WSHA Sep OF Indicator Performance by Class Viewing indicators by class gives you a matrix of the current value of all of your indicators by unit Indicator Performance by Unit Nursing Sensitive Indicators View wshapublic This allows you to get a L Bung pay z Bng pan Biuns pow L SIHIP d UNL S0d comparison of all of your units eS and measures at once It is also Falls with Injury Testing Sep 08 1 00 202 0 00 000 273 580 0 00 n a color coded so that you can see Nursing Care Hours RN Testing Sep 08 n a 842 5 38 8 38 8 35 9 28 14 24 which units are meeting Nursing Care Hours Total Testing Aug 08 n a 1031 7 44 8 57 11 26 11 83 20 98 performance targets and which Patient Falls Testing Aug08 250 695 563 0 00 10 93 8 70 0 00 n a are not Indicator Performance Pressure Ulcer Prevalence Testing Sep 08 3 0 1 3 n a 0 0 0 0 0 0 100 0 0 0 by Class may not be available to Skill Mix Contract Testing Sep08 n a 14 7 27 5 4 2 13 0 12 0
15. cator is between the target and the alarm value and a red circle warns that the indicator is below the alarm level Target and alarm settings are optional and some indicators may not require them The colored triangle shows whether or not the indicator has improved or deteriorated since the last period A green upward pointing triangle indicates an improvement while a red triangle pointing down represents deterioration The desired direction of the indicator may be set by the indicator administrator A gray triangle indicates no preferred direction and simply shows whether the indicator is higher or lower than the previous period The Current Value column displays the most recent data that has been uploaded with the units dependent on the particular indicator The Target is a constant value and may or may not be used for each indicator as mentioned previously The SPC alert will show a colored square if that indicator s most recent point is statistically different than the other points in the chart The Updated column shows how recently the data has been uploaded for that particular indicator The small symbols to the right of the table are links to best practices and additional quality improvement information Find Indicators Use this tool to view a summary of indicators that meet specific criteria This is helpful for finding a particular indicator within a large group of indicators The criteria can be selected in the control frame and can
16. ching for the Indicator by name in the menu see page 5 3 3 sigma RH Hours Patient Day Sep 06 Oct 05 Mov 08 Dec 06 05 ia a oo a L Jan O8 F eb 08 Mlar O8 May 06 Jun O8 Most trends will be displayed as control charts as above For more information about control charts and how to use them see Appendix A Clicking on individual data points on the trend opens the Action Menu 7 The Action Menu allows you to E oo f Which Action to Perform E mfx Drill down to the unit level for that data E http www wahospitalsafety org eqc hometa D point Sep 08 Attach a comment or action plan to that dat int gt Compare Unit Performance a pon gt Edit Comment 7 Action Plan gt Identify Process Phase Indicate a shift in the data with a new process phase pon l To print out your trends click on the H a oi Admin x Printable Version link on the top of your trend window For more detailed reports click on Publishing Publish to M5 Word see page 5 5 and make your selections on the menu to the left meee wshapublic ee Choose the view you d like to Group choose indicators from ALL M Patient Days TESTING Choose which group of indicators 7 you would like to report from Internet Site rage cece Pick which indicators you would Mediurn Image like reported Trend Page Choose the style of chart you A ee
17. d Make sure to select an upload file with the name in the format Hand_Hygiene_ Facility xls with the word Facility replaced with the name of your hospital This will usually be a shortened version of your facilities name and will be correct when the upload file is first downloaded for data entry Excel file contents does not match Hospital Facility This error is caused when a file is uploaded that does not match the expected facility name Please make sure that the facility in the filename matches the facility that you logged in under he following rows have at least one empty value Month Unit Product Type Container Size ml Containers Product Used Mar 07 1 South Soft n Sure 1000 0 0 Apr 07 1 South Soft n Sure 1000 0 0 Please Correct and re upload the file ou cannot enter a zero value for the number of containers or amount of product used If a unit does not use a particular product for a particular month just ignore that product and leave out that row 18 Microsoft Excel x The value you entered is not valid A user has restricted values that can be entered into this cell Cancel If you received this error when entering data it means that you were trying to type in data for a type that does not exist in the QBS database If you are sure that this type is not listed on the pull down menu please contact your administrator Error There are holes in the data file All rows must have a value specified for ever
18. e there may be something wrong with the formatting of the data in the upload spreadsheet Please refer to the list of upload errors for help in fixing any errors encountered when uploading data 15 Viewing Your Data Now that you have uploaded your data you can view ICU Overall TESTING Windows Internet Explorer z og E http wsha statit com eqc hcmeta IndicatorPage asp Page http 3A 2F 2Fwsha statit com 2 Y your trends by clicking on the individual indicator Pintable Version names in the Scorecard Clicking on one of these ICU Overall TESTING jus More Info names brings up a new window that shows the ene a selected trend The trend chart is at the top of the TS eee es ee target new window and the data table is below the trend chart This display is configurable and allows for flexibility in the way the data is displayed For more information on control charts and how to interpret them see Appendix B Hand Washes Patient Day The Trend Chart displays your uploaded data Jun 27 2008 15 00 19 Hand Total Total Washes The Data Table provides raw numbers that are a et Ley pe D displayed in the trend chart above er s ia MarO 87 612 653 Apr 07 87 582 589 a Aug 07 119 412 787 The Scroll Bar allows you to view more OE information below J nieme 4 100 Use the scroll bar on the right side of the window to view a bar chart of the units that contribute to the over
19. epresenting the upper threshold for the stable process 3 Sigma RH Hours Patient Day A lower control limit representing the lower threshold for the stable process Sep 068 Oct 08 Mov 08 Dec 08 on a Gi q Jun O8 on my i Oo F oc oc oc oo co oo iw Ln Ti i i gt Le In QBS the control limits are automatically calculated from the variation in the data and the number of data points used on the chart Typically the more data points you have the closer together the control limits will be Typically these are set at 3 sigma and they represent the threshold which data points are unlikely to reach if the process is stable In the chart above both of the red points Aug 08 and Dec 08 fall outside of the control limits This means that these points do not reflect the same process as the rest of the data points displayed on the chart If the change in the process is negative we want to find and eliminate the cause If the change in the process is desirable we want to discover the cause and possibly implement changes to our process that will shift us in that direction There are two kinds of variation seen when measuring a process There is random or common cause variation and nonrandom or special cause variation Common cause variation is the noise within the system or the normal up and down of the process If you were to measure the number of patient falls on a unit they would vary from mont
20. h to month This variation is based on the normal processes within that unit the usual number of nurses how often patients are rounded on and the type of patients on that unit The number of falls on that unit can be reliably predicted as long as the process stays stable e g between 0 and 6 falls a month If the type of patients on that unit changed it would mean that the normal number of falls on that unit would likely change e g more elderly patients might mean the range would change from 0 6 falls a month to 2 9 falls a month The control chart identifies which data points are more likely due to common cause variation those within the control limits and those points that are more likely due to special cause variation those outside of the control limits 23 Special cause variation is due to an unusual occurrence or a change in the process Note that special cause does not mean bad variation there could be a special cause that results in a greatly decreased rate of falls on the unit It is important to understand that data points that fall within the control limits the blue points are all the result of the same process This means that as long as the points are blue they should be treated as if there has been no change from the baseline In the previous chart there is no statistical or practical difference between the June 2008 and September 2008 data points Common Cause Variation Also known as random variation it is the ch
21. he overall indicators on one screen O My Indicators can be selectively viewed in this customizable display Publishing is used to design and export charts for printing Upload data using an Excel project file Score Card View Select an item Performance Title Group Sort By Show All Headings tae Statit piMD Eh Indicators Dash Board b Score Card Find Indicators Indicator Performance by Class n i fm Upload Data A Administration Logoff Mr Jahn Q Test hi tee celles E When you click on these menu items you will be prompted to enter more information in the blue box below the menu tree Choose your options from the pull down menus and check boxes and then click Display to see the output on the main screen The Score Card lists the high level indicators that your hospital is tracking It is the most direct way to access the indicator trends and see an overview of their performance The next page takes a closer look at the Score Card and some of its features All Indicators View wshapublic Status Indicator Curent Target RA z Updated General A Patient Days TESTING Fo Tag n a Aug 06 t Nursing Sensitive Indicators 7 aA Falls with Injury T esting E 4 Mit 1 00 Aug 08 Or Nursing Care Hours RN Testing EF 96 n a AugOB O Nursing Care Hours Total Testing 9 10 3 m al Aug Patient Falls
22. ike to ai EA publish You can preview the chart style before Trend Page exporting the images to Word Periods J The of Periods selected will be displayed along the x axis If you select more periods than is available data for the chart will display all of the data for that indicator After clicking Display the output will be displayed on the main screen to the right Once you have decided on the charts you wish to publish to MS Word click on the w symbol in the upper left corner of the main screen You will be prompted to save or open the Word file Once the charts have been exported to Word they can be printed and pasted into PowerPoint presentations or other applications You can also export your data by email using the E Mail button in the upper right corner of the screen This allows you to create an email and attach your chart using either Excel or as a Statit workspace file A Statit workspace file allows QBS users to view the charts using their QBS application Users must have a login and password to use this feature Note E Mail must be enabled for your user account in order to use this feature Data can also be exported for use in other statistical software packages The files may be exported for use with Minitab SAS SPSS and Microsoft Excel The files may also be exported as Statit files that can be viewed using the QBS application To Export data click on the Export button in the upper right corner of the
23. ind out more Already have your own OneHealthPort secure ID If your ee secure ID has been assigned a role of Quality Reports view only or Quality Reports and Data Entry you re ready to sta below to go to the Quality Benchmarking System site m Monthly Feature Aetna via NaviNet now available on OneHealthPort Don t have a OneHealthPort secure ID or the correct roles Ask the quality leader in your hospital to nominate you OneHealthPort has been working h vith Aetna and NaviMedix to make E The Quality Benchmarking System QBS is a tool provided free of charge to member hospitals by the Washington State Hospital your workday even easier Now Association s Patient Safety program It is a secure web based application that allows hospitals to input data and then track compare and when you login to OneHealthPort analyze the data for use in quality improvement Its core features include you ll be able to connect with Aetna and take advantage of man a features Check the services page The ability to upload data and see the data displayed immediately to find out more Data displayed in trend bar and control charts including drill downs roll ups and data comparisons with benchmarks A dashboard of measures providing quick information on which measures are reaching their targets and if they are improving The ability to link to resources that can help improve care The ability to notate comments and action plans directl
24. le name should be Patient_Days_ TESTING xls Find Indicators gt Indicator Trend Matrix _Browse _ Click on Upload Data guy racao Gee and then Upload Project aP shno ge Upload Data 7J Data Upload WSHA Project Data Fea Administration If you need a WSHA Project file to get started click below Logoff Mr John Q Test Select You r project Download Patient Days Project File from the pull down menu and click Display Upload WSHA Project Data Aag Patient Days w if you havent uploaded data to the system before you first need to download an Excel project file in which to enter your data Make sure to save this Excel file in an easy to remember location on your local drive When opening this file make sure to Enable Macros when the Security Warning is displayed The filename should be in the format Name of Indicator_ Hospital Name xis and must be saved as a Microsoft Excel 97 2003 Worksheet If you have Microsoft Excel 2007 please see the frequently asked questions section for instructions on how to convert your file Enter your data into the spreadsheet and save the Excel file Enter the name and location of your file or use the Browse button to find it O Click on Upload Excel File Now to upload your data to QBS Once your data has been uploaded you can view your trend by clicking on the name of the Indicator see page 6 1 or by sear
25. mits and still represent common cause variation Yes Data points that are the result of a stable process will very infrequently fall outside the upper and lower control limits The likelihood that this will happen is related to the number of sigmas the chart uses On a typical 3 sigma control chart such a data point will fall outside of the control limits 0 3 of the time This means that 99 7 of the time a point outside these limits is the result of special cause variation 20 Technical Issues Why does it say Java is not enabled in browser data tips cannot work for this graph when I attempt to click on a data point This occurs because Java and JavaScript are required to use some features of QBS In order to click on individual data points and see the drilldown Java needs to be enabled To do enable Java in Internet Explorer see the instructions below If for some reason you cannot or do not wish to enable Java you can view the drilldown for the most recent period by clicking on the magnifying glass on the scorecard Other features such as labeling action plans on data points will not be available To enable or disable Java in Internet Explorer 7 1 From the Tools menu or the Tools drop down in the upper right select Internet Options 2 Click the Programs tab 3 Click Manage Add ons 4 Highlight Java Plug in 5 Under Settings click Disable 6 Click OK and then OK again To enable or disable
26. omputer click on the Download Your Project Project File button When asked whether you want to open or save this file click on the save button and save the file to an easy to remember location 5 Locate the downloaded Excel file on your computer and open it It should be saved in the format Name of Indicator_ Hospital Name xls 6 When the following screen pops up security Warning C Documents and Settings KenR Desktop Statit Files to Upload contains macros by Statit WSHA ii j a This publisher has not been authenticated and therefore could be imitated Select Enable Macros to continue Do not trust these credentials Details Macros may contain viruses Itis usually safe to disable macros but if the macros are legitimate you might lose some functionality More Info You are now ready to enter data into the spreadsheet After data entry is complete save the file in an easy to remember location After preparing the spreadsheet return to the data upload project data screen This time click on browse and locate the saved data upload Excel file with the newly entered hand washing and patient days information Click on open and then click 14 on the Upload Excel File Now button After doing so the application will either show you a list of the uploaded information as well as a list of any previously entered data that has been overwritten If you receive an error cod
27. t created equal d pl OS Statit is changing the future of continuous quality improvement CQI COl Measure Monitor Optimize STAT it measurement and monitoring for healthcare Statit piMD helps nurture a culture of quality The value of inherent process improvement techniques and benefits help create structures and processes to monitor performance identify deficiencies and to devise test and implement solutions Whether you are a single hospital ambulatory care center or a large integrated delivery system Statit piMD provides a simple yet powerful way to access track analyze compare and contrast raw data in ways that provide insights from which to make objective sustainable and defensible decisions Improving clinical quality patient experiences and satisfaction while reducing costs can only come with understanding Statit doesn t make your quality decisions we make your quality decisions better Visit us at www statit com OneHealthPort uses secure portal A Dm 24 technology t t and lerate th JneHe es a 6 og aigperrcnet phy ir comip Perera information within its trusted community OneHealthPort offers healthcare professionals an easy and secure way to access the provider sites of major local health plans hospitals and other valuable online service Rather than placing time consuming phone calls or logging into several different web sites OneHealthPort users can gain access to information from all participating org
28. the trend The presence of a comment X Clicking on individual data points in the trend chart brings up more choices gt Which Action to Perform Sele http wsha statit com eqc hemeta DisplayPoint Aug OF gt Compare Unit Performance gt Edit Comment Action Pano LE Internet 100 ICU Overall TESTING by Unit Windows Interne e BX gt ICU Overall TESTING Windows Internet Explorer http wsha statit com eqc ExecNow asp macro HC_ShowPeriodClass amp Cla ICU Overall TESTING by Unit Aug 07 Target 144 0 Hand F Washes i Patent Day J1 765 B08 150 5 of Edr 179 154 5 mek el http wsha statit com eqc hcmeta IndicatorPage asp Page http 3A 2F e2Fwsha statit v Printable Version Hand Washes Patient Da Trend Chart Mc amp Infi ICU Overall TESTING it AL Unit ALL Summary s 150 0 ae h m Month Jun 27 2008 15 15 19 Comment Action Plan Apr OF test comment E internet R 100 Upload Errors These are errors you might encounter when attempting to upload your data Data file must be called Hand_Hygiene_ Facility xls Please rename the file to meet these requirements and then upload it again This error is a result of the file being named incorrectly or no file being selected before the upload button is clicke
29. ther changes to the process Unit ALL are helping or hurting The more in control the process is the tighter the control limits 25 0 will be and the easier it will be to identify special cause 20 0 variation Once the process is r 3 sigma stable most or all of the data Eo 15 0 points are inside the control z limits it is an ideal time to test 400 new processes or implement T6 new quality improvement 5 g initiatives The start of those new processes can be marked on the control charts so that it is easier to determine if your intervention made a difference Once you have made improvements to the process your data points may shift in the desired direction In the example to the right both March and October show red data points This is because there have been 8 data points in a row above or below the center line In April the Pressure Ulcer Prevalence rate drops below the center line and stays there This may be due to a pressure ulcer prevention program that was put in place that month In any case the process appears to have shifted in a downward direction We can indicate this shift by labeling a process Incidence Pressure Ulcer Prevalence Testing Unit 4LL Baseline Post Intervention 30 0 20 0 10 0 35 Sigma 3 0 TRE 3 Sigma H e e ee o o Oo wm wo wm wm wm wm wm a eh Toa a 9o oa aa a aaa na na anr ee ee a ae a Se SS a T D o D 0 0 D Gc 5 D nm O 2
30. would like on the report Pick the number of periods you would like the report to show along the x axis After clicking Display the selected charts will appear in the window to the right If you d like to export these charts or the charts from the Printable Version to a Word document click on the P symbol at the top of the display This Quick Start Guide should help you to navigate and perform basic tasks within the application For more detailed information refer to the information on the following pages The Menu The Menu provides access to the different tasks that you can perform in the QBS Use the Menu to access the following features Statit piMD This will take the output screen to the default display that is seen when first logging on to QBS Dash Board The Dashboard displays a summary of all of the indicators available for display To view the Dashboard select a view in the lower left corner and click Display The view All Public will display all indicators marked as public for all users The Dash Board can be used to get a high level overview of the indicator groups that an organization is looking at The indicators are grouped by type and the Dashboard shows the status of each indicator group The red section of the bar shows indicators that are not meeting targets yellow shows indicators that are below the alarm level and EREN green shows indicators that are meeting targets If Group
31. y column Please Correct and re upload the file This error occurs when you have only entered part of the data for an individual data point For example if you enter the date but no other data on that row this error will let you know that you need to have data in every column 19 Technical Requirements To most effectively use the Quality Benchmarking System on your computer please make sure to e Use Internet Explorer version 5 or higher e Enable cookies e Enable Java e Enable JavaScript e Disable any pop up blockers that may be in use If you have any questions about these instructions please contact your IT department FAQs Control Charts Why are the sigma limits sometimes set at 2 or 2 5 instead of 3 The Quality Benchmarking System automatically calculates the number of sigmas to display on control charts It is decided based on the number of data points plotted on the chart From Statit Software The T sigma table designed by Drs Bob and Marilyn Hart designates the number of sigmas used in control limit calculations based on the number of points on the chart This method helps to balance the False Negative and False Positive errors for different number of points plotted Number of periods Number of sigmas 2 1 5 Hart M K amp Hart R F 2002 Statistical process control for health care University of Wisconsin Oshkosh Duxbury Is it possible for a data point to fall outside the control li
32. y on the charts and Exported data printed in reports displayed in presentations or analyzed in statistical software packages To catch up on the latest Hospitals have the ability to share their data with other hospitals to aid their quality improvement efforts As improvement projects are communi ity health care news and implemented users can focus on whether these interventions are truly making a difference QBS helps with data display analysis and information from ea neHealthPort timely dissemination and is a powerful tool for those who work with quality data and our partners click here v Done CE internet 100 SSS Sooo Ou EEEEeeeeeeeeeeee ouoeeeeeeeeeeeeeSSoeeeeeeeeoeoeoeqmqqDoeoeoa _RRQQNQSSOSOQOSOSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS gg Once you click the link you will be prompted to log in using your OneHealthPort username and password After you log on you will be taken to the Quality Benchmarking System For security purposes please make sure to close all browser windows when done Use the Dash Board to get a quick high level view of your indicator groups and how many are meeting targets The Score Card displays a list of your indicators and their current value status and when they were last updated Find Indicators by name status and type View Indicator Performance by Class such as at the hospital unit level The Indicator Trend Matrix displays thumbnail versions of all of t
33. ystem QBS QBS gives you the ability to upload your own data and view it right away This Quick Start Guide will give you an overview of the application menus and what you need to do to get started Getting Started Before getting started make sure that your computer meets the requirements described in Appendix A and that you have your usename and password available These should have been given to you by your hospital s OneHealthPort administrator If you don t have your login information and don t know who your hospital s administrator is contact OneHealthPort at 1 800 973 4797 To log on go to http www onehealthport com services WSHA php Once there click on the Log In button OneHealthPort Windows Internet Explorer Ow e ame Mi Live search lte File Edit View Favorites Tools Hep Links A Ps areas ac ie A g dh E Page K To Tools Pe 3 Access Services Technical Support Home Use OneHealthPort Register AboutUs News Webcasts EneHe ri E Manage Your Account m Services Manage Accounts rvices Administrative Tools Subscriber Account Administrator Account Online Services gt gin Account Washington Y 8 Test Your OHP Login State s i ld z ite FAQ Quality Hospital Technical Support E A Benchmarking Association System wsha org Aetna is the first national health plan to join OHP F
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