Dashboard Metrics Evaluation
Institutional Affiliation
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Dashboard Metrics Evaluation
The healthcare sector is dependent on precise and timely data that helps in safeguarding
patients’ safety and adhering to various rules and regulations in facilitating continuous
improvements. Many healthcare facilities, surgical centers, and emergency service providers
have diverse needs and complex organizational structures and processes, which requires
healthcare professionals to have an adequate understanding of several sets of data. The quality
and effectiveness of medical services translate to the level of patient experience and satisfaction.
As such, healthcare facilities need to understand metrics on patient experience to measure how
they are performing and establishing effective strategies for continuous improvement (Stadler et
al., 2016). For the past few years, I have been working at Tift Regional Medical Centre in
Georgia in the ambulatory surgical suite. Patient experience has been core to the facility’s
success, but assessing the patient experience data would help establish how the unit is
The following is the data accessed from Tift Regional Medical Center with approval from
the facility’s manager for educational purposes. The data follow HIPPA regulations to safeguard
patients’ privacy and confidentiality. No instance will the data provide personal information or
reveal the patient’s identities.
Measure Type
Measure Time Frame
Current Period
Target Variance Previous Quarter
Patient Experience
Cleanliness andquietness of thefacility
2020-02 88.5% 92.0% -3.5% 86.0% 2.5%
Patient Experience
Communication about medicines
2020-02 93.4% 95.0% -1.6% 90.0% 3.4%
Patient Experience
Communication with Doctors
2020-02 90.0% 93.0% -3.0% 92.0% -2.0%
Patient Communicatio 2020-02 92.6% 90% 2.4% 89.0% 3.6%
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n with Nurses
Patient Experience
Discharge Information
2020-02 92.0% 93.0% -1.0% 90.0% 2.0%
Patient Experience
Pain Management
2020-02 89.0% 92.0% -3.0% 90.0% -1.0%
Patient Experience
Responsivenessof hospital’s staff
2020-02 87.6% 90.0% -2.4% 88.0% -1.0%
Evaluation of the Dashboard Metrics
From the data obtained from the healthcare facility, it is clear that they are
underperformances in critical measures, which have been predominant since the last quarter. For
instance, communication with doctors, pain management, and the hospital’s responsiveness
necessitates the implementation of evidence-based practices for safeguarding patient safety,
especially in the ambulatory surgical suite. As indicated by the Agency for Healthcare Quality
and Research (AHRQ), improving patient experience is essential in enhancing clinical processes
and outcomes (Kuluski et al., 2017). In most cases, the adoption of effective practices at practice
and individual provider level correlates with caring processes for prevention and disease
In the case of doctors’ communication, healthcare professionals must allow the exchange
of information, which is a prerequisite for high-quality care. In the healthcare sector, nurses and
doctors collaborate in hospital settings, performing distinct tasks for the effective delivery of
healthcare services. As indicated by Wang et al. (2018), effective nurse-doctor communication
has a significant impact on patient outcomes, which is reflected by patient satisfaction, reduced
length of stay, and reduced rate of adverse events. On the other hand, ineffective communication
is detrimental to patient and healthcare facilities, compromising patient safety, and increasing
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healthcare expenditure. More importantly, the Joint Commission reports that communication
failure, especially in surgical units, causes approximately 75% of sentinel events in healthcare.
Pain management after surgery is essential for supporting the patient’s recovery process.
At Tift Regional Medical Center, pain management is a priority goal that needed to be achieved
in the current quarter to prevent increasing complications such as pneumonia and blood clots.
Some of the pain reported by most patients include muscle pain and movement pain after the
surgery. As indicated by the American Society of Anesthesiologists, poor pain management in the
perioperative environment leads to unprecedented complications and prolonged rehabilitation
(Chou et al., 2016). For instance, the patients who reported pain after surgery in the previous
quarter were 80%, with 70% of them measuring it as moderate, severe, or even extreme.
Therefore, establishing effective pain management strategies would help reduce anxiety and
emotional distress that undermines overall well-being and restrict the recovery process.
Analysis of Challenges in Achieving Acceptable Performance
Achieving the appropriate rate of doctors’ communication is an essential component that
promotes the effectiveness of interprofessional teams. Currently, the value of interprofessional
collaboration is highly achieved through effective communication, which allows the adequate
performance of roles and responsibilities, work cooperatively, and make informative decisions
for improving patient safety (Harman & Verghese, 2019). Reflecting on the data provided, there
are two main reasons for communication failure among the doctors. The first one is that the
doctors were recently recruited, and they had inadequate experience working in a high-tension
environment. As such, the new professionals lacked confidence in consulting other professionals
on critical processes.
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Secondly, there was enough evidence indicating that the doctors had an inadequate
understanding of patient medical records. This resulted in a breakdown of communication
between doctors and patients, leading to low satisfaction. When it comes to pain management,
healthcare professionals had inadequate skills in managing patients’ pain, especially when
deciding the best medication to issue to patients (Kumah, 2017). Moreover, the healthcare
facility has no clear protocols to be followed, especially when patients exhibit extreme pain after
surgery. Given the caliber of Tift Regional Medical Center, patients should receive the best pain
management care to achieve the desired outcomes.
Benchmark Underperformance that has the Potential for Greatly Improving the Overall
The dynamism of the healthcare environment requires healthcare professionals to adopt
effective strategies for enhancing communication. In most cases, the interprofessional
collaboration between physicians and other healthcare professionals increases the collective
awareness of other’s knowledge and skills, leading to the continuous improvement of healthcare
services. As such, addressing communication among doctors at Tift Regional Medical Center
would help create a holistic environment for enhancing the patient experience. However, the
success in attaining the desired outcomes requires the healthcare facility to invest in continuous
training of healthcare professionals on the importance of communication and patient engagement
(Mazurenko et al., 2017).
Ethical Action to Address Benchmark Underperformance.
Some of the evidence-based strategies that can enhance communication at Tift Regional
Medical Center include team training and using electronic SBAR communication tools. As
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indicated by Wang et al., (2018), professionals’ training improves communication skills, with
more emphasis on respect and trust in role performance and responsibilities. Moreover,
enhancing communication in a high-tension environment necessitates equipping professionals
with knowledge and understanding of surgical units’ safety. With a perfect understanding of
critical components in the SBAR tool, physicians have adequate knowledge and skills oh how to
establish effective care management, leading to increased patient satisfaction. However, it is
essential to note that the SBAR tool is less effective in promoting face-to-face communication.
In the current healthcare environment, communication is essential in promoting
collaboration between professionals and patients. Enhancing patient satisfaction and experience,
healthcare facilities need to strategize on how to equip their workforce with communication
skills to realize desired goals. More importantly, effective communication is associated with
lower medical malpractice and improvement in healthcare processes.
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Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T.,
Carter, T., Cassidy, C. L., Chittenden, E. H., & Degenhardt, E. (2016). Management of
postoperative pain: A clinical practice guideline from the American pain society, the
American Society of Regional Anesthesia and Pain Medicine, and the American Society
of Anesthesiologists’ committee on regional anesthesia, executive committee, and
administrative council. The Journal of Pain, 17(2), 131–157.
Harman, S., & Verghese, A. (2019). Protecting the sanctity of the patient-physician relationship.
JAMA, 322(20), 1957–1958. Retrieved from
Kuluski, K., Nelson, M. L., Tracy, C. S., Alloway, C. A., Shorrock, C., Shearkhani, S., & Upshur,
R. E. G. (2017). Experience of care as a critical component of health system performance
measurement: Recommendations for moving forward. Healthc Pap, 17(2), 8–20.
Kumah, E. (2017). Patient experience and satisfaction with a healthcare system: Connecting the
dots. International Journal of Healthcare Management.
Mazurenko, O., Collum, T., Ferdinand, A., & Menachemi, N. (2017). Predictors of hospital
patient satisfaction as measured by HCAHPS: A systematic review. Journal of
Healthcare Management, 62(4), 272–283.
Stadler, J. G., Donlon, K., Siewert, J. D., Franken, T., & Lewis, N. E. (2016). Improving the
efficiency and ease of healthcare analysis through use of data visualization dashboards.
Big Data, 4(2), 129–135.
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Wang, Y.-Y., Wan, Q.-Q., Lin, F., Zhou, W.-J., & Shang, S.-M. (2018). Interventions to improve
communication between nurses and physicians in the intensive care unit: An integrative
literature review. International Journal of Nursing Sciences, 5(1), 81–88. Retrieved from
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