sarasota memorial health care system

Using Diver to Improve
Quality and Decision Making

Quick Facts

Organization: Sarasota Memorial Health Care System
Dimensional Insight Customer Since: 2004
Location: Sarasota, Florida
Company Description: Sarasota Memorial Health Care System is an 819-bed regional medical center in southwest Florida. It is one of Sarasota County’s largest employers, with more than 4,000 staff, 800 physicians, and 1,000 volunteers. It is the only hospital in Sarasota County providing obstetrical services, pediatrics, and Level III neonatal intensive care.
Website: www.smh.com
Solution: Diver Platform

Sarasota Memorial Health Care System is among the largest public health systems in Florida. It is a full-service health system with specialized expertise in heart, vascular, cancer, and neuroscience services, and has a network of outpatient centers, long-term care, and rehabilitation centers.

Sarasota Memorial started working with Dimensional Insight in 2004. It originally used Diver Platform (Diver) in its finance department, setting up daily dashboards that the hospital has used to help save time, cut expenses, and boost productivity. The hospital has since expanded its use of Diver into quality and clinical areas.

Improving Quality and Safety with Diver

Once the finance department was able to see improvements with Diver, Sarasota Memorial expanded its use to other areas, such as the quality department.

For example, management and director-level staff conduct routine surveys that are linked to staff merit increases. The surveys include chart audits, nursing interviews, and environmental care rounding. All of the information gathered is exported into a Diver script using Integrator, Dimensional Insight’s ETL tool, and is then shown on a scorecard.

The scorecard shows an overall score with how everybody performed, and this is linked to merit increase calculations. Managers and staff can also use the scorecard to see which specific areas staff members are performing well on and which ones need improvement. The scorecard is available for most staff to see either in email or on a DivePort site.Aerial View of Sarasota Memorial Health Care System

“Diver is essential to getting our quality and safety scorecards, as well as the results,” says Jacquelyn Zaleski, Decision Support Quality Analyst at Sarasota Memorial.

Another way that the quality department uses Diver is for safety improvement. The Agency for Health Care Research and Quality (AHRQ) puts out a Safety Culture Survey that asks staff what they think of the safety culture of their organization. Sarasota Memorial put all of the AHRQ’s calculations into Integrator to develop a Diver dashboard featuring each component of the survey. The results can be shown as percentages, bar graphs or as written comments on the survey. Users can filter the results of the current survey or ones from the past.

“Diver allows you to really look into the details,” says Zaleski. “
We can compare our score to the AHRQ average or to our performance
in previous years. Diver includes an Chart Showing Overall Perception of Patient Safetyarrow showing whether your performance is up or down. I really like it. It’s clean and neat.”

Zaleski also uses Diver to report information from Healthgrades, an organization that grades hospitals on various quality metrics. Diver displays the metrics using Healthgrades’ methodology. Sarasota Memorial then uses that information in order to improve in various areas. For example, the orthopedic nurses use an orthopedic dashboard that shows them categories that include monthly volume, length of stay, mortalities, discharges to home, and 30-day readmits. The dashboard was set up for a certification process but the nurses found it so effective in their day-to-day work that they continued using it.

Most recently, Sarasota Memorial ended a years-long contract with a blood product provider to provide detailed blood utilization and cost data. To fill the gap, the hospital decided to use Diver to leverage internal data to create a blood utilization report that allows them to drill down into what type of blood was given as well as identify the ordering physician. This allows them to gain a better understanding of blood usage over time as well as determine whether costs are too high, either by blood product or by physician. By gaining this added insight, the hospital can follow-up with specific doctors or departments on areas where more education might be needed.

Moving Forward

Diver continues to pick up momentum at Sarasota Memorial. In addition to the nurses and staff members who use the platform for their dashboards and scorecards, the emergency room director and leadership team have increased their use of ProDiver. The hospital is empowering more departments to build on Diver’s usage. “We’re trying to do more,” Zaleski says. “This is all just the beginning of what we’d like to do with Diver.”

Next, Zaleski would like to increase the organization’s use of Diver for clinical tracking. The hospital is also hoping to upgrade to Spectre, Dimensional Insight’s new platform technology, for increased speed and performance.