Dyads & Data, Better Together AASA Webinar June 27, 2018

1. Dyads & Data, Better TogetherAASA WebinarJune 27, 2018

2. Speakers and Agenda Barb Petit, MBA Administrator, Surgical Services Department of Surgery University of Texas Medical Branch Nicholas (Nick) Nguyen, MHA Administrator Division of Cardiology Duke University Medical Center Developing the Data Relationship Dyads & Data in Practice

3. Developing the Data Relationship • Building Trust: Making a connection • Establish Data Ground Rules • Data and Decision-Making: Data visualization across missions • Data and Influencing Behaviors: The power of choice architecture

4. Building trustdeveloping partnerships

5. Partnerships • Common Core Values • Respect for each others strengths and acknowledging weaknesses • Communication and setting ground rules/standard operating procedures Elements of good team development extend from large and small groups to individual partnerships- e.g. Chair/Administrator, Service Line-Department Partners, Individual faculty https://www.cardiovascularbusiness.com/topics/health-it/dyads-data-better-together-talk-data-strengthen-your-leadership-team

6. Partnerships

7. Establishing Data Ground Rules • Decide how data will be presented • Resolve to learn each other’s data language • Agree on goals and define critical metrics & timing for ongoing evaluation

8. Data types • Dashboards, Reports, Scorecards • Surveys- e.g. faculty survey • Data visualization tools- e.g. Tableau • Data across missions • Research • Education • Clinical • Administrative – space/faculty affairs • Data as information

9. Data Visualization across missions

10. Duke Dept. of Medicine Examples • Research • Space • Faculty Affairs • Faculty Compensation and Equity • Key Principles: • Data at your fingertips • Ability to drill down • Incorporate as a discussion tool in the decision-making process

11. DOM- Research Dashboard For demonstration purposes only

12. DOM- Space Dashboard For demonstration purposes only

13. DOM- Space Density Dashboard For demonstration purposes only

14. DOM- Faculty Affairs Dashboard For demonstration purposes only

15. DOM- Faculty Comp Dashboard For demonstration purposes only

16. Data and Influencing Behaviors: The power of choice architecture

17. Behavioral Economics: Choice Architecture https://www.behavioraleconomics.com/mini-encyclopedia-of-be/choice-architecture/

18. “Nudge” behavior • Understand how decisions are made • Define the problem • Diagnose the underlying cause • Insufficient motivation • Cognitive biases • Design the solution • (Show the data) – deciding how to present the data • Test the solution

19. Choice Architecture Examples Opt-in vs. Opt-out Rx Co-Pays: Mail vs. Retail Country A (Opt-Out) 99% Country B (Opt-In) 12% How do you design the solution set to “nudge” your Chair/Faculty ?

20. HBR: Leaders as Decision Architects “Leaders as Decision Architects”. HBR May 2015. Beshears and Gino https://hbr.org/2015/05/leaders-as-decision-architects

21. Dyads & Data, Better Together: In practice Barb Petit, MBA Administrator, Surgical Services Department of Surgery University of Texas Medical Branch

22. Sharing Information to Define Priorities • Institutional Quality – “Best Care” • Departmental • Individual

23. Sharing Information to Define Priorities Institutional: • Vizient Ranking/Metrics • Access

24. Domain Weights

25. Cost + LOS PSI Readmin + Excess Days

26. Access – Median New Patient Lag

27. Sharing Information to Define Priorities Departmental: • Quality – Vizient, NSQIP • Access • Financial

28. Departmental: Vizient Inpatient Quality Indicator (IQI) • Volume • Mortality Patient Safety Indicator (PSI) • Pressure Ulcers • VTE • Postop Sepsis • Etc…

29. Departmental: NSQIP Mortality Morbidity • Ventilator >48 hrs. • Unplanned reintubation • VTE • Sepsis • Etc…

30. Scorecard Median New Patient Lag Plastic Surgery

31. Scorecard OR Cases Colorectal Surgery

32. Scorecard WRVUs (Work RVUs) Neurosurgery

33. Sharing Information to Define Priorities Individual: • Clinical Productivity • Academic Productivity • Professional Development and or Advancement

34. Diving Into Data to Improve Performance • Vizient Groupings

38. myPOWER Report

39. Monitoring Results

40. Institutional: Vizient Rankings

41. Departmental: Access: Hitting Targets! As of 5/11 mNPL Q3 mNPL Goal Q3 Surgery 6 days 8 days Urology 17 days 19 days Neurosurgery 18 days 26 days

42. Departmental/Individual: Academic Research 2017:

43. Departmental/Individual: Academic Research 2017: UTMB SOM (54/139): $75,253,072 Departments of Surgery UTMB (27) $4,010,218 Baylor (28) $3,636,136 UT SW (53) $ 999,566 Texas A&M (63) $ 462,420 UTMB Surgery: Top Department in Texas

44. QUESTIONS?