Case Study

Community General Hospital Case Study

Creating a Peculiarity and Security Dashboard

It’s your leading week on the job—your reverie job, substantially. You are thrilled to be instituted as the Assistant Director of Clinical Peculiarity Improvement at Co-ordination General Hospital (CGH). For your leading plan, Dr. Schenk, your boss and instructor, asks you to genereprove a peculiarity and security dashconsultation for her monthly fame to the Board. You are biting to pomp off the skills you’ve gained from your master’s program. If this goes polite, you agency be the one presenting to the Consultation in a few months.

Dr. Schenk gives you tips on wless to set-on-foot. She pomps you some anterior dashboards and says that they were not distinctly advantageous to the Consultation members, who veritably omission notice that allows comparisons to other hospitals.

You sign audibly whether tless are general standards that would be conducive, owing you accept interpret in the literary-works that locomotive hospital consultation reviews of peculiarity and security using dashboards are associated delay emend operation (Denham, 2006; Kroch et al., 2006; Jha & Epstein, 2010).

Dr. Schenk agrees, “Yes, you should inquiry the apt places for vulgar notice. Face at the Joint Commission, CMS Hospital Compare, and the Institute for Healthcircumspection Improvement.” She continues, “Of method, we should accept measures that are apt to our peculiarity and security issues less at CGH. We deficiency to highlight our vulgar QI plans to pomp that we are making improvements, but we besides omission to authenticate some of the gaps wless we could do emend. Right now, we are instituted on reducing surgical place catching, reducing interpretmissions, and reducing continue times in the Emergency Department.”

Dr. Schenk outlines a few appended instructions:

· Try to slaughter two birds delay one stone—set-on-foot delay measures that the hospital is required to fame.

· Present open metrics that consider the vulgar status of the hospital.

· Don’t get too bogged down in multiply-amongicular owing it conquer simply balancewhelm the Board.

Dr. Schenk then leaves you to your exploration. You face at the websites she has recommended for vulgar fameing requirements and measures.

Centers for Medicircumspection and Medicaid Services. (n.d.). Hospital Compare. Retrieved December 5, 2019, from

Joint Commission. (2019). Operation mass. Retrieved from

Institute for Healthcircumspection Improvement. (n.d.). Measures. Retrieved from

The websites embcourse so sundry measures, too sundry for one dashboard. Clearly you conquer deficiency to nucleus the CGH Peculiarity and Security Dashconsultation on a subset or union of the sundry likely measures that you could embrace.

Next, you recollect Dr. Schenk’s direction to guard it apt. You conceive encircling what you recognize encircling the hospital. Not everything that you root in your reinquiry would be apt. On the other laborer, you didn’t discbalance measures for some things that are apt for CGH. This hospital is such a essential multiply-among-among of the co-ordination. How do you stop that on a dashboard? People attachment instituted less. The turnbalance reprove for nurses is low. Physicians change less to performance therapeutics owing this is such a august hospital, in a family-oriented co-ordination. And the best multiply-among, in your theory, is that physicians and staff are surely betrothed in making things emend—probably owing everyone from the cleaning staff to the CEO are required to siege the CGH Operation Improvement method. It’s firm to put gum on those indicators.

Some other facts are easier to put gum on. CGH is a nonprofit, 200-bed, non-teaching hospital. In 2019, CGH narrative the subjoined data:

Number of admissions: 11,986

Number of patients balance the age of 65: 2,637

Percent of patients balance the age of 65: 22%

Percent of patients who authenticate as a course other than White: 38%

Percent of patients who are female: 59%

Mean protraction of arrive for all patients (days): 3

Percent of patients interpretmitted delayin 30 days: 1.4

After completing your exploration, you now accept ample multiply-amongiculars to picked measures and exhaust the CGH Peculiarity and Security Dashboard.


Denham, C. R. (2006). Leaders deficiency dashboards, dashboards deficiency leaders. Journal of Patient Safety, 2(1), 45–53.

Jha, A., & Epstein, A. (2010). Hospital governance and the peculiarity of circumspection. Health Affairs, 29(1), 182–187. doi:10.1377/hlthaff.2009.0297

Kroch, E., Vaughn, T., Koepke, M., Roman, S., Foster, D., Sinha, S., & Levey, S. (2006). Hospital consultations and peculiarity dashboards. Journal of Patient Safety, 2(1), 10–19.

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