DQA DS Module

Enhanced Decision Support capabilities
within the DQA Platform

We give you the tools you need to effectively manage and analyze your metrics that track performance, funded volume eligibility, and quality of care. We help free your Decision Support team to do more valuable work.

Most hospital indicators are publicly defined, but every hospital spends significant effort independently maintaining their own code to calculate them. Until now, there have been no common services that centrally calculate and return encounter-level indicators to hospitals in a timely manner. We develop, test, and maintain indicators once, and allow all hospitals to benefit from this shared resource.

DQA also provides the complete infrastructure for you to create your own indicators. It includes an end-to-end platform to develop, manage, test, process, and report on metrics within one centralized database stored on-site at your hospital.

Many indicators and reporting features are already included in the DQA platform at your hospital. You will now have the ability to create new indicators on your own, or you can contact us to create new functionality on your behalf.

INCLUDED IN BASE DQA LICENSE

Standardized public indicators (e.g. CIHI, HSMR, QBPs), processed nightly.
Easily extract data and calculations through database views.
A simple framework for hospital Decision Support teams to develop and publish their own indicators.
A self-serve web-based reporting tool for visit analysis, including all custom indicators.
Out-of-the-box inclusion of standardized datasets including DAD and NACRS.

AVAILABLE AT ADDITIONAL CHARGE

Development of complex custom indicators, implemented by 3terra consultants.
Development of custom reports and Power BI dashboards, per your specifications.
Advanced workflow capabilities for priority case review (e.g. physician field reports) of specified patient cohorts.
Automated identification of cases that narrowly miss qualification criteria to help determine why they were excluded.
Integration of additional data sources not included in the base platform installation.

What are the main features of the platform?

OUT-OF-THE-BOX INDICATORS
We create, verify, and manage many published indicators (e.g. HSMR, Hospital Harm, QBPs) and calculate them on behalf of our client hospitals. We update and validate them as methodologies change so you don’t need to.

RAPIDLY CREATE CUSTOM INDICATORS
DS teams are frequently asked to urgently report on cases using emerging criteria. With DQA, they only need to write the code for the indicator logic itself. The infrastructure for indicator processing, storage, and distribution is taken care of by the platform.

SELF-SERVE REPORTING
Our platform has a mature web interface to analyze visits by specifying various filters and groupings. Once the indicator logic is published, it is immediately available for analysis in this single centralized reporting platform.

INTEGRATED DATA SOURCES
Comprehensive hospital indicators require data from many HIS platforms including your EMR. We setup and manage the integration feeds to give you access to the data you need for your metrics and monitor the ongoing import data processes.

EASY TO EXPORT
All calculations are directly available to you through database views for extraction (at the individual visit level) into your own reporting/BI tools and data warehouses.

AUTOMATED PROCESSING
We provide the full infrastructure to import data and execute logic including complex scenarios such as inter-dependent calculations and ordering of processing. We also capture telemetry to monitor the health and performance of the process.

ADVANCED CASE REVIEW WORKFLOW
If you need to identify cases for detailed review (such as readmissions or visits with adverse events), we provide the workflow and field report templates to supplement the review process.

What problems do we help solve?

Over the past 15 years we’ve seen a critical increase in data reporting requirements for hospitals. Most have struggled to find ways to effectively manage these increasing data responsibilities.

Decision Support teams have become constantly overburdened and often don’t have the resources to respond to new requests from analysts, clinicians, and hospital leadership. Common problems include:

Many indicators are so complex that they are prohibitively expensive to develop and maintain as methodologies change. It’s also difficult for DS teams to avoid errors as there are often no test files from the methodology providers to validate calculations.

A full library of metrics requires data from many systems. This often leads to the creation of ad-hoc databases of duplicated data, often managed by separate disconnected teams. This often leads to significant ongoing code maintenance problems, particularly when developers leave the organization.

Publishing metrics for users is problematic, as is change management. It’s common for hospitals to create and maintain hundreds of separate reports for specific purposes rather than managing reporting and analytics through a centralized framework.

Creating reports based on multiple calculated criteria (such as when creating complex patient cohorts) is often impossible due to decentralization of the logic and data. Manually stitching data together is common which hampers analysis, research, and operational improvement efforts.

Indicator Roadmap - Included in Base DQA License

Available Now
Funded Volumes
Medical Quality Based Procedures (QBPs)
(such as Pneumonia, Congestive Heart Failure, COPD, Stroke, etc.)
Surgical Quality Based Procedures (QBPs)
(such as Hip and Knee Replacements, Degenerative Shoulders, Aortic Aneurysm, etc.)
Cancer Surgery QBPs
(identified surgical site, such as Abdominal, Gastric, Thoracic, etc.)
GI Endoscopies including Excisions
(OH-specified for DAD and NACRS)
Cardiac Procedures
(for DAD and NACRS, previously reported on Corhealth data)
Metal Stents (for all anotomical sites)
Quality Indicators
Hospital Standardized Mortality (HSMR)
(including calculation of CIHI-defined probability of mortality)
Hospital Harm Measure
(identified by the 31 CIHI/CPSI-defined clinical groups within Health Care Associated Conditions, Infections, Patient Accidents, and Procedure-Associated Conditions)
Emergency Department Return Visits
(Mental Health and all-cause)
Low Probability HSMR Deaths
Charlson Index
In Development
FUNDED VOLUMES
WTIS Funded Volumes – Adult Orthopaedic Surgery
(including Hip and Knee Revisions)
February 2023
WTIS Funded Volumes – Adult General Surgery
(including Anorectal Surgery, Intestinal Surgery, Cholecystectomy, and Hernia Repair)
February 2023
WTIS Funded Volumes – Diagnostic Imaging
(for CT and MRI including Adult and Paediatric)
March 2023
WTIS Funded Volumes – Paediatric
(Dental/Oral Surgery, Orthopaedic Surgery, Ophthalmology Surgery, Plastic Surgery, Urology Surgery)
April 2023
PRIORITY CASE REVIEW
In-Hospital Sepsis February 2023
Obstetric Trauma February 2023
Hip Fracture Surgery Within 48 Hours March 2023
Hospital Deaths Following Major Surgery (30 days) April 2023
Low-Risk Caesarean Sections April 2023
Avoidable Deaths
(CIHI defined for treatable and preventable deaths)
May 2023
QUALITY INDICATORS
30 Day In-Hospital Mortality Indicators
(CIHI defined for CABG, AVR, PCI, Stroke, and AMI)
April 2023
30 Day Patient Readmission Indicators
(CIHI defined for Mental Health, AMI, Isolated CABG, PCI)
May 2023

Frequently Asked Questions (FAQ)

Is this a separate platform or is it part of DQA?
It is a part of the DQA platform. Several advanced features are licensed as a separate optional module.

What if I have an idea for an indicator that would benefit all hospitals? Does the hospital still need to pay?
We’re always looking for new indicators that provide value! Please send the indicator to us with full specifications. Upon review, our team will decide whether or not it is appropriate for inclusion in the base platform roadmap that is included in the standard licensing.

How does the individual case review workflow work?
We have implemented a framework that allows developers to rapidly develop custom forms (such as Physician eQueries or Field Reports). Authorized users may launch a workflow for any given case and send it to other users for review and approvals. These forms include features such as configurable dropdowns and custom validation rules.

Is it possible to do analysis on cases that narrowly missed qualifying for a protocol or specification?
Yes, this is a common request. As an example, we do this for our near-miss module where factors such as intervention positioning or insurance status affect procedure qualification criteria. If you send us your requirements we can provide a quote on implementation.

If we purchase services to create a custom indicator, will it be released to everyone for free?
If the specifications are publicly available then yes, they will be made available to all DQA platform subscribers. Otherwise, the indicator definition will remain private to your hospital. Part of the value we bring to the entire hospital ecosystem is to share development costs across all hospitals. So while you may purchase some indicators, you will also benefit from the purchases of indicators from other hospitals

Please contact us if you have any questions or would like a demo of our platform.