Consists of a platform in which data are entered and consolidated in a meaningful way, allowing tracking of performances and feedback of measured metrics to promote and sustain improvements 1) 2).

The dashboard is an instrument that enables one to “see” the current state of a complex system, facilitating exchange and planning of future interventions.

In the medical field, dashboards have been used as a management tool for health systems 3) 4) 5) 6), departments 7) 8) 9) 10) and specific diseases or conditions 11) 12) 13).

The interest in the dashboard as a reporting application fits perfectly with the recent model of value-based healthcare delivery promoted by Porter 14) 15) 16).

In this model, reorganizing healthcare delivery around medical conditions is key, as well as measuring and reporting value-based health throughout the continuity of care 17) 18) 19) 20).

In 2007, the University of California Los Angeles (UCLA) Department of Neurosurgery created a quality dashboard to help manage process measures and outcomes and ultimately to enhance clinical performance and patient care. At that time, the dashboard was in a platform that required data to be entered manually. It was then reviewed monthly to allow the department to make informed decisions. In 2009, the department leadership worked with the UCLA Medical Center to align mutual quality-improvement priorities. The content of the dashboard was redesigned to include 3 areas of priorities: quality and safety, patient satisfaction, and efficiency and use. Throughout time, the neurosurgery quality dashboard has been recognized for its clarity and its success in helping management direct improvement strategies and monitor impact 21).


1)
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2)
Egan M.Clinical dashboards:impact on workflow,care quality and patient safety. Crit Care Nurs Q. 2006;29(4):354-361.
3)
Gale S, Noga P. Creating a transparent and dynamic view of staffing as a foundation for improving quality and efficiency. Nurs Adm Q. 2013;37(2):129-135.
4) , 8)
Render ML, Freyberg RW, Hasselbeck R, et al. Infrastructure for quality transformation: measurement and reporting in veterans administration intensive care units. BMJ Qual Saf. 2011;20(6):498-507.
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Harrison L. Using agency-wide dashboards for data monitoring and data mining: the Solano County Health and Social Services Department. J Evidence-Based Soc Work. 2012;9(1-2):160-173.
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7)
Egan M.Clinical dashboards:impact on workflow,care quality,and patient safety. Crit Care Nurs Q. 2006;29(4):354-361.
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Morgan MB, Branstetter BF IV, Mates J, Chang PJ. Flying blind: using a digital dashboard to navigate a complex PACS environment. J Digit Imaging. 2006;19(1): 69-75.
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Jung E, Schnipper JL, Li Q, et al. The coronary artery disease quality dashboard: a chronic care disease management tool in an electronic health record. AMIA Annu Symp Proc. 2007:999.
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Cheng CK, Ip DK, Cowling BJ, Ho LM, Leung GM, Lau EH. Digital dashboard design using multiple data streams for disease surveillance with influenza surveillance as an example. J Med Internet Res. 2011;13(4):e85.
13)
Sebastian K, Sari V, Loy LY, Zhang F, Zhang Z, Feng M. Multi-signal visualization of physiology (MVP): a novel visualization dashboard for physio- logical monitoring of traumatic brain injury patients. Conf Proc IEEE Eng Med Biol Soc. 2012;2012:2000-2003.
14) , 17)
Porter ME. Value-based Healthcare delivery. Ann Surg. 2008;248(4):503-509.
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Porter ME. A strategy for Healthcare reform: toward a value-based system. N Engl J Med. 2009;361(2):109-112.
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Porter ME. What is value in Healthcare? N Engl J Med. 2010;363(26):2477-2481.
20)
Pollock RE. Value-based Healthcare: the MD Anderson experience. Ann Surg. 2008;248(4):510-516; discussion 517-518.
21)
McLaughlin N, Afsar-Manesh N, Ragland V, Buxey F, Martin NA. Tracking and sustaining improvement initiatives: leveraging quality dashboards to lead change in a neurosurgical department. Neurosurgery. 2014 Mar;74(3):235-44. doi: 10.1227/NEU.0000000000000265. PubMed PMID: 24335812.
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