Summary
Our goal is to create a clinician performance evaluation tool in order to improve the compliance rate of risk-appropriate prophylaxis.
Students: Stephen Chen, Vamsi Chunduru
Mentor(s): Michael Cohen, Gorkem Sevinc, Dr. Paul Nagy, Brandyn Lau, and Dr. Elliot Haut
Background, Specific Aims, and Significance
Venous Thromboembolism (VTE) is a disease process that includes both Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE). DVT is caused by blood clots forming in the deep vein. ⅓ of the time, DVT may suddenly lead to PE which can be fatal. This is a disease that is difficult to diagnose, with DVT having diffuse symptoms that gets significantly more serious once the disease evolves to PE. The best treatment for this condition is to tackle it before it starts. However, the compliance rate in hospitals for clinicians prescribing risk-appropriate prophylaxis is low due to clinicians not trusting the tool and relying on their past experiences.
We propose to create a clinician performance evaluation tool that will give feedback to clinicians on how well they are compliant as well as allow them to view data on past patient outcomes.
Deliverables
Maximum:
Incorporate webtool into other clinical areas
Technical Approach
We are creating a clinician performance evaluation tool. We will be using Ruby on Rails to create the backend and use HTML/Javascript/CSS to create the GUI. We aim to build a robust tool that reinforces clinician compliance by not only giving each clinician a score based on how appropriate the prescribed prophylaxis was, but also, to give this tool a teaching component where we provide a history of aggregate performance and insight as to the correct prophylaxis treatment.
Dependencies
* Access to prophylaxis data
Will give us a data set to base our data off of
We have talked with Senior Engineer Michael Cohen and he will look into getting us access to the data set
If we are unable to gain data, we will look at other data sets to base our tool off of
Due: 3/29
Completed
* Access to Stash
We need a way to perform version control on our code
We will ask the senior engineer at the Technology Innovation Center for access.
If we are unable to gain access, we will use BitBucket for version control
Due: 4/01
Completed
* Access to server
We need a server in which to host the web tool
We will look into where we can host this as we make our web tool
If we are unable to gain access to a server, we'll host our web tool through a third party
Due: 4/18
Completed
Milestones and Status
Milestone name: Mock up of web tool
Planned Date: 3/22/15
Expected Date: 3/24/15
Status: Completed
Milestone name: Create Ruby on Rails algorithm for web tool
Planned Date: 4/24
Expected Date: 4/24
Status: Completed
Milestone name: Create Bootstrap
GUI for web tool
Planned Date: 4/24
Expected Date: 4/24
Status: Completed
Milestone name: Quality Assurance Test
Planned Date: 4/30
Expected Date: 4/30
Status: Pending
Milestone name: Go-live documentation
Planned Date: 5/07
Expected Date: 5/07
Status: Pending
Reports and presentations
Project Plan
Project Background Reading
Project Checkpoint
Paper Seminar Presentations
Project Final Presentation
Project Final Report
Project Bibliography
Lau BD, Haider AH, Streiff
MB, et al. Eliminating Health Care Disparities With Mandatory Clinical Decision Support: The Venous Thromboembolism (VTE) Example. Med Care. 2015;53(1):18-24.
Streiff
MB, Carolan HT, Hobson DB, et al. Lessons from the Johns Hopkins Multi-Disciplinary Venous Thromboembolism (VTE) Prevention Collaborative. BMJ. 2012;344:e3935.
Office of the Surgeon General (US); National Heart, Lung, and Blood Institute (US). The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Rockville (MD): Office of the Surgeon General (US); 2008. Available from:
http://www.ncbi.nlm.nih.gov/books/NBK44178/
Other Resources and Project Files