Method and system for prioritizing opportunities for clinical process improvement

A computerized system in a clinical environment for facilitating analysis of a return-on-investment for one or more areas of opportunity analysis for analyzing opportunities for improving a current clinical process within one or more clinical facilities, the current clinical process being of a particular type of clinical process, the system including a processor and one or more computer-storage media and comprising:

• a first interface to a database storing optimized practice process model data, the optimized practice process model data defining a plurality of areas of opportunity analysis for analyzing opportunities for clinical process improvement based on an optimal process flow, the optimal process flow having been predefined for the particular type of clinical process and detailing end-to-end activities for the particular type of clinical process including interrelationships among the activities, each area of opportunity analysis corresponding with a group of one or more critical levers, each critical lever corresponding with an activity within the optimal process flow that has been predetermined to have a greater potential to impact outcomes for the particular type of clinical processes compared to other activities in the optimal process flow that have not been predetermined as critical levers, the optimized practice process model data further defining return-on-investment metrics for quantifying a return-on-investment for adopting changes corresponding with each area of opportunity analysis, wherein the return-on-investment metrics comprise benefit metrics and effort metrics, wherein the benefit metrics facilitate the quantification of a benefit that may be realized by adopting changes corresponding with each area of opportunity analysis and wherein the effort metrics facilitate the quantification an effort to adopt changes corresponding with each area of opportunity analysis, wherein the optimal process flow, the areas of opportunity analysis, critical levers, and return-on-investment metrics have been predefined based at least in part on analysis of one or more selected from the following:
• medical literature, published medical guidelines, and operational evidence collected from a plurality of clinical facilities;
• a second interface to a data store storing clinically-related data from the current clinical process;
• and
• a knowledge manager communicating with the database via the first interface and the data store via the second interface, the knowledge manager configured to determine a return-on-investment for adopting changes within the current clinical process corresponding with each area of opportunity analysis, the return-on-investment being determined for each area of opportunity analysis based on the clinically-related data and return-on-investment metrics defined by the optimized practice process model, wherein the knowledge manager determines the return-on-investment for adopting changes corresponding with each area of opportunity analysis by:
• determining a benefit index for each area of opportunity analysis based on the clinically-related data and benefit metrics defined by the optimized practice process model,
• determining an effort index for each area of opportunity analysis based on the clinically-related data and effort metrics defined by the optimized practice process model, and
• calculating the return-on-investment for each area of opportunity analysis as a function of the benefit index and effort index determined for each area of opportunity analysis.

A computer-storage medium storing computer-useable instructions that, when used by a computing device, cause the computing device to perform a method in a clinical computing environment for analyzing a return-on-investment for one or more opportunities for improving a current clinical process within one or more clinical facilities, the current clinical process being of a particular type of clinical process, the method comprising:

• accessing optimized practice process model data defining a plurality of critical levers based on an optimal clinical process, the optimal clinical process having been predefined for the particular type of clinical process and detailing end-to-end activities for the particular type of clinical process including interrelationships among the activities, each critical lever corresponding with an activity within the optimized clinical process that has been predetermined to have a greater potential to impact outcomes for the particular type of clinical processes compared to other activities in the optimal clinical process that have not been predetermined as critical levers, the optimized practice process model data further associating return-on-investment metrics with each of the critical levers, wherein the return-on-investment metrics comprise benefit metrics and effort metrics, wherein the benefit metrics facilitate the quantification of a benefit that may be realized by adopting changes corresponding with each area of opportunity analysis and wherein the effort metrics facilitate the quantification an effort to adopt changes corresponding with each area of opportunity analysis, wherein the optimal clinical process, critical levers, and return-on-investment metrics have been predefined based at least in part on analysis of one or more selected from the following:
• medical literature, published medical guidelines, and operational evidence collected from a plurality of clinical facilities;
• accessing one or more current measures for the current clinical process, each of the one or more current measures corresponding with at least one of the critical levers;
• and
• identifying one or more opportunities for improving the current clinical process by comparing at least one of the one or more current measures against the optimized practice process model data;
• and
• determining a return-on-investment for adopting at least one of the one or more opportunities within the current clinical process, the return-on-investment being determined based on the one or more current measures and the return-on-investment metrics defined by the optimized practice process model, wherein determining the return-on-investment for adopting the at least one of the one or more opportunities comprises:
• determining a benefit index for the at least one of the one or more opportunities based on at least one of the one or more current measures and benefit metrics defined by the optimized practice process model, and
• determining an effort index for the at least one of the one or more opportunities based on at least one of the one or more current measures and effort metrics defined by the optimized practice process model, and
• calculating the return-of-investment for the at least one of the one or more opportunities as a function of the benefit index and effort index determined for the at least one of the one or more opportunities.