OUR EXPERIENCES Internal Transparency

Denver Health developed preventive-health and chronic-disease patient registries for users of their community health center network. One aspect of this system is the creation of performance report cards aggregated across patients and time and populated by nearly real-time data. An essential feature of the report cards has been non-blinded display of performance by site of primary care and by primary care provider, which drove reduced variation and improved overall performance.

  • Better care: During the past 3 years, colorectal cancer screening rates nearly doubled; breast cancer screening rates increased by 20 percent; hypertension control rates increased from 60 percent to 72 percent

Cleveland Clinic implemented web-based business intelligence tools to collect and display provider performance data for a wide variety of metrics in order to engage providers in quality improvement and waste reduction. By giving providers transparent access to metrics that identify variations in practice, utilization rates, and performance against internal and external benchmarks, Cleveland Clinic has seen dramatic reductions in waste, improved quality, and a sustained change in culture.

  • Better care: >40 percent reduction in central-line infections; 50 percent reduction in urinary-tract infections (UTIs)
  • Lower costs: Cost avoidance of $30,000 for each central-line infection and $5,000 for each UTI


The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement