Participatory design invites physicians to engage

OAKBROOK TERRACE, Ill., Feb. 24 2022 (GLOBE NEWSWIRE) — Feedback on clinician performance is widely used in quality improvement. However, there is a lack of practical guidance describing the process of developing performance feedback systems.

A new study from the March 2022 issue of Journal of the Joint Commission on Quality and Patient Safety“Using Participatory Design to Engage Physicians in the Development of a Provider-level Performance Dashboard and Feedback System,” details how the University of California, San Francisco used participatory design methodology to develop a performance dashboard and feedback system. of feedback.

Participatory design is a methodology that engages and integrates end-user feedback throughout the design process to ensure the product supports end-user goals, fits the organizational context, and invites to positive attitudes for change.

Twenty hospital physicians participated in a series of six design sessions and two surveys. Each session and survey systematically addressed key components of the feedback system continuum, including design, measurement selection, data delivery, and incentives. The researchers then used the Capability Opportunity Motivation and Behavior (COM-B) model to identify behavior change interventions to facilitate engagement with the scorecard.

The results suggest that scorecard and feedback systems developed using participatory design can effectively engage physicians. It also shows that doctors prefer:

  • Collaboration rather than competition
  • Internal motivation rather than external incentives
  • Dashboard used to facilitate clinical practice on punitive uses
  • Clinical and patient-centric metrics versus financial or throughput metrics

The study authors acknowledge that while each health care group has distinct needs, the process they described can provide insight and guidance for designing a provider-level feedback system.

“To improve clinical outcomes, leaders must focus not only on the performance of individuals, but also that of the infrastructure within which they work, developing feedback loops and interventions to support improvements in both cases,” notes an op-ed by Areeba Y. Kara, MD, MS and Jeffrey M. Rohde, MD.

Also featured in the March issue:

For more information, visitJournal of the Joint Commission on Quality and Patient Safetywebsite.


Note for editors

The article is “Using Participatory Design to Engage Physicians in Developing a Provider-Level Performance Dashboard and Feedback System” by Sajan Patel, MD; Logan Pierce, MD; Maggie Jones, MD; Andrew Lai, MD; Michelle Cai, BA; Bradley A. Sharpe, MD; and James D. Harrison, MPH, PhD. The article appears inJournal of the Joint Commission on Quality and Patient Safetyvolume 48, number 3 (March 2022), published by Elsevier.

Journal of the Joint Commission on Quality and Patient Safety

Journal of the Joint Commission on Quality and Patient Safety(JQPS) is a peer-reviewed journal that provides healthcare professionals with innovative thinking, strategies and practices to improve the quality and safety of healthcare. JQPS is the official journal of The Joint Commission and Joint Commission Resources, Inc. Original case studies, program or project reports, reports on new methodologies or the application of new methodologies, research studies and commentaries on issues and practices are all taken into account.