title: Making the pediatric perioperative surgical home come to life by leveraging existing health information technology.
abstract: OBJECTIVE
  To design a patient data dashboard for the Department of Anesthesiology, Perioperative and Pain Medicine at Boston Children's Hospital that supports care integration across the healthcare system as described by the pediatric perioperative surgical home (PPSH) initiative.
  
  
  RESULTS
  By using 360 Technology, patient data was automatically pulled from all available Electronic Health Record sources from 2005 to the present. The PPSH dashboard described in this report provides a guide for implementation of PPSH Clinical Care Pathways. The dashboard integrates several databases to allow for visual longitudinal tracking of patient care, outcomes, and cost. The integration of electronic information provided the ability to display, compare, and analyze selected PPSH metrics in real time. By utilizing the PPSH dashboard format the use of an automated, integrated clinical, and financial health data profile for a specific patient population may improve clinicians' ability to have a comprehensive assessment of all care elements. This more global clinical thinking has the potential to produce bottom-up, evidence-based healthcare reform.
  
  
  CONCLUSIONS
  The experience with the PPSH dashboard provides solid evidence for the use of integrated Electronic Health Record to improve patient outcomes and decrease cost.
authors.affiliation: aDepartment of Anesthesiology Perioperative and Pain Management, Boston Children's Hospital bHarvard Medical School, Boston, Massachusetts, USA.
authors.forename: Izabela C
authors.initials: IC
authors.lastname: Leahy
authors.forename: Rachel
authors.initials: R
authors.lastname: Borczuk
authors.forename: Lynne R
authors.initials: LR
authors.lastname: Ferrari
mesh_terms: D002648:Child; D019091:Critical Pathways / Q000458:organization & administration / Q000592:standards; D003695:Delivery of Health Care / Q000379:methods / Q000592:standards; D055317:Evidence-Based Practice / Q000379:methods / Q000592:standards; D063025:Health Information Management / Q000379:methods / Q000592:standards*; D006801:Humans; D000073256:Information Technology; D019990:Perioperative Care / Q000379:methods / Q000592:standards*; D058996:Quality Improvement; D011787:Quality of Health Care / Q000592:standards*; D013503:Surgery Department, Hospital / Q000458:organization & administration / Q000592:standards*