IRIS Dashboard

IRIS is a Bluesight-centric term in ControlCheck that refers to the Individual Risk Identification Score of a provider. The IRIS Dashboard highlights users whose behavior is unusual compared to their peers by looking across metrics from all analytics enabled at your facility, then creating a normalized behavior profile and comparing each user to that normalized profile. Each care area has its own IRIS dashboard and calculates scores for each individual dashboard, as well as an overall cumulative score for each user. ControlCheck users can use the IRIS dashboard to narrow down areas of greater risk and focus investigative energies.

Interact with the Dashboard

All users in the selected care area are displayed and sorted by their cumulative IRIS ranking for the previous 30 days, with each user given a red/yellow/green color coding depending on the severity of their score. 

Detailed Risk Score Analysis (IRIS 2.0 Update)

ControlCheck users can select a user from the list on the left of the screen to view that user's detailed risk score analysis, displayed on the right side of the screen. 

In the screenshot below, we can review the provider's name, hospital role, and IRIS. More importantly, you can utilize the 6 Month IRIS & Activity History section to create a benchmark that provides context on whether a provider's IRIS is concerning due to their activities or whether there is an overall department concern. 

The IRIS Score graph is calculated and visualized as a solid bar for each month. This is calculated by taking all users who worked within a specific department and calculating the average of their hospital IRIS scores. Alternatively, the Average CS Dispenses Per Shift/Department Average data is calculated and visualized as a number for each month. This number is calculated by taking all users who primarily work in that department and calculating a simple average of their hospital's CS dispenses/shifts. 

In the detailed view, each metric dashboard is listed, along with the selected user's score, color severity compared to their peers, and a brief description of the user's unusual behavior as it relates to that report, if any. Clicking individual dashboard sections in the detailed view will open the selected report in a new tab for further investigation.

IRIS Trending

We know how important it is for you to determine if a user's behavior is trending in the wrong direction. Early prevention and proactive monitoring leads to the identification of poor practice behaviors and ultimately lowers the risk of harm to your colleagues, patients, and your hospital reputation. Is the user's IRIS score an ongoing problem or is this a new problem? Maybe you've implemented reeducation efforts and want to monitor the effectiveness of those programs for your user cohort.

IRIS includes trending information on a user's rank and score change from one month ago to today to allow you to examine which users have exhibited changes in behavior. Trending data on the IRIS Dashboard will show how a user's IRIS score and rank, i.e. position in the IRIS score rankings, have changed between time periods. This information may highlight interesting patterns including:

• Users whose IRIS scores have substantially increased
• Users whose IRIS scores have substantially decreased 

AND

• Users whose IRIS scores have stayed consistently high

Trending data is not shown if activity level has changed substantively between time periods, defined as a decrease in activity less than half of the previous month or an increase in activity greater than double the previous month in days worked. We implemented the feature in this way to avoid presenting score changes primarily attributable to schedule changes and an increase in work activity. For example, if a user was only working one day a week a month ago, and today that user works 5 days a week, their activity level would have significantly increased over the month and their IRIS score is likely to have also increased. This increase could be drastic, so rather than displaying those users as increasing in trend, we wait until we have enough data to compare the two-time points to each other and show you the trend between those data points.

When the IRIS Dashboard first loads, you will see trending data displayed on the user cards in the IRIS Rankings list, as seen below.

A user's IRIS score determines their rank; users with a higher IRIS are ranked towards the top, meaning the user with the highest IRIS score will be ranked one in the list. If a user's IRIS has increased from one month ago to today, it is likely that their IRIS rank has also increased; in this case, you will see the words "Rank rose from x to y" printed on the user's rank card, where x is the rank of the user one month ago, and y is the rank of the user today. If a user's IRIS has decreased, you will see the words "Rose fell from x to z" printed on the user's card to imply the user is now ranked lower in the full list of users.

The integer printed next to the IRIS score value represents the change in score for that user from one month ago to today. If the score value has increased, you will see a positive integer; if the score has decreased, you will see a negative integer, like the example below.

IRIS Trending will only display for initial load of the page for the default time period of one month ago to today. If you select any filters or a custom date range, the trending data will not show.

Department-based Toggle Integration into Department Filter

Upon the release of our IRIS 2.0 update, we will have removed the department-based toggle that previously appeared when filtering IRIS Ranking data by department. As a result, department-based scoring is now integrated into department selections. The new scoring methodology allows you to effortlessly identify high-risk users and compare their performance with peers in their respective departments. You no longer need to manually select departments and remember to toggle the department-based option on the IRIS Dashboard. 

Department-based scoring is now fully integrated into the selected department(s), displaying users with activity solely within those specific departments. Auditors can now examine IRIS users from two distinct perspectives. The selection or deselection of the Department filter directly influences the score shown. 

If no departments are selected (the default), all users and their activity across all departments will be compared with peers within the same departments, contributing to the overall hospital score. On the other hand, if specific departments are selected, users and their activity within the chosen department(s) will be compared to peers exclusively within those departments.