IRIS FAQs
1. Why do IRIS scores appear red when I open an investigation, but when I go back to the same timeframe the IRIS score is now yellow?
ControlCheck is working with all your data, all the time. It is constantly updating IRIS scores and trends based on new file uploads. These file uploads might fill out a more complete picture from a previous time frame, therefore changing a user's score. You should always ensure that your files are as up-to-date as possible, and allow loading time so that IRIS scores are kept accurate.
2. Why does detailed risk score analysis show metrics in yellow/green, and yet the total IRIS score is red?
This question is a little more technical. Let's review it with an example. Jane Doe is a CRNA in Hospital One. Her analytics in the OR care area have all yellow scores and one green score in the detailed risk analysis. However, she is a top trending user with a red IRIS score of 5.0. Why is her IRIS score in the red when the individual metrics are in the yellow and green ranges?
In this example, it's important to look at context along with the technical workings of ControlCheck. To generate a final IRIS score, ControlCheck finds each metric score for a provider, averages them, and then fits a distribution to see which provider's averages are anomalous. In the case of Jane Doe, she has fairly high averages in all her metrics, in the high yellow range. When ControlCheck compares Jane Doe to the rest of her cohort - a relatively small amount of around 70 providers - she is clearly an outlier. Many of the other providers in her cohort have even fewer scores in the yellow range. The result of this analysis in that Jane Doe's overall IRIS is bumped up into the red range.
Float Nurse FAQs
By default, ControlCheck shows users and their corresponding IRIS score over a 30-day period. Comparisons are done by user role and the department where user activity is created. A float nurse's activity in a department is compared to other nurses' activity in that department. If a float nurse documents in multiple departments over the course of 30 days, all of their activity in a representative department is compared to the activity of others in that representative department.
1. What if a float nurse documents in two or more different departments over a 30-day period?
Most metrics are considered on an aggregate basis, looking at all events and anomalous behavior in each department worked in the selected time range. The User Mobility metric by definition looks at sequences of events across departments, therefore a float nurse's behavior in all departments will contribute to their IRIS score.
2. Are IRIS metrics results expressed per average day worked?
Metrics are based on the total volume of behavior in cases where this makes logical sense. Variances Trends are based on total variances because the absolute volume of material loss is a relevant indicator. Some metrics can be normalized by work activity; for instance, Waste Networks looks at user network behavior relative to activity level.
3. If a float nurse has a lower amount of documentation in a department compared to other RNs in that same department could it result in an abnormal score?
As a general rule, ControlCheck compares a provider's activities within the same department, but it also sums up their behavior scores in different departments to get the whole hospital view. A float nurse with activity in many departments will have their activity in all departments contribute to their overall score. This assists when they have a lower volume of documentation in specific departments.
Example: Let's say a float nurse wastes 1 full package in department A, 1 full package in department B, and 1 full package in department C. One waste in each of those departments might not be abnormal, but the float nurse's IRIS ranking is going to be influenced by their wasting in all three departments (as it should be since they wasted 3 packages). How does that float nurse compare to a regular RN with 3 full package wastes in just department A? This is harder to generalize because it's going to depend on overall behavior in each of those departments (A, B, and C). The float nurse's whole hospital activity is going to influence their metric scores, so there is no concern that the behavior is going to be hidden because it's a small quantity in each department.
4. What is the best way for the float pool nurse manager to audit their users on the Audit Table and in Analytics?
For the Audit Table, we recommend giving those managers access to all departments, as the departments in which a float nurse would document could change.
- From the Audit Table, sort or filter by User and audit the variances that are associated with the RNs you manage.
- Filter selections on the audit table are saved upon logout and login.
- If using the assignment workflow, having float pool RN discrepancies assigned to the float pool RN manager for audit directly.
For Analytics we recommend searching for float pool RNs that you manage on the IRIS page and viewing their peer-based department comparison per metric from that launching point.
5. What security roles should be assigned to a float nurse?
Ask yourself what is more important to you: Less overhead for the role management or the tightest security role permissions possible? Consider the impacts of choosing less overheard or more security. We recommend you create a Full Access Role, search your staff with the Users filter in Audit 2.0, and then bookmark that page to save this as a daily workflow.
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