“If you cannot get the people to see the need for change, to make the needed changes, and to follow through, all the time and money spent on information systems, pay systems, communication systems, or new organizational structures is wasted.”

— J. Stewart Black & Hal B Gregersen
“It Starts with One – Changing Individuals Changes Organizations”
[Wharton School Publishing, Second Edition, 2008]


Breaking the first mental barrier to change is predicated on visualizing the need for change. This is where data visualization is critical. And, of course, before you visualize, you must have credible data.


Breaking the second (and arguably the toughest) mental barrier requires the willingness to try and err. It requires a culture that values innovation over excellence, learning over expertise, and effort over achievement. Indeed, none of this is easy.


Breaking the third mental barrier requires unwavering tenacity. It requires a culture where giving up is simply not an option.

Practical Examples

The Clinigence Value Improvement Platform® (VIP) is designed to support the above organizational change framework. The sections below provide some examples of how you can leverage the VIP to implement organizational and individual behavior change using the VIP.

Example #1: Clinical Quality Improvement


Seeing how you perform relative to your peers is a powerful motivator for behavior change. Clinigence reveals both top performers and underperforming practices and individual providers. Since the reports are based on and traceable to clinical data that they themselves recorded, clinicians cannot dispute their reliability.

Clinical Quality Improvement Reports


Motivation alone does not empower a busy clinician to improve. What’s needed is just-in-time, reliable information about gaps in care of individual patients. Clinigence leverages real-time clinical data, aggregated across multiple systems, practices, and settings to deliver exactly that as you can see in the screenshot. The Clinigence VIP Huddle Report delivers this information every morning for all patients you are scheduled the see that day. The Clinigence VIP at the Point-of-Care (POC) actually embeds the information within your EHR workflow.

Finish – Part I

Even when action leads to improvement, it is often hard for us to continue doing it without a clear, achievable goal. As illustrated in the screenshot, achieving your goal may take many months or even years, but the ability to set a goal and continuously track your progress towards it is crucial to success.

With Clinigence, you can set organizational goals and individual practice and provider goals. You can also adjust your goals over time as needed to motivate staff for further improvement.

Clinical Quality Improvement Performance Tracking

Finish – Part II

There are many reasons why an intervention or process that worked well at first may stop working at some point leading to performance falling back. Staff changes, momentum loss, and poor intervention or process design are among the most common reasons. It is therefore critical to monitor performance continuously in real-time to be able to identify such developments and address them quickly and effectively as illustrated in the screenshot below.

Real Time Clinical Performance Tracking