SCAFFOLD

In any context where human performance is critical, from professional sports to open-heart surgery, performance feedback is essential for learning and improvement. However, in health systems, feedback to providers and teams is underutilized, even though it is widely available and effective. Low engagement with dashboards and reports is a symptom of a larger problem with feedback in health systems, which is that it is rarely prioritized based on its potential value to providers and teams.

SCAFFOLD is an open-source software application that analyzes performance data to identify and prioritize high-value information, expressed in concise messages, that can enhance dashboards, reports, and other feedback channels. It is based on the idea that there are two primary types of value from feedback: 1) coaching, in which people want to improve, and 2) appreciation, in which people want to sustain the impact of their work.

Some examples of the messages that SCAFFOLD can generate are "You reached the top performer benchmark", “You are not a top performer”, “You may have an opportunity to improve”, “Your team reached the goal”, and “Congratulations on the exceptionally high quality of care your team has provided”.

SCAFFOLD is a tool for for using performance data to accelerate learning and improvement through high-value feedback.