Enhancing Regulatory Outcome Measures: A Process Improvement Approach Using Visual Analytics to Optimize Section GG 1903

Monday, October 27, 2025

4:45 PM - 5:45 PM

Location: ROOM: Private Dining Room #1 >>> DIRECTIONS: Third Floor >>> From the Main Elevator Bank, proceed left past Williford and Astoria. PDR #1 is located to the left in the small corridor.

Presenter(s)

Danielle Erdman

Vice President of Hospital Operations at Bartram
Brooks Rehabilitation
Atlantic Beach, FL, United States

Slides Slides
Cassidy Cramer, MOT, OTR/L

Occupational Therapist, Therapy Lead
Brooks Rehabilitation
Saint Augustine, FL, United States
Mindi R. Manes, PhD (she/her/hers)

Director Center for Outcomes Analytics and Research
Brooks Rehabilitation
Jacksonville, Florida, United States

This quality initiative integrated visual analytics into the CMS Section GG reporting process to improve clinician performance and rehabilitation outcomes. Data insights identified inefficiencies, enabling personalized education and real-time feedback. Peer leaders supported continuous improvement and fostered a learning culture. Focused on neuroplasticity and functional rehabilitation, the program ensured meaningful patient progress. As a result, facility performance scores improved significantly, demonstrating the impact of data-driven, clinician-engaged approaches on Section GG reporting and overall care effectiveness.

Learning Objectives:

Identify strategies to engage the clinical team for accurate reporting of regulatory functional measures
Demonstrate the use of visual analytics to identify inefficiencies, enhance clinician performance, and provide targeted interventions
Describe a learning health systems approach for continuous improvement through real-time data and clinician feedback