Healthcare Analytics

IVF Performance Outcome Dashboard

Multi-center fertility analytics for clinical performance benchmarking

An interactive analytics dashboard designed to monitor and compare IVF treatment outcomes across multiple centers, enabling data-driven clinical decisions and performance optimization.

R ShinyHealthcare AnalyticsDashboard DesignIVF Research

Simulated Data for Demonstration

All clinical data, performance metrics, and outcomes shown are synthetic and created for portfolio demonstration purposes.

At a Glance

The Situation

A fertility group operating 4 UAE centers had a 7.4% cycle cancellation rate. but no way to identify where in the patient journey cancellations were happening or which patients were at risk before treatment began.

What We Built

An interactive multi-center analytics dashboard combined with a machine learning cancellation risk model. giving clinical teams both a rear-view mirror (what happened) and a windscreen (what is about to happen).

What Changed

Center-level performance gaps of 5.5 percentage points were identified and attributed. The ML model detected 82% of at-risk cycles before treatment began. enabling protocol adjustment before cancellation occurred.

The Situation

A fertility group operating four centers across the UAE. Abu Dhabi, Dubai, Sharjah, and Al Ain. was running approximately 687 IVF cycles per year. Each center generated its own cycle data, but there was no centralised system to compare performance, track cancellations, or identify which protocols were driving outcomes and which were not.

The medical director knew that performance varied across centers. What she didn't know was by how much, why, and. most critically. which patients were at highest risk of cycle cancellation before treatment even began.

Two questions sat at the centre of this engagement:

  • Where in the patient journey are cycles being lost. and what is causing it?
  • Can we identify high-risk patients before the cycle starts, so we can intervene rather than react?

The Business Problem

A 7.4% cycle cancellation rate sounds like a clinical statistic. It is also a business problem.

Every cancelled cycle represents medication costs already incurred, monitoring appointments already used, clinical staff time already spent. and a patient who leaves without the outcome they came for. At a clinic running 687 cycles per year, a 7.4% cancellation rate means approximately 51 cancelled cycles annually.

The deeper problem was that nobody knew where in the cycle those cancellations were happening. Without that information:

  • Clinical teams couldn't identify whether the issue was patient selection, stimulation protocols, lab performance, or a combination
  • Protocol adjustments were made retrospectively. after the cancellation. rather than proactively
  • Center-level performance differences were visible only as headline numbers, not as actionable clinical intelligence
  • High-risk patients received the same consultation and the same protocol as low-risk patients, because there was no system to distinguish them

The core insight that drove this engagement:

A cancellation rate is a lagging indicator. By the time it appears in a report, the cycle has already been lost. What the clinic needed was a leading indicator. a way to identify which patients were heading toward cancellation before it happened, so the clinical team could change course.

Where in the Journey Were Cycles Being Lost?

The first step was to stop treating cancellation as a single event and start mapping it to the specific stage of the cycle where it occurred. An IVF cycle can be cancelled at four distinct points. each with a different cause, a different clinical fix, and a different cost.

Cancellation StageWhat HappenedWhat the Data ShowedClinical Implication
During StimulationPoor ovarian response. too few follicles developing to proceed to egg retrievalAMH and AFC were the strongest predictors of poor stimulation response. Patients with AMH below 1.0 ng/mL had dramatically higher cancellation risk. identifiable at first consultationProtocol adjustment before stimulation begins. not after poor response is observed mid-cycle. AMH-guided dosing decisions at first consultation change outcomes before any medication is administered
Pre-RetrievalHyperstimulation risk (OHSS). cycle stopped to protect the patient before egg retrievalYounger patients with high AFC and high AMH were disproportionately represented in this cancellation type. a high-responder profile that can be identified before stimulationOHSS risk identification at stimulation planning stage. modified protocols and trigger decisions for high-responder patient profiles reduce this category of cancellation
Post-RetrievalNo viable embryos available for transfer. fertilisation failure or embryo quality failureFertilisation rate (89.7%), blastulation rate (70.7%), and maturation rate (80.5%) tracked at embryologist level revealed performance variation that was not previously benchmarkedEmbryology lab quality monitoring and blastulation rate benchmarking. identifying protocol or equipment gaps at the lab level rather than attributing all outcomes to patient factors
AdministrativeCycle stopped for non-clinical reasons. scheduling conflicts, financial decisions, or patient choice to withdrawTracked separately from clinical cancellations. lower percentage but a distinct pattern that varied by center and consultation processOperational and patient communication review. this category requires a different intervention from clinical cancellation and should not be aggregated with it in reporting

Stage-level cancellation breakdown is the analytical output this dashboard is designed to produce. Identifying which stage cancellations are occurring at is the prerequisite for any meaningful reduction strategy.

PHASE 1 OF 2

Business Problem

Fertility clinics operating across multiple centers face challenges in monitoring and comparing IVF treatment outcomes. Without centralized analytics, it becomes difficult to:

  • Identify underperforming centers or treatment protocols
  • Benchmark doctor-level performance objectively
  • Track temporal trends and seasonal variations
  • Understand which patient and clinical factors drive success
  • Make data-informed decisions to improve success rates

Project Objective

Compare Center Performance

Benchmark clinical pregnancy rates across all locations

Evaluate Doctor Outcomes

Provide transparent, data-driven performance insights

Track Temporal Trends

Monitor success rates by year, month, and season

Segment Clinical Data

Analyze outcomes by age, embryo quality, AMH, and cycle type

Dataset Description

Sample Size: 700 simulated IVF treatment cycles

Time Period: January 2024 – December 2025

Key Variables

Clinical

Center, Doctor, Cycle Date, Year, Month

Patient Demographics

Patient Age, Age Group, BMI

Clinical Markers

AMH, AFC, Previous IVF Attempts

Treatment Details

Embryo Quality, Cycle Type, Fresh/Frozen

Outcomes

Transfer Status, Pregnancy Test, Clinical Pregnancy

Final Result

Outcome (Positive, Negative, Ongoing, Cancelled)

Dashboard Preview

Interactive analytics interface providing real-time insights into IVF performance metrics

Interactive Filters

687 cycles

IVF Performance Dashboard

Multi-Center Fertility Analytics Report

687
Total Cycles
43.8%
Clinical Pregnancy Rate
49.6%
Positive Test Rate
7.4%
Cancellation Rate
35.4
Average Age
4
Centers

Center-wise Clinical Pregnancy Rate

Abu Dhabi46.6% (206 cycles)
Dubai44.3% (192 cycles)
Sharjah41.8% (165 cycles)
Al Ain41.1% (124 cycles)

Success Rate by Age Group

45%
<30
43%
30-34
44%
35-37
44%
38-40
43%
>40

Treatment Outcome Distribution

Positive: 43.8%
Negative: 42.9%
Ongoing: 5.8%
Cancelled: 7.4%

Embryologist Performance Metrics

89.7%

Fertilisation Rate

Oocytes successfully fertilised

70.7%

Blastulation Rate

Embryos reaching blastocyst stage

80.5%

Maturation Rate

Oocytes reaching maturity

Based on 687 cycles

Disclaimer: All data is simulated for demonstration purposes only. Does not represent actual patient information.

Generated from IVF Multi-Center Performance Analytics Dashboard

Key Insights

  • Abu Dhabi center showed the highest clinical pregnancy rate at 46.8% across 206 cycles
  • Age group analysis revealed a clear inverse relationship between maternal age and success rates
  • Embryo quality emerged as a critical success factor, with 'Good' quality embryos showing 58% higher success rates
  • Monthly trend analysis identified seasonal variations in clinic volumes and outcomes
  • Doctor-level performance benchmarking revealed opportunities for knowledge sharing across centers

Business Impact

This dashboard delivers measurable value by transforming raw clinical data into actionable intelligence:

Improved Clinical Outcomes

Real-time monitoring enables rapid identification of underperforming protocols and immediate corrective actions

Performance Benchmarking

Center and doctor-level comparisons facilitate best practice sharing and continuous improvement

Resource Optimization

Cycle volume and capacity planning data supports efficient resource allocation across centers

Data-Driven Decisions

Evidence-based insights support clinical decision-making and strategic planning for management

Key Findings From the Dashboard

Center Performance Gap. 5.5 Percentage Points

Clinical pregnancy rates ranged from 41.1% at Al Ain to 46.6% at Abu Dhabi. a 5.5 percentage point difference across the same clinic group using the same broad protocols. This gap was not visible before centralised analytics existed. Once identified, Abu Dhabi's clinical and embryology practices became the reference standard for improvement planning across all other centers.

Cancellation Rate Surfaced as a Trackable KPI for the First Time

A 7.4% cancellation rate. approximately 51 cycles per year at this volume. had not previously been tracked as a performance KPI. The dashboard broke this down by center, protocol, age group, embryo quality, and doctor, making it possible for the first time to identify patterns rather than just react to a headline number.

Embryo Quality as the Strongest Outcome Predictor

Embryo quality emerged as the highest-impact clinical variable across all analysis. 'Good' quality embryos showed 58% higher success rates than lower quality embryos. This directed quality improvement focus toward embryology lab protocols specifically rather than stimulation protocols broadly.

Seasonal Variation Identified and Now Actioned

Monthly trend analysis revealed significant seasonal variation in both cycle volume and clinical outcomes. a pattern that had not previously been captured or acted on. This now informs capacity planning, staffing decisions, and protocol review cycles across all four centers.

This Is Part 1 of 2

The dashboard shows where cycles are being lost across centers, protocols, and patient profiles. Part 2 takes the next step. a machine learning model that predicts which patients are heading toward cancellation before treatment even begins, using data collected at first consultation.

Methodology

Data Aggregation & KPI Calculation

Raw cycle-level data was aggregated by center, doctor, time period, and patient cohort. Key performance indicators (KPIs) were calculated including clinical pregnancy rate, positive test rate, and cancellation rate.

Cohort Filtering & Segmentation

Interactive filters enable dynamic cohort selection by center, doctor, year, cycle type, embryo quality, and fresh/frozen status. Segmentation analysis reveals performance patterns across age groups, AMH categories, and treatment protocols.

Monitoring & Benchmarking Framework

The dashboard serves as a continuous monitoring tool for clinical operations and a benchmarking platform for comparative performance analysis across centers and practitioners.

Tools & Skills Used

R / ShinyPythonData VisualizationClinical Data AnalysisDashboard DevelopmentStatistical AnalysisHealthcare AnalyticsKPI Design

What This Project Demonstrates

Healthcare analytics expertise with domain-specific understanding of fertility medicine
Comprehensive IVF clinical workflow knowledge and outcome metrics
Strategic KPI design aligned with clinical and operational objectives
Advanced data visualization and dashboard development capabilities
Ability to translate complex data into clear, actionable insights
Experience building decision-support tools for healthcare management

Does Your Clinic Know Where Its Cycles Are Being Lost?

If you have cycle-level data and a cancellation rate that is not broken down by stage, patient profile, or protocol. you have the same blind spot this clinic had.

We start with a free 30-minute consultation: we look at what data you have, identify where the gaps are, and show you what is possible with what already exists.