How to Help Successfully Reduce Hospitalizations and Emergent Care. Provided by OCS Education E-learning Network

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1 PatientView How to Help Successfully Reduce Hospitalizations and Emergent Care Provided by OCS Education E-learning Network Agenda Discuss PatientView results Describe how PatientView works in the agency process Review patient level reports List the benefits of the service Discuss how agencies can incorporate into their practice Discuss PatientView Refinements OCS, Inc. 2 1

2 Our Mission To contribute to client success by providing information that improves organizational performance and patient outcomes OCS, Inc. 3 PatientView PatientView Automated high-risk patient analysis service Real-time patient-level decision support service Predicts the risk for ACH or EC during service Proactive management approach OCS, Inc. 4 2

3 Patient View: A Predictive Modeling Tool Definition: Predicts the future based on historical information Uses: Framework Process Continuum Forecasting Statistical Tool OCS, Inc. 5 The Aim of Predictive Modeling Improved Health/Outcomes Patient Satisfaction Helps Clinicians make better decisions Cost OCS, Inc. 6 3

4 "Predictive modeling is hot, hot, hot," We've done more bids in predictive modeling this year than in any other category." -Al Lewis Executive Director of the Disease Management Purchasing Consortium Managed Care Magazine, August OCS, Inc. 7 Predictive Modeling Source: Jonathan P. Weiner, Johns Hopkins Health Services Research & Development Center, OCS, Inc. 8 4

5 PatientView Why Consider Using PatientView? Unacceptable rate of hospitalization or emergent care Forecasting resource needs Direction on deployment of expensive interventions OBQI process OCS, Inc. 9 PatientView Automated Process OASIS Records to OCS Reports to Agency Evaluates patient characteristics at SOC Identifies patient risk probability of ACH or EM Prioritizes patients into risk categories Stratifies and ranks patient factors driving risk level Returns information in real-time using HIPAA compliant delivery OCS, Inc. 10 5

6 Patient Risk Analysis Report OCS, Inc. 11 The Predicted Probabilities Risk Category Very High High Medium Low Very Low Odds of ACH or EM slightly greater than 1 in 2 chance about a 1 in 3 chance about a 1 in 5 chance about a 1 in 10 chance about a 1 in 20 chance Percent of ACH or EM 50% 33% 20% 10% 5% OCS, Inc. 12 6

7 Disease Management with PatientView Disease Level Analysis OCS, Inc. 13 Patient Risk Details Report Page 1 Detailed patient-level analysis Automatically prioritizes the 48 factors driving the risk determination Identifies subtle factors effecting outcomes OCS, Inc. 14 7

8 Patient Risk Details Report Page 2 Colored coded Red = high Yellow = medium Green = low Immediate road map Expedite care planning programs Customized care plans OCS, Inc. 15 Patient View Model of Care Predictive Preventative Promotional Proactive OCS, Inc. 16 8

9 Predictive Assess for risk Objective vs. Subjective Identify patient risk level Prioritizes patient care Triggers resource utilization Predictive OCS, Inc. 17 Patient Risk Assessment Report OCS, Inc. 18 9

10 Preventative Preventative Facilitates Development and/or Refinement of Disease Management programs Clinical Pathways Telehealth Use OCS, Inc. 19 Prevention Risk Category Very High High Medium Low Very Low Odds of ACH or EM slightly greater than 1 in 2 chance about a 1 in 3 chance about a 1 in 5 chance about a 1 in 10 chance about a 1 in 20 Percent of ACH or EM 50% 33% 20% 10% 5% OCS, Inc

11 Disease Management Disease Level Analysis OCS, Inc. 21 Promotional Promotional Identify patients at risk before they become hi-cost Encourages coordination of care Promotes Independence and autonomy for patient OCS, Inc

12 Proactive Proactive Forward thinking approach Improves patient care planning Patient engagement in self-care Facilitates physician communication OCS, Inc. 23 Proactive Detailed patientlevel analysis Automatically prioritizes factors of the risk assessment Identifies subtle factors effecting outcomes OCS, Inc

13 Organizational Benefits Financial Position P4P Readiness Home Health Compare Resource Allocation Compliments the OBQI process Predictive Promotional Preventative Proactive OCS, Inc. 25 Where PatientView Fits into the Process Inter-relationship of At-Risk Patients and OBQI PatientView PatientView PatientView PatientView OCS, Inc

14 How Are Agencies Using PatientView REAL Time Applications Integrating into Start of Care Process Allocate telemedicine monitors Visit frequency allocation Outcome trend analysis using patient-level details OCS, Inc. 27 How Are Agencies Using PatientView Management Applications Outcome management Cost savings Allocation of resources Analyze referral patterns OCS, Inc

15 Clinical Intervention OCS, Inc. 29 Is Patient View Working? Early indications YES! Studies Research Partnerships OCS, Inc

16 PatientView into the Future! OCS, Inc. 31 The Aim of Predictive Modeling Improved Health/Outcomes Patient Satisfaction Helps Clinicians make better decisions Cost OCS, Inc

17 For More Information Speaker Information Sue Blockberger-Miller RN BSN OCS Director of Education Leslie Knudsen-Wells, RN BS Performance Improvement Educator OCS, Inc