Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst
|
|
- Noel Black
- 7 years ago
- Views:
Transcription
1 Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration, Allina Health
2 Conflict of Interest Ross Gustafson, MBA Ownership interest: Health Catalyst options
3 Agenda Allina Health Context & Strategy Data Analytics Structure & Tools Analytics & Outcomes Experience Summary
4 Learning Objectives Discuss the direct effect quality improvement has on cost containment and why it is key to moving to a value-based model of payment Demonstrate how Allina Health is using advanced analytics to bridge historical, current and predictive information to improve quality while lowering the cost of care Describe the effect care coordination driven by predictive analytics has made in improving the overall quality of health experienced by Allina Health patients and how it has helped reduce unnecessary hospital admissions and readmissions Describe how transparency of data with physician community supported engagement and improved triple aim outcomes for Allina Health
5 STEPS: Patient Engagement & Population Management Improved Outcomes to be Leader in Diabetes Optimal Care Management >60% Care Management Engagement with Patients vs Health Plans
6 Allina Health Context & Strategy
7 About Allina Health Largest Healthcare System in the Twin Cities and Region 13 hospitals 1,812beds 59 Allina Clinics, 22 hospital-based clinics 15 community pharmacies 3 ambulatory care centers 8 Clinical Service Lines Specialty Operations: Transportation, Pharmacy, Lab, Homecare/Hospice Over 26,000 employees Allina Integrated Medical Network representing over 3,000 employed & independent physicians Key statistics (2014) $3.6 billion in revenue 108,124 inpatient admissions 1.3 million outpatient admissions 3.5 million total clinic visits
8 Minnesota Market Leader in quality improvement, reporting & outcomes ICSI MN Community Measurement Competitive provider environment with consolidation occurring Fortune 500 companies seeking greater value
9 Connected Care Strategy Allina Health pursuing a strategy of Connected Care Better connect and coordinate care (and support the caregiver s ability to do just that) Advance new payment systems that rewards outcomes Integrate data and knowledge to improve care and health
10 All About Creating Value and Advancing Outcomes Based Delivery Strategy Value = Quality (in its full definition) Cost the one outcome that unites all players in health and health care
11 Four Measures of Success: 2016 Strategic Priorities 1. Optimal Health/Experience for Individuals Personal Primary Care Teams Strategic positioning acute care assets 2. Optimal Health for the Community Allina s readiness to manage population health Community health benefit 3. Affordable Care Payment integration strategy Better Care/ Experience Better Health 4. Organizational Vitality Performance Employee/Physician engagement Brand and member engagement Reduce per capita costs Organizational Vitality
12 Triple Aim Integration Initiatives Quality Roadmap Goal Initiative(s) 1) Perform under value based payment risk models 2) Align incentives across employed and affiliated providers 3) Give providers the data and information needed to improve outcomes 4) Provide consistently exceptional care without waste 5) Support transformation with new skills development Accountable care pilots Pioneer ACO Commercial partnerships Medicaid Allina Integrated Medical Network (Clinically Integrated Network) Advanced analytics infrastructure including a robust Enterprise Data Warehouse (EDW) Primary care team model redesign Care management/patient engagement Clinical program optimization Allina Advanced Training Program
13 Strategic Partnership with Health Catalyst Why did Allina Health Pursue? Healthcare Analytic Adoption Model Allina + Catalyst Ability to focus on core competency Allina 2014 Accelerating analytic adoption Allina 2010 Cost stabilization Allina 2008
14 Data Analytics Structure & Tools
15 Allina Health- Analytic Adoption Level 8 Level 7 Level 6 Level 5 Cost per Unit of Health Reimbursement & Prescriptive Analytics Cost per Capita Reimbursement & Predictive Analytics Cost per Case Reimbursement & Data Driven Culture Clinical Effectiveness & Population Management Contracting for & managing health Taking more financial risk & managing it proactively Taking financial risk and preparing your culture for the next levels of analytics Measuring & managing evidence based care 2010 Level 4 Automated External Reporting Efficient, consistent production & agility Level 3 Automated Internal Reporting Efficient, consistent production 2009 Level 2 Standardized Vocabulary & Patient Registries Relating and organizing the core data Level 1 Data Integration Enterprise Data Warehouse Foundation of data and technology 2008 Level 0 Fragmented Point Solutions Inefficient, inconsistent versions of the truth Source: Healthcare Analytic Adoption Model
16 Enterprise Data Warehouse: Data to Information
17 General Specific Clinical Intelligence Tools PPR Dashboard Census Dashboard Allina Health Readmissions Model Potentially Preventable Events Enterprise Data Warehouse EHR Dashboard Operational Reports Allina Health Modeling of Potentially Preventable Events Retrospective What happened? Real time What is happening? Predictive What may happen?
18 Supporting Cohort Management Driving Improvement through Access to Information Select by patient, clinic, provider or any combination Filter by Pioneer ACO Patients Shows performance of composite measure components
19
20 Getting the Predictive Analytics to the Bedside The Census Dashboard Identifies Transition Conference Status Identifies Patient Readmit Risk Identifies Prior IP Visits in Last Week & Month
21 Established Data Governance Model - ACO Population Health Analytics Focus on identifying Total Cost Of Care Opportunities in valuebased payment populations INPUTS Clinical Ops & Physician Perceptions Payer Reports MNCM, HP Reports Claims Data ACO Applications Internal Data Clinical Variation ANALYZE, SYNTHESIZE & REPORTING TCOC Opportunities ACO Analytics Workgroup RECOMMENDATIONS PRIORITIZATION Network Quality Committee
22 Analytics & Outcomes Experience
23 Examples of Allina Health s Efforts & Outcomes How have enhanced analytics supported Allina Health in improving its performance? Prioritizes areas for care model changes Risk stratification Patient finding Clinical variation Enables focus on risk-based contract populations Provides insights on efforts, areas for further change, readiness to spread
24 Population Health Management Risk Stratification Model Stratify the population with data integration for unique care models High Risk Complex Care Management 1-2% Commercial 5% Government Claims Utilization Predictive Models Clinical Assessment Diagnostics Predictive Models Consumer Activity Trackers Biometrics Preferences & Goals Rising Risk Low Risk Primary Care: Registries Screening Prevention Outreach Health Coaching Healthy Digital Strategy: Education 24/7 Access to Care
25 Health Plan Claims Utilization Pharmacy Online Health Assessments Data Sources Allina Health Hands on assessment Predictive models Screening tools Diagnostics Members Identified for Complex Care Management Intake Health Plan Care provided outside of Allina Health Allina Health Resources to Support Patients
26 Care Management: Ambulatory Census Dashboard Case Finding Locating patient populations
27 Care Management Interventions for Hospital Transitions Apr 2012 May 2012 Jun 2012 Jul 2012 Aug 2012 Sep 2012 Oct 2012 Nov 2012 Dec 2012 Jan 2013 Feb 2013 Mar 2013 Apr 2013 May 2013 Jun 2013 Jul 2013 Aug 2013 Sep 2013 Oct 2013 Nov 2013 Dec 2013 Jan 2014 Feb 2014 Mar 2014 Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep 2014 Oct 2014 Nov 2014 Dec 2014 Jan 2015 Feb 2015 Mar 2015 Apr 2015 May 2015 Apr 2012 May 2012 Jun 2012 Jul 2012 Aug 2012 Sep 2012 Oct 2012 Nov 2012 Dec 2012 Jan 2013 Feb 2013 Mar 2013 Apr 2013 May 2013 Jun 2013 Jul 2013 Aug 2013 Sep 2013 Oct 2013 Nov 2013 Dec 2013 Jan 2014 Feb 2014 Mar 2014 Apr 2014 May 2014 Jun 2014 Jul 2014 Aug 2014 Sep 2014 Oct 2014 Nov 2014 Dec 2014 Jan 2015 Feb 2015 Mar 2015 Apr 2015 May 2015 Jun 2015 Jul 2015 Aug % 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Follow-up Appointment within 5 Days at Allina Clinc Readmissions Actual to Expected PPR Trend by Rolling 3 Months
28 Example: Supporting Cohort Management Providing Care to Patients with Diabetes Challenge Provide superior care for Allina Health s diabetic population Solution Results Identified and stratified diabetes cohorts using registries Identified gaps in care for diabetes patients (e.g. A1c, blood pressure management) Provided workflow capability for care teams to manage the population through ambulatory quality dashboard Highest national score for Diabetes Care Quality Measure in 2012 of all CMS Pioneer ACOs U.S. leader in management of diabetes patients and Diabetes Optimal Care results
29 Supporting Cohort Management Driving Improvement through Access to Information Select by patient, clinic, provider or any combination Filter by Pioneer ACO Patients Shows performance of composite measure components
30 Jan-11 Mar-11 May-11 Jul-11 Sep-11 Nov-11 Jan-12 Mar-12 May-12 Jul-12 Sep-12 Nov-12 Jan-13 Mar-13 May-13 Jul-13 Jan-11 Mar-11 May-11 Jul-11 Sep-11 Nov-11 Jan-12 Mar-12 May-12 Jul-12 Sep-12 Nov-12 Jan-13 Mar-13 May-13 Jul-13 Example: Supporting Wellness & Prevention Successfully Keeping Patients Well Challenge Avoiding future illness is core to superior population health management Solution Results Established and reported on optimal care scores for individuals Identified gaps in care and accurately connected them to care teams to close gaps in care Eliminated significant gaps in wellness screening and preventative care Allina Health has achieved some of the best ambulatory optimal care scores in the nation through a focused clinician engagement strategy Colon Cancer Screening Optimal Care Colon Cancer Screening Optimal Care Goal = 73% 76.0% 71.0% 66.0% 61.0% 56.0% Mammogram Optimal Care Goal = 85% 88.0% 86.0% 84.0% 82.0% 80.0% 78.0% 76.0% 74.0%
31 Supporting Wellness & Prevention Ambulatory Dashboard MD Name Ability to focus on a specific provider or patient population Shows performance on optimal care and component measures with patient detail, provider name and clinic
32 ACO Population Focus Northwest Metro Alliance HealthPartners and Allina Health care for nearly 300,000 people in the Northwest Metro together. Serves as a learning lab for Accountable Care to move forward the Triple Aim Data sharing critical across organizations Use of claims and clinical EMR data valuable Physician engagement and collaboration has been core to success Critical shift in mindset from competition to cooperation
33 2014 Northwest Alliance TCOC Trend HealthPartners Commercial Population
34 Summary
35 Summary This is Only the Beginning Have patience & prioritize: Utilize Pareto analysis of population data key for determining opportunity and focus Focus on waste: Consistent quality drives lower cost of care Use predictive modeling to focus care management resources Prepare to invest $$ s for tech & talent Engage physicians in data strategy development Integrate and analyze claims and clinical data Transparency and access are critical Use outcome improvement approach Keep the patient at the center of all decisions
36 Value Easier to share information & identify opportunities Evidenced based protocols deployed Data available right time, right place Individual and Population Health planning backbone Efficiency
37 Questions?
Predictive Analytics in Action: Tackling Readmissions
Predictive Analytics in Action: Tackling Readmissions Jason Haupt Sr. Statistician & Manager of Clinical Analysis July 17, 2013 Agenda Background Lifecycle Current status Discussion 2 Goals for today Describe
More informationCarolina s Journey: Turning Big Data Into Better Care. Michael Dulin, MD, PhD
Carolina s Journey: Turning Big Data Into Better Care Michael Dulin, MD, PhD Current State: Massive investments in EMR systems Rapidly Increase Amount of Data (Velocity, Volume, Veracity) The Data has
More informationUsing EHRs, HIE, & Data Analytics to Support Accountable Care. Jonathan Shoemaker June 2014
Using EHRs, HIE, & Data Analytics to Support Accountable Care Jonathan Shoemaker June 2014 Agenda Allina Health overview ACO framework- setting the stage Health Information Technology and ACOs Role of
More informationACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT
ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have
More informationPopulation Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network
Population Health Management: Banner Health Network s Perspective Neta Faynboym, Medical Director Banner Health Network 29 Acute Care Hospitals BANNER AT A GLANCE Banner Health Network with 400K lives
More informationBe Careful What You Ask For A Predictive Model That Really Works
Be Careful What You Ask For A Predictive Model That Really Works Rod Christensen, MD President, Allina Health Clinics Cheryl Hermann, RN, MBA Vice President, Clinic Operations & Patient Care Services Karen
More informationOptum One Life Sciences
Optum One Life Sciences April 15, 2015 Creating a profound and lasting impact on the health system Lower the cost trend > $100 billion 22 hours per day > 50% > $80 billion Unnecessary costs due to improper
More informationData as the Catalyst for Cost Reduction and New Care Models Health Care Insight Paper
Data as the Catalyst for Cost Reduction and New Care Models Health Care Insight Paper Why the Urgency? A recent Forbes article estimated the spend for U.S. health care in 2013 hit $3.8 trillion. In a national
More informationHealthPartners: Triple Aim Approach to ACO Development
HealthPartners: Triple Aim Approach to ACO Development Brian Rank, MD Medical Director, HealthPartners Medical Group October 27, 2010 HealthPartners Integrated Care and Financing System 10,300 employees
More informationAT&T Global Network Client for Windows Product Support Matrix January 29, 2015
AT&T Global Network Client for Windows Product Support Matrix January 29, 2015 Product Support Matrix Following is the Product Support Matrix for the AT&T Global Network Client. See the AT&T Global Network
More informationInformatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System
Nursing Informatics Working Group Informatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System Patricia C. Dykes PhD, RN, FAAN, FACMI Judy Murphy RN, FHIMSS,
More informationEnterprise Analytics Strategic Planning
Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management
More informationAllina Health System. Accountable Care thoughts from an ACO Pioneer
Allina Health System Accountable Care thoughts from an ACO Pioneer Care Integration and Payment Reform Workgroup Elmer Anderson Human Services Building St.Paul, MN February 6, 2012 Objectives for Today
More informationREWRITING PAYER/PROVIDER COLLABORATION July 24, 2015. MIKE FAY Vice President, Health Networks
REWRITING PAYER/PROVIDER COLLABORATION July 24, 2015 MIKE FAY Vice President, Health Networks AGENDA ACO Overview ACO Financial Performance ACO Quality Performance Observations 2 AGENDA ACO OVERVIEW ACO
More informationPOPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk
POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk Julia Andrieni, MD, FACP Vice President, Population Health and Primary
More informationAtrius Health Pioneer ACO: First Year Accomplishments, Results and Insights
Atrius Health Pioneer ACO: First Year Accomplishments, Results and Insights Emily Brower Executive Director Accountable Care Programs Emily_Brower@AtriusHealth.org November 2013 1 Contents Overview of
More informationCMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS
CMS Quality Measurement and Value Based Purchasing Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS American Urological Association Quality Improvement Summit
More informationThe New Complex Patient. of Diabetes Clinical Programming
The New Complex Patient as Seen Through the Lens of Diabetes Clinical Programming 1 Valerie Garrett, M.D. Medical Director, Diabetes Center at Mission Health System Nov 6, 2014 Diabetes Health Burden High
More informationCare Coordination at Frederick Regional Health System. Heather Kirby, MBA, LBSW, ACM Assistant Vice President of Integrated Care
Care Coordination at Frederick Regional Health System Heather Kirby, MBA, LBSW, ACM Assistant Vice President of Integrated Care 1 About the Health System 258 Licensed acute beds Approximately 70,000 ED
More informationCOMPARISON OF FIXED & VARIABLE RATES (25 YEARS) CHARTERED BANK ADMINISTERED INTEREST RATES - PRIME BUSINESS*
COMPARISON OF FIXED & VARIABLE RATES (25 YEARS) 2 Fixed Rates Variable Rates FIXED RATES OF THE PAST 25 YEARS AVERAGE RESIDENTIAL MORTGAGE LENDING RATE - 5 YEAR* (Per cent) Year Jan Feb Mar Apr May Jun
More informationCOMPARISON OF FIXED & VARIABLE RATES (25 YEARS) CHARTERED BANK ADMINISTERED INTEREST RATES - PRIME BUSINESS*
COMPARISON OF FIXED & VARIABLE RATES (25 YEARS) 2 Fixed Rates Variable Rates FIXED RATES OF THE PAST 25 YEARS AVERAGE RESIDENTIAL MORTGAGE LENDING RATE - 5 YEAR* (Per cent) Year Jan Feb Mar Apr May Jun
More informationThe Trinity Pioneer Story ACO SETTLERS THE PIONEER JOURNEY TO THE TRIPLE AIM. Sue Thompson Chief Executive Officer
The Trinity Pioneer Story ACO SETTLERS THE PIONEER JOURNEY TO THE TRIPLE AIM Sue Thompson Chief Executive Officer 2 UnityPoint Health: Organizational Profile 3 4 UnityPoint Health Fort Dodge: Organizational
More informationRealizing ACO Success with ICW Solutions
Realizing ACO Success with ICW Solutions A Pathway to Collaborative Care Coordination and Care Management Decrease Healthcare Costs Improve Population Health Enhance Care for the Individual connect. manage.
More informationAccountable Care Platform
The shift toward increased collaboration, outcome-based payment and new benefit design is transforming how we pay for health care and how health care is delivered. UnitedHealthcare is taking an industry
More informationPopulation Health Management Helps Utica Park Clinic Ease the Transition to Value-Based Care
CASE STUDY Utica Park Clinic Population Health Management Helps Utica Park Clinic Ease the Transition to Value-Based Care The transition from fee-for-service to value-based reimbursement has been a challenge
More information#Aim2Innovate. Share session insights and questions socially. UCLA Primary Care Innovation Model 6/13/2015. Mark S. Grossman, MD, MBA, FAAP, FACP
UCLA Primary Care Innovation Model Mark S. Grossman, MD, MBA, FAAP, FACP Chief Medical Office, UCLA Community Physicians & Specialty Care Networks June 16, 2015 DISCLAIMER: The views and opinions expressed
More informationA Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure
+ A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure + Disclosures: Timothy Harlan: I have no actual or potential conflict of interest in relation to this presentation.
More informationFive Myths Surrounding the Business of Population Health Management
Five Myths Surrounding the Business of Population Health Management Joan Moss, RN, MSN Robert Sehring Chief Nursing Officer and Chief Ministry Services Officer, Senior Vice President, Sg2 OSF HealthCare
More informationProven Innovations in Primary Care Practice
Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare
More informationThe ACO Model/Capabilities Framework and Collaborative. Wes Champion Senior Vice President Premier Healthcare Alliance
The ACO Model/Capabilities Framework and Collaborative Wes Champion Senior Vice President Premier Healthcare Alliance Roadmaps to Serve as a Bridge from FFS to ACO Current FFS System What are the underpinning
More informationPatients Receive Recommended Care for Community-Acquired Pneumonia
Patients Receive Recommended Care for Community-Acquired Pneumonia For New Jersey to be a state in which all people live long, healthy lives. DSRIP LEARNING COLLABORATIVE PRESENTATION The Care you Trust!
More informationAccountable Care Communities 101. Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014
Accountable Care Communities 101 Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014 Premier is the largest healthcare alliance in the U.S. Our Mission:
More informationPremier ACO Collaboratives Driving to a Patient-Centered Health System
Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency
More informationThe Importance of Clinical and Claims Data
ON The Importance of Clinical and Claims Data In the rapidly evolving health care economy, getting comprehensive data has become essential for providers as they move to manage more patient risk. Clinical
More informationPerformance Measurement in CMS Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS
Performance Measurement in CMS Programs Kate Goodrich, MD MHS Director, Quality Measurement and Health Assessment Group, CMS Mind the Gap: Improving Quality Measures in Accountable Care Systems October
More informationGet Plugged in: Defining Your Connectivity Strategy. CHIME College Live 17 April 2013
Get Plugged in: Defining Your Connectivity Strategy CHIME College Live 17 April 2013 Topics Introductions Drivers Strategies Imperatives Discussion Page 2 Copyright Kurt Salmon 2013 All Rights Reserved
More informationDRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I
DRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I A firm understanding of the key components and drivers of healthcare reform is increasingly important within the pharmaceutical,
More informationPopulation Health Management Innovation Payer and Provider Collaboration. Population Health Management Innovation Payer and Provider Collaboration
Population Health Management Innovation Payer and Provider Collaboration Population Health Management Innovation Payer and Provider Collaboration Agenda Strategic Context Population Health Journey Key
More informationPopulation Health Solutions for Employers MEDIA RESOURCES
Population Health Solutions for Employers MEDIA RESOURCES ABOUT MISSIONPOINT MissionPoint s mission is to make healthcare more affordable, accessible and improve the quality of care for our members. MissionPoint
More informationThe Five Pillars of Population Health Management. Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega
The Five Pillars of Population Health Management Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega ZeOmega a forerunner in Population Health Management Transformation into
More informationSupporting a Continuous Process Improvement Model With A Cost-Effective Data Warehouse
Supporting a Continuous Process Improvement Model With A Cost-Effective Data Warehouse Dave Hynson, Vice President and CIO Juan Negrin, Manager of BI and Data Governance OVERVIEW I. ALIGNMENT TO BUSINESS
More informationPopulation health management:
GE Healthcare Population health management: Navigating successfully from volume to value In the new world of value-based care and risk-sharing compensation, success will depend on how well provider organizations
More information2015 Hospital Measures
2015 Hospital Measures Vicki Tang Olson, Stratis Health David Hesse, Minnesota Department of Health Statewide Quality Reporting and Measurement System (SQRMS) Annual Update January 14, 2015 Objectives
More informationImplementing a Patient Centered Medical Home and ACO to Improve Health Outcomes and Reduce Medicare Costs
Implementing a Patient Centered Medical Home and ACO to Improve Health Outcomes and Reduce Medicare Costs Medicare Market Innovations Forum July 14, 2014 Donna Zimmerman Senior Vice President, Government
More informationHow MissionPoint Health is Using Population Health Insights to Achieve ACO Success
How MissionPoint Health is Using Population Health Insights to Achieve ACO Success Background The United States spends more per capita on healthcare than other country, yet is ranked last among industrialized
More informationAccountable Care Organizations: What Are They and Why Should I Care?
Accountable Care Organizations: What Are They and Why Should I Care? Adrienne Green, MD Associate Chief Medical Officer, UCSF Medical Center Ami Parekh, MD, JD Med. Director, Health System Innovation,
More informationAnalytics for ACOs Integrated patient views
Analytics for ACOs Integrated patient views What s at stake? Level-setting Overview The healthcare environment is changing and healthcare organizations have challenging decisions to make. With the dramatic
More informationTRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution
TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration
More informationCase 2:08-cv-02463-ABC-E Document 1-4 Filed 04/15/2008 Page 1 of 138. Exhibit 8
Case 2:08-cv-02463-ABC-E Document 1-4 Filed 04/15/2008 Page 1 of 138 Exhibit 8 Case 2:08-cv-02463-ABC-E Document 1-4 Filed 04/15/2008 Page 2 of 138 Domain Name: CELLULARVERISON.COM Updated Date: 12-dec-2007
More informationAnalysis One Code Desc. Transaction Amount. Fiscal Period
Analysis One Code Desc Transaction Amount Fiscal Period 57.63 Oct-12 12.13 Oct-12-38.90 Oct-12-773.00 Oct-12-800.00 Oct-12-187.00 Oct-12-82.00 Oct-12-82.00 Oct-12-110.00 Oct-12-1115.25 Oct-12-71.00 Oct-12-41.00
More informationEDI Services helps healthcare network streamline workflow, increase productivity, and improve revenue cycle management.
GE Healthcare Results summary 2008 2010 Reduced eligibility rejection rate from 2% to 0.8% Reduced overall rejection rate from 6.4% to 4% Reduced cost to collect from 8.3% to 6.3% Increased the number
More informationWhy Service Matters Susan Osborne RN, MSN, MBA Vice President Service Excellence
Why Service Matters Susan Osborne RN, MSN, MBA Vice President Service Excellence Objectives The Piedmont Journey Current Service Results Importance of personal connection Financial impact for service
More informationSecond Forum on Health Care Management & Policy November 28 30, 2012. Discussion Report. Care Management
Second Forum on Health Care Management & Policy November 28 30, 2012 Discussion Report Care Management Thomas G. Rundall Henry J. Kaiser Emeritus Professor of Organized Health Systems School of Public
More informationNew Business and Investment Opportunities Emerging from Population Health Management (PHM)
Stax s Perspective on Changes Driven by PHM New Business and Investment Opportunities Emerging from Population Health Management (PHM) By Natalie De Fazio, Director, Stax Inc. November 2014 New Business
More informationAnalytics and Business Intelligence
Analytics and Business Intelligence CE-IT Virtual Town Hall series December 12, 2012 JD Whitlock, MPH, MBA, CPHIMS James E. Gaston, FHIMSS HIMSS Clinical & Business Intelligence Overview HIMSS Resources
More informationMercy: Maximizing the Value of Big Data and Analytics to Improve Patient Care
2015 SAP SE or an SAP affiliate company. All rights reserved. Mercy: Maximizing the Value of Big Data and Analytics to Improve Patient Care To become a best-in-class Accountable Care Organization, Mercy
More informationOptum One. The Intelligent Health Platform
Optum One The Intelligent Health Platform The Optum One intelligent health platform enables healthcare providers to manage patient populations. The platform combines the industry s most advanced integrated
More informationValue-Based Programs. Blue Plans Improving Healthcare Quality and Affordability through Innovative Partnerships with Clinicians
Value-Based Programs Blue Plans Improving Healthcare Quality and Affordability through Innovative Partnerships with Clinicians Issue: U.S. healthcare spending exceeds $2.8 trillion annually. 1 With studies
More informationE. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences
Accountable Care Organizations and You E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State University
More informationGuide to Population Health Management
Guide to Population Health Management presented by the Healthcare Intelligence Network Note: This is an authorized excerpt from the Guide to Population Health Management. To download the entire guide,
More information11/24/2014. Current Trends in Healthcare Reform. Maximizing Value for Consumers. Provider Reimbursement Models
David R. Swann, MA, LCAS, CCS, LPC, NCC e Council for Behavioral Healthcare 2014 David Swann, MA, LCAS, CCS, LPC, NCC Senior Healthcare Consultant MTM Services Mike Forrester, PhD Chief Clinical Officer
More informationMedInsight Healthcare Analytics Brief: Population Health Management Concepts
Milliman Brief MedInsight Healthcare Analytics Brief: Population Health Management Concepts WHAT IS POPULATION HEALTH MANAGEMENT? Population health management has been an industry concept for decades,
More informationHow To Analyze Health Data
POPULATION HEALTH ANALYTICS ANALYTICALLY-DRIVEN INSIGHTS FOR POPULATION HEALTH LAURIE ROSE, PRINCIPAL CONSULTANT HEALTH CARE GLOBAL PRACTICE DISCUSSION TOPICS Population Health: What & Why Now? Population
More informationA STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY
A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY Table of Contents I. Introduction... 2 II. Background... 2 III. Patient Safety... 3 IV. A Comprehensive Approach to Reducing
More informationACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT
ACCOUNTABLE CARE ORGANIZATION (ACO): SUPPLYING DATA AND ANALYTICS TO DRIVE CARE COORDINATION, ACCOUNTABILITY AND CONSUMER ENGAGEMENT MESC 2013 STEPHEN B. WALKER, M.D. CHIEF MEDICAL OFFICER METRICS-DRIVEN
More informationMaking Healthcare Meaningful Through Meaningful Use Stage 2
Making Healthcare Meaningful Through Meaningful Use Stage 2 Keith Griffin, MD Chief Medical Information Officer Novant Health Medical Group Novant Health: Making Healthcare Remarkable Not-for-profit, integrated
More informationMaximize the value of your COPD population health programs with advanced analytics PLAYBOOK
Maximize the value of your COPD population health programs with advanced analytics PLAYBOOK STEP ONE: Analyze your patient population Bend the cost curve: Learning more about your patients can lead to
More informationNuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations
Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Presented to The American College of Cardiology October 27, 2012 1 Franciscan Alliance Overview Franciscan
More informationContinuous Quality Improvement using Centricity EMR
Continuous Quality Improvement using Centricity EMR Jamie Howard, MD David A. Nelsen, Jr, MD, MS Associate Professors, UAMS Family & Preventive Medicine Sept 22-25, 2004 CLINICAL INFORMATION SYSTEMS 1
More information6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation
Dignity Health Population Health Management and Compliance Programs Julie Bietsch, VP Population Health Management Dawnese Kindelt, Senior Compliance Director, Clinical Integration June 8, 2015 Moving
More informationApplying Lessons from Two Years of a Commercial ACO to a Medicare Shared Savings Program
Applying Lessons from Two Years of a Commercial ACO to a Medicare Shared Savings Program Lee B. Sacks, MD, CEO Mark Shields MD, MBA, FACP, Senior Medical Director AMGA 2013 Annual Conference Orlando, FL
More informationEarly Lessons learned from strong revenue cycle performers
Healthcare Informatics June 2012 Accountable Care Organizations Early Lessons learned from strong revenue cycle performers Healthcare Informatics Accountable Care Organizations Early Lessons learned from
More informationData: The Steel Thread that Connects Performance and Value
WHITE PAPER Data: The Steel Thread that Connects Performance and Value An Encore Point of View Randy L. Thomas, FHIMSS, Managing Director, Value April 2016 Realization Solutions, David H. Brown, Barbara
More informationPresenters. How to Maximize Technology to Improve Care and Reduce Cost 9/17/2015
How to Maximize Technology to Improve Care and Reduce Cost Presenters Justin Miller Director of Synergy Jordan Health services Dallas, TX jmiller@jhsi.com Justine Garcia Director of Software Solutions
More informationBig Data Analytics Driving Healthcare Transformation
Big Data Analytics Driving Healthcare Transformation Greg Caressi SVP Healthcare & Life Sciences November, 2014 Six Big Themes for the New Healthcare Economy Themes Modernizing Care Delivery Clinical practice
More informationWhat you need to know about Health Reform, Accountable Care, and Collaborative Care
ACO and Collaborative Care - The Basics What you need to know about Health Reform, Accountable Care, and Collaborative Care Healthcare is changing Costs vs. volume ACO Benefits How to Achieve ACO Health
More informationHealth Information Technology and Quality Improvement
Health Information Technology and Quality Improvement A Public Health Approach NYC Department of Health and Mental Hygiene Testimony before the New York City Council Committee of Technology in Government
More informationEnhanced Vessel Traffic Management System Booking Slots Available and Vessels Booked per Day From 12-JAN-2016 To 30-JUN-2017
From -JAN- To -JUN- -JAN- VIRP Page Period Period Period -JAN- 8 -JAN- 8 9 -JAN- 8 8 -JAN- -JAN- -JAN- 8-JAN- 9-JAN- -JAN- -JAN- -JAN- -JAN- -JAN- -JAN- -JAN- -JAN- 8-JAN- 9-JAN- -JAN- -JAN- -FEB- : days
More informationPopulation Health Management Primer
Population Health Management Primer A White Paper October 2014 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800- 680-7570 Impact- Advisors.com Table of Contents What Is Population
More informationImplementing a Complete Perinatal Information System Donald Levick, M.D., MBA, FHIMSS
Implementing a Complete Perinatal Information System Donald Levick, M.D., MBA, FHIMSS DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent
More informationStrengthen Financial Performance: Start with Lab Outreach Gary Palgon, VP Healthcare Solutions Naveen Sarabu, Director Product Management
Strengthen Financial Performance: Start with Lab Outreach Gary Palgon, VP Healthcare Solutions Naveen Sarabu, Director Product Management Liaison Technologies. All rights reserved. Liaison is a trademark
More informationBusiness Intelligence in Healthcare: Trying to Get it Right the First Time!
Business Intelligence in Healthcare: Trying to Get it Right the First Time! David E. Garets, FHIMSS DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not
More informationPopulation Health Management Industry Overview
Population Health Management Industry Overview May 19, 2016 The safe bet for long-term population health success The changing population health market Population health management has emerged as a major
More informationHIMSS Davies Enterprise Application --- COVER PAGE ---
HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai i Pacific Health Organization s Address: 55 Merchant Street, 27 th Floor, Honolulu, Hawai i 96813 Submitter s Name:
More informationDual RFI Response Summary
Dual RFI Response Summary Improving Care through Integrated Medicare and Medi- Cal Delivery Models Stuart Levine, MD., MHA. Keith Wilson, MD Robert Margolis, MD. Stakeholder Meeting August 30, 2011 1 Organization
More informationPopulation Health Management Systems
Population Health Management Systems What are they and how can they help public health? August 18, 1:00 p.m. 2:30 p.m. EDT Presented by the Public Health Informatics Working Group Webinar sponsored by
More informationPopulation Health Management: Advancing Your Position in the Journey to Value-Based Care
Population Health Management: Advancing Your Position in the Journey to Value-Based Care Webcast Session One: An Integrated Approach to Population Health Management 11 August 2015 Welcome & Introductions
More information10 Key Concepts for Higher Sales into ACOs
By Michelle O Connor President and CEO By Michelle O Connor President and CEO CMR Institute Healthcare providers are under significant pressure from government payers, commercial health plans, and patients
More informationQuality and Efficiency of Care Improved with Analytics and Workflow Redesign
Quality and Efficiency of Care Improved with Analytics and Workflow Redesign London Health and Care Leaders Forum June 2, 2015 Simeon Schwartz, MD CEO, WESTMED Medical Group, P.C. WESTMED Medical Group
More informationValue-Based Payment and Health System Transformation
Value-Based Payment and Health System Transformation National Health Policy Forum Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for
More informationThe Impact Of Employer Contribution Policy On Premium Rate Setting. Group-Specific Experience: Financial And Utilization Performance
Premiums: HMO Premium Rate Calculations Setting Group Renewal Premium Rates The Impact Of Employer Contribution Policy On Premium Rate Setting Group-Specific Experience: Financial And Utilization Performance
More informationHealth Care Financing: ACC/ ACO s, beyond the hype hope. Brian Seppi, MD, President, Washington State Medical Assn.
: ACC/ ACO s, beyond the hype hope Brian Seppi, MD, President, Washington State Medical Assn. Washington State Medical Association Health Care Financing Our vision Make Washington the best place to practice
More informationCMS Innovation Center Improving Care for Complex Patients
CMS Innovation Center Improving Care for Complex Patients ECRI Institute Dr. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Deputy Administrator for Innovation and Quality Director, Center for
More informationHOW CAN INFORMATION TECHNOLOGY HELP ADVANCE THE AIM OF VALUE BASED HEALTH CARE?
HOW CAN INFORMATION TECHNOLOGY HELP ADVANCE THE AIM OF VALUE BASED HEALTH CARE? James Whitfill, MD President Lumetis, LLC Chief Medical Officer, Scottsdale Health Partners University of Arizona-Phoenix
More informationNorth Shore Physicians Group Primary Care Redesign
North Shore Physicians Group Primary Care Redesign Christine Sinsky, MD 12.23.11 The physician cannot do this work alone, notes Lindsay Gainer, Director of Clinical Services and Innovations at North Shore
More informationGBMC HealthCare is Building a Better System of Care for Our Community. John B. Chessare MD, MPH President and CEO GBMC HealthCare System
GBMC HealthCare is Building a Better System of Care for Our Community John B. Chessare MD, MPH President and CEO GBMC HealthCare System Agenda The Challenges in our National and Local Healthcare Systems
More informationThe Promise of Regional Data Aggregation
The Promise of Regional Data Aggregation Lessons Learned by the Robert Wood Johnson Foundation s National Program Office for Aligning Forces for Quality 1 Background Measuring and reporting the quality
More informationCare Transitions: Success Stories and Lessons Learned
Care Transitions: Success Stories and Lessons Learned Kim McCoy, Stratis Health Kris Garman, Redwood Area Hospital Joleen Johnson, Redwood Area Hospital June 29, 2015 Objectives Learn strategies for implementation
More informationMichael J. Tronolone, MD, MMM, Chief Medical Officer Michelle Matin, MD, FAAFP Associate Medical Director for Quality The Polyclinic Seattle, WA
Succeed with Population Health Management in a Fee-for-Service Environment and Improve Clinical Quality Measures While Transitioning to Value- Based Care Michael J. Tronolone, MD, MMM, Chief Medical Officer
More informationReducing Avoidable Readmissions Effectively (RARE) Kathy Cummings, RN, BSN, MA Institute for Clinical Systems Improvement
Reducing Avoidable Readmissions Effectively (RARE) Kathy Cummings, RN, BSN, MA Institute for Clinical Systems Improvement Martha and James Acute Episodes Family Doctor Life Expectancy from chronic diseases
More information