Harnessing Your Organization's Big Data to Improve Outcomes, Reduce Costs, and Improve Service

Transcription

1 Harnessing Your Organization's Big Data to Improve Outcomes, Reduce Costs, Improve Service June 16, 2014 RWJF supports several grants testing health care payment reforms, which are managed by AcademyHealth

2 Overview Today s webinar will review the University of Utah Health Sciences Center s model for leveraging data to: Underst the costs of care; Identify tackle inefficiencies in care processes; Empower providers,, consumers. For more information on the other two webinars our ing Health Care Payment Delivery Systems series, visit AcademyHealth s website. 2

3 The audio slide presentation will be delivered directly to your computer Speakers or headphones are required to hear the audio portion of the webinar. If you do not hear any audio now, check your computer s speaker settings volume. If you need an alternate method of accessing audio, please submit a question through the Q&A pod. 3

4 Technical Assistance Live technical assistance: Call Adobe Connect at (800) Refer to the Technical Assistance box in the bottom left corner for tips to resolve common technical difficulties. Please turn off your pop-up blocker in order to take a survey 4

5 Questions may be submitted at any time during the presentation To submit a question: 1. Click in the Q&A box on the left side of your screen 2. Type your question into the dialog box click the Send button 5

6 Accessing the PowerPoint Presentation The PowerPoint presentation used during this webinar can be found in the Webinar Slides pod. Select the file from the list click Save to my computer 6

7 Speaker Vivian Lee, Senior Vice President, University of Utah Health Sciences, CEO, University of Utah Health Care, Dean, University of Utah School of Medicine 7

8 Creating a Value- Driven vivian.lee@utah.edu Vivian Lee 2014 Vivian S. Lee, M.D., Ph.D., M.B.A. Senior Vice President, University of Utah Health Sciences CEO, University of Utah Health Care Dean, University of Utah School of Medicine

9 University of Utah Health Sciences Who we are

10 4 HOSPITALS 10 COMMUNITY CLINICS 1,200 PHYSICIANS COLLEGES School of Medicine College of Nursing College of Pharmacy School of Dentistry College of Health $230.3m FUNDED 637 RESEARCH GRANTS $2.5b ANNUAL BUDGET University Neuropsychiatric Institute Huntsman Cancer Institute John A. Moran Eye Center Primary Children s Hospital (IMC) University of Utah Hospital University Orthopaedic Center Clinical Neurosciences Center South Jordan Health Center

11 Who We Serve The Academic Medical Center for 10% + of the continental United States

12 The Sweet Spot Best Health Most Affordable United Health Foundation, 2013; Total Health Cost Kaiser Family Foundation, 2009

13 University of Utah Health Sciences Rankings Top Ten 4 Years Running!

14 The Cost Curve McKinsey, Accounting for the cost of U.S. Health Care 2011

15 A Value-Driven Organization The Value Equation

16 HOW DO WE TRANSFORM SYSTEM? AN ALGORITHM FOR

17 establish METRICS

18 CASE STUDY: PATIENT SATISFACTION TESTING OUR ALGORITHM

19 Identify Communicate SOLVABLE PROBLEMS establish METRICS

20 Team COLLABORATION establish METRICS Tom Miller, M.D. Chief Medical Officer Brian Gresh Senior Director of Interactive Marketing Web Chrissy Daniels Director of Strategic Initiatives

21 How We MEASURE SATISFACTION ESTABLISH METRICS

22 How We DEFINE METRICS ESTABLISH Vivian S. Lee, 2014

23 How We Engage Faculty by SHARING DATA establish METRICS

24 Feedback Recognition REINFORCE MENT & establish Vivian S. Lee, 2014

25 How We SHARE DATA WITH CONSUMERS establish METRICS

26 How We SHARE DATA WITH CONSUMERS establish METRICS Scaife

27 How We SHARE DATA WITH CONSUMERS establish METRICS Scaife

28 How We SHARE DATA WITH CONSUMERS establish METRICS Scaife

29 How We SHARE DATA WITH CONSUMERS establish METRICS Scaife Every medical system in the country should embrace online reviews.

30 Improving PATIENT SATISFACTION 100 Online Reviews go- live December 1, 2012 establish METRICS FY11 FY12 Q1FY13 Q2FY13 Q3FY13 Q4FY13 Q1FY14 Data collection: Press Ganey Medical Practice Survey, UHC Compare Group

31 % of total providers How Do We Percentile of Providers 90 TH %ILE OR ABOVE 50% 40% 1 out of 2 are in the top 10% nationally 46% establish METRICS 30% 20% 22% 27% 10% 4% 9% 0% Medical Practice Survey providers must have n=30 returned in calendar year National Rank compared against the Press Ganey National Database: 128,705

32 % of total providers How Do We Percentile of Providers 99 TH %ILE OR ABOVE establish METRICS 30% 25% 20% 15% 1 out of 4 is in the top 1% nationally 13% 17% 25% 10% 5% 0% 1% 3% Medical Practice Survey providers must have n=30 returned in calendar year National Rank compared against the Press Ganey National Database: 128,705

33 establish METRICS

34 CASE STUDY: VALUE DRIVEN establish METRICS OUTCOMES TACKLING HEALTH CARE CRISIS

35 October 2013 establish METRICS

36 establish METRICS October 2013 For a field in which high cost is an overarching problem, the absence of accurate cost information in health care is nothing short of astounding. - Robert S. Kaplan Michael E. Porter, The Big Idea: How to Solve the Cost Crisis in Health Care, HBR, September 2011

37 establish METRICS October 2013 Accurate costing also unlocks a whole cascade of For opportunities, a field in which such as process high cost improvement, is an better overarching organization problem, of care, the absence new of accurate reimbursement cost information in approaches health care that is nothing will accelerate short of astounding. the pace of innovation value creation - Robert S. Kaplan Michael E. Porter, The Big Idea: How to Solve the Cost Crisis in Health Care, - Robert S. Kaplan HBR, September Michael 2011 E. Porter, The Big Idea: How to Solve the Cost Crisis in Health Care, HBR, September 2011

38 Can We Hle TRUTH IN HEALTH CARE? establish METRICS WE DON T KNOW OUR COSTS. WE DON T KNOW OUR OUTCOMES.

39 How Can We Know Our Costs? START WITH SEQUESTRATION establish METRICS

40 VDO VALUE DRIVEN OUTCOMES $396 establish METRICS You Don t Want to Know $47

41 Value Driven Outcomes: Nuts Bolts IDENTIFY AND GAR DATA establish METRICS ANESSIA surgery Med icati ons E.R. Gen eral Ledg er Supplies Labor Vitals Billing EHR Outcome Vivian S. Lee, 2014

42 Value Driven Outcomes: Nuts Bolts EXTRACT, LOAD AND TRANSLATE DATA Supplies Labor Vitals Med icati ons establish METRICS surgery Billing UUH ANC 22A POST ANESSIA UUH ANC 13A PULMONARY LAB UUH ANC 14A NONINV CARD MON UUH IPC 24A INTERMEDIATE CARE UUH ANC 22A OPERATING RM UUH OPC 29A EMERGENCY RM UUH ANC 13A BLOOD PRODUCTS UUH IPC 21A SURG SPEC TRANSPL UUH IPC 33A GEN ACUTE REHAB UUH ANC 22A ANESSIOLOGY UUH ANC 12C CT IMAGING UUH ANC 13A CLINICAL LABS UUH ANC 37A DISTRO INVENTORY UUH ANC 13A RESPIRATORY Vivian S. Lee, 2014

43 Value Driven Outcomes: Nuts Bolts CATEGORIZE AND ALLOCATE EXPENSES establish METRICS Cost Type Groupings Laboratory Supply Pharmacy Diagnostic Imaging Other Operating Room Utilization Vivian S. Lee, 2014

44 Facility Cost Allocations Emergency Appendectomy (47.01 Laparoscopic Appendectomy), 3.12 Clinical LOS Cost Source: 5 Depts Pathology Anesthesiology establish METRICS Surgery Neurology Radiology Cost Source: 16 Orgs UUH OPC 29A EMERGENCY RM UUH ANC 22A POST ANESSIA UUH ANC 13A BLOOD PRODUCTS UUH ANC 12C CT IMAGING UUH ANC 14A NONINV CARD MON UUH ANC 22A OPERATING RM UUH ANC 22A ANESSIOLOGY UUH ANC 13A CLINICAL LABS UUH ANC 13A PULMONARY LAB UUH IPC 24A SURG ICU UUH IPC 24A INTERMEDIATE CARE UUH IPC 21A SURG SPEC TRANSPL UUH IPC 11C PHARMACY IP UUH IPC 33A GEN ACUTE REHAB UUH ANC 37A DISTRO INVENTORY UUH ANC 13A RESPIRATORY Vivian S. Lee, 2014

45 Use Data to SHARE PRESENT STANDARDS establish METRICS

46 Use Data to SHARE PRESENT STANDARDS establish METRICS

47 Use Data to SHARE PRESENT STANDARDS establish METRICS Filter By DRG

48 Use Data to SHARE PRESENT STANDARDS establish METRICS Filter By Diagnosis Group

49 Use Data to SHARE PRESENT STANDARDS establish METRICS Filter By ICD9

50 Use Data to SHARE PRESENT STANDARDS establish METRICS

51 Use Data to Create a LEAN PROCESS establish METRICS

52 Engage Your FRONT LINES establish METRICS

53 Engage Everyone to REDESIGN SYSTEMS & PROCESSES Mapping Current State establish

54 Use DATA to Engage PROVIDERS TO BE PROBLEM-SOLVERS establish METRICS

55 Use DATA to Engage PROVIDERS TO BE PROBLEM-SOLVERS establish METRICS

56 Use DATA to Engage PROVIDERS TO BE PROBLEM-SOLVERS establish METRICS

57 Where Quality Goes Up & COST GOES DOWN establish METRICS Perfect Care Cost

58 Where Quality Goes Up & SAVINGS GOES UP establish METRICS

59 Bending COST CURVE $10,500 Total Expense per CMI-adjusted Discharge establish METRICS $10,000 $9,562 $9,859 $10,204 $9,500 $9,000 $8,500 $8,000 $8,874 $9,221 $8,947 $9,143 $9,407 FY 10 FY 11 FY 12 FY 13 FY14 April YTD $9,388 UUHC Avg. Inflation (1.4%) U.S. Health Care Inflation (3.5%) Source: Bureau of Labor Statistics CMS University of Utah Hospitals & Clinics Finance

60 Hard-wiring the System THROUGH PARTNERSHIPS establish METRICS TIME-DRIVEN Activity-Based Costing LEAN 101

61 Learn MORE establish METRICS algorithmsforinnovation.com

62 establish METRICS

63 Creating a Value- Driven Organization Thank vivian.lee@utah.edu Vivian Lee 2014 Vivian S. Lee, M.D., Ph.D., M.B.A. Senior Vice President, University of Utah Health Sciences CEO, University of Utah Health Care Dean, University of Utah School of Medicine

64 Q&A To submit a question: 1. Click in the Q&A box on the left side of your screen 2. Type your question into the dialog box click the Send button To register for the final webinar in this series, visit AcademyHealth s website. For additional payment reform resources, visit: RWJF s Payment Reform webpage HCFO s website 64

65 Thank You! Please take a moment to fill out the brief evaluation which will appear in your browser.