Using analytics to get started with population health. The 3M 360 Encompass Health Analytics Suite

Transcription

1 Using analytics to get started with population health The 3M 360 Encompass Health Analytics Suite

2 The need for analytics in health care The global healthcare analytics market is expected to reach $21 billion by More than two thirds of healthcare decision makers say analytics is one of their top three priorities percent of systems using analytics say they have improved patient care. 3 10% Only 10 percent of health systems are using data and analytics to their full potential. 4

3 How can analytics be applied in health care? Data analytics can help the organization improve performance in a myriad of arenas. It can save money in the changing value-based reimbursement world. Better yet, it can save lives. And if you re trying to meet strategic objectives, it may be a significant part of the equation there too. Healthcare IT News, June Registries/Lists/Populations How big is the problem?! Alerts and Reminders What actions are needed? Dashboards What is happening? Queries Exactly what is the problem? Trends Are we impacting the problem? Benchmarks How does the problem stack up? Predictives What should happen next?

4 A few questions to ponder As a leader of a care delivery system regardless of size your organization is moving from volume- to value-based care and into the world of population health. As you do so, an analytics platform is absolutely critical. There are hundreds of questions your health system will likely have along the way, and the topics will cover the spectrum. How is your health system performing relative to its competition? When your state Medicaid embraces preventables, how will that impact your organization? How well do you track the performance of your physicians? Do you link clinical performance and quality with financial incentives for your physicians?? What will your health system look like in five years? What about in 10 years?

5 3M s approach to population analytics 3M 360 Encompass Health Analytics Suite State Compare Patient Compare Physician Compare *Quality Compare *Risk Compare As hospitals and health systems transition from volume- to value-based health care, 3M can help by applying the power of its extensive clinical and claims database to help assess the costs, outcomes and effectiveness of care delivered. 3M 360 Encompass Health Analytics offers advanced analytics tools to help manage the health of populations, measure physician performance, determine total cost of care and gain insights for a more successful entry into population health management. The modules are presented in easy-to-navigate, interactive dashboards and reports. Each module illuminates your hospital s performance in a variety of key measures, which can help your organization make the best possible strategic decisions for both today and tomorrow. *The Quality Compare and Risk Compare s are scheduled to be available in late 2016.

6 How is your health system performing relative to its competition? Understanding the outmigration, or network leakage, of your patient population is crucial for any CFO or VP of revenue cycle. The State Compare identifies market share and outmigration by using state payer data by zip code, county and service area. The module also helps you manage and compare resources and preventable hospital use. You can also better understand your inpatient and outpatient market share. State Compare Provide a risk-adjusted benchmark of patient encounters, down to the DRG level Identify improvement opportunities in length of stay, mortality, costs and charges The benefits Keep costs aligned by managing length of stay and maximizing market share on the most profitable cases Capture data on outmigrating revenue at a service-line level Help reduce preventable events at both hospital and system levels

7 When your state Medicaid embraces preventables, how will that impact your organization? Many states have already adopted payment models that focus on preventables, and more state Medicaid programs are starting to get on board. The Patient Compare measures the impact of potentially preventable complications (PPCs) and potentially preventable admissions (PPAs). Similar to State Compare, this module can help you manage resource use, but with a patient-level of detail. You can also view any avoidable and preventable hospital use, as well as measure outpatient utilization. Patient Compare Identify opportunities in length of stay, mortality, cost and charges at the patient-level of detail Compare performance to peers using 3M benchmarks The benefits Help reduce costs and improve lengths of stay Improve performance in publicly measured readmissions and minimize the penalties associated with them Help improve care quality and minimize costs by reducing PPCs

8 How well do you track the performance of your physicians? Under value-based payment, physicians will be paid based on the overall health of their patient populations. Is your health system able today to truly understand and measure their performance and efficiency? The Physician Compare * supports ongoing professional practice evaluations and additional assessments, comparing performance of providers and peer groups, as well as revealing physician referral patterns and patient utilization details. Physician Compare Identify patient-severity ratios and high costs by physician Compare performance of physicians and peer groups Measure avoidable resource use by physicians and peers The benefits Help improve physician performance at a healthsystem level Help reduce patient costs and lengths of stay Allocate appropriate resources for physicians * available early fall 2015

9 Do you link clinical performance and quality with financial incentives for your physicians? Quality performance measures are already a crucial metric in today s healthcare world, and they are about to become even more integral to value-based reimbursement. The Quality Compare * provides in-depth insights into key quality and patient safety indicators and compares physicians and hospitals to their peers using 3M benchmarks. This module also connects patient experience data with patient outcomes to identify root causes related to poor quality. Quality Compare Calculate PQRS scoring using claims data Connect additional quality and safety indicators and patient experience data The benefits Help improve the patient experience and quality of care Connect value-based purchasing and financial incentives for health systems and physicians Help sustain success in risksharing agreements * available in late 2016

10 What will your health system look like in five years? What about in 10 years? As the healthcare environment continues to evolve, both in payment and delivery, you ve probably given some thought to what your hospital or health system will look like in the future. Will it grow, decline, thrive or struggle through the transition? One thing is for sure: It won t stay the same. The Risk Compare * simulates scenarios to help identify potential risks based on a provider s population and payer distribution. It models a health system s potential future state while providing comparisons to its current state. Risk Compare Simulate risk modeling scenarios and understand their impacts on your specific health system The benefit Model a successful transition from volume- to value-based care * available in late 2016

11 An analytics platform for today and tomorrow The latest addition to 3M s population health management toolkit, the 3M 360 Encompass Health Analytics Suite provides the type of business intelligence that healthcare organizations need to participate in an accountable care organization (ACO) or various state initiatives such as Delivery System Reform Incentive Payment (DSRIP) programs. The suite is web-based, requires no hardware installation at your facility and is built on 3M s risk stratification methodologies, including 3M APR DRGs and 3M grouping software for potentially preventable events. To learn more or schedule a product demonstration, contact your 3M representative today. You can also call or visit us online at 1 Healthcare Analytics Market worth $21.3 Billion by 2020, Markets and Markets, posted December 2013 at 2 Analytics in Healthcare, CDW Healthcare, 2015, page 3, posted at 3 Analytics in Healthcare, CDW Healthcare, 2015, page 4, posted at 4 KPMG, Only 10 Percent Of Healthcare Organizations Using Data & Analytics To Fullest Potential, press release posted April 2015 at 5 Erin McCann, A beginners guide to data analytics, Healthcare IT News, posted June 2015 at Health Information Systems 575 West Murray Boulevard Salt Lake City, UT U.S.A M and 360 Encompass are trademarks of 3M Company. Please recycle. Printed in U.S.A. 3M All rights reserved. Published 02/