Analytics + Benchmarking: Teaming Up To Enhance Efficiency and Quality of Care Paul M. Duck

Transcription

1 Analytics + Benchmarking: Teaming Up To Enhance Efficiency and Quality of Care Paul M. Duck Vice President, Business Development

2 Realities of the Massive Shifts 1. The changes within healthcare reform are profound, permanent and necessary for systemic change! 2. These changes are not going away! 3. If you think you can do what you ve always done, think about this

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4 Benchmarking Data Analytics

5 CAREMANAGER TM : Coordinating care to ensure healthcare access, coordination, affordability and outcomes CARERECORD TM : A platform providing a framework for EMR, billing, scheduling, and clinical workflows CAREPATHWAYS TM : The use of data to drive optimal outcomes and operational efficiencies PLEXUS TM : On demand services, technology and delivery providing predictable results as needed, when needed CARECONNECT TM : Beyond interoperability, focused on integration, a messaging bus ensuring an open and free flowing network CAREPOINTE TM : Person-centric solutions to CAREPOINTE enable and empower TM : Person-centric solutions to the consumer, enable and empower the consumer, providing a providing a seamless integrated connection seamless integrated connection in the pursuit of in the pursuit of recovery, health and recovery, health and wellness wellness. CAREVIEW CAREPOV TM : Providing specific needs to extend capabilities, connect disparate communities and optimize user experiences

6 CareRecord Behavioral Sciences myevolv myavatar TIER Public Health Insight Private Practice Helper TM CarePointe TM myhealthpointe myhealthpointe.kiosk mylifematers Survey and Assessment CarePOV CareView TM TM PrimaryCare RxConnect MobileConnect mylearningpointe NetsmartU GL/AP/HR/Payroll POV (mobility) Methadone CareConnect TM OrderConnect LabConnect HIEConnect ReferralConnect ConsumerConnect Improve Outcomes Reduce Cost EHR & Medication Management Clinical Innovation on Meaningful Use Hosting & SaaS Clinical Decision Support Information Exchange Business Efficiencies Revenue Cycle Management Managed Services Care Coordination on Primary Care Integration Technology Partners Population & Community Health Management Benchmarking Data Analytics Delivering Accountable Care CareManager TM CareManager Community Community ClaimsConnect ClaimsConnect MSO MSO HealthHome HealthHome ACO ACO IDD IDD VRS VRS ProviderConnect ProviderConnect CarePathways Benchmarking Enlighten Assessments Clinical Tools TM Solution Delivery Foundation Advanced Consulting Services Cloud and SaaS Hosted Services and Solutions On Premise Technology TM Revenue 2013 Cycle Netsmart Management Technologies Assessment and Readiness Services

7 DATA

8 Endless Cycle

9 How can I find everyone with a diagnosis of schizophrenia? USE ndw3nfdb; SELECT DISTINCT c.sourceclient_id FROM dbo.client c INNER JOIN dbo.clientdiagnosis cd ON c.client_id = cd.client_id INNER JOIN dbo.diagnosistype dt ON cd.diag_type_id = dt.diag_type_id AND UPPER(dt.DIAG_DESC) LIKE '%SCHIZOPHRENIA%' ORDER BY 1;

10 How can I find everyone with a diagnosis of schizophrenia? USE ndw3nfdb; SELECT DISTINCT c.sourceclient_id, mt.med_type FROM dbo.client c INNER JOIN dbo.clientdiagnosis cd ON c.client_id = cd.client_id AND (cd.enddate IS NULL OR cd.enddate <= GETDATE()) INNER JOIN dbo.diagnosistype dt ON cd.diag_type_id = dt.diag_type_id AND UPPER(dt.DIAG_DESC) LIKE '%SCHIZOPHRENIA%' INNER JOIN dbo.service s ON s.client_id = c.client_id AND s.servicedate >= DATEADD(d, -30, GETDATE()) INNER JOIN dbo.servicestatus ss ON ss.servicestatus_id = s.servicestatus_id AND ss.servicestatus = 'KEPT' LEFT OUTER JOIN dbo.clientmedication cm ON c.client_id = cm.client_id AND (cm.enddate IS NULL OR cm.enddate < GETDATE()) LEFT OUTER JOIN dbo.medicationtype mt ON mt.med_type_id = cm.med_type_id ORDER BY 1, 2;

11 How can I find everyone with a diagnosis of schizophrenia? USE ndw3nfdb; SELECT DISTINCT c.sourceclient_id, mt.med_type, (SELECT TOP 1 l.loc_name FROM dbo.service s INNER JOIN dbo.servicestatus ss ON s.servicestatus_id = ss.servicestatus_id AND ss.servicestatus = 'KEPT' INNER JOIN dbo.location l ON l.loc_id = s.loc_id WHERE s.client_id = c.client_id ORDER BY s.servicedate DESC) AS LOC_Name FROM dbo.client c INNER JOIN dbo.clientdiagnosis cd ON c.client_id = cd.client_id AND (cd.enddate IS NULL OR cd.enddate <= GETDATE()) INNER JOIN dbo.diagnosistype dt ON cd.diag_type_id = dt.diag_type_id AND UPPER(dt.DIAG_DESC) LIKE '%SCHIZOPHRENIA%' INNER JOIN dbo.service s ON s.client_id = c.client_id AND s.servicedate >= DATEADD(d, -30, GETDATE()) INNER JOIN dbo.servicestatus ss ON ss.servicestatus_id = s.servicestatus_id AND ss.servicestatus = 'KEPT' LEFT OUTER JOIN dbo.clientmedication cm ON c.client_id = cm.client_id AND (cm.enddate IS NULL OR cm.enddate < GETDATE()) LEFT OUTER JOIN dbo.medicationtype mt

12 1. What is benchmarking and data analytics 2. Answer the key question why is benchmarking and analytics important 3. Discuss the opportunity for transformational change within your organization 4. Provide a brief contextual demonstration of benchmarking and data analytics 5. Challenge you to think differently

13 WHAT IS BENCHMARKING & DATA ANALYTICS?

14 Benchmarking and Data Analytics Both benchmarking and data analytics will be important in this era of Accountable Care What is the difference between benchmarking and data analytics? Benchmarking Descriptive Data Analytics Predictive Data Analytics

15 Benchmarking Involves comparisons among organizations and/or individuals The focus is on the differences BETWEEN organizations and/or individuals

16 Benchmarking

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18 Descriptive Data Analytics Drilling down into one s own organizational data Better understand performance Discover subtle trends Conduct what-if scenarios The focus is typically WITHIN an organization

19 Big Data Predictive Data Analytics Complex algorithms that drive real world evidence to the user at the point of action Can be clinical, operational or financial predictive information Data Information Knowledge Wisdom

20 How Benchmarking and Analytics Work Together Benchmarking Data Analytics How do we compare regionally & nationally? ID AREAS OF FOCUS AND/OR IMPROVEMENT What is the cause of performance clinically, operationally & financially? DRILL DOWN INTO AREAS OF FOCUS AND/OR IMPROVEMENT ORGANIZATIONALLY

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22 Why Benchmarking & Data Analytics are critical to your organization s success

23 Where do we go from here? Envision where you need to go (make a plan)

24 Harness the Power of Data to Drive Performance User-defined KPI Dashboards Organization-wide access User-specific views Real-time assessment of progress Raise awareness of the need for corrections Empower staff to take action

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28 CareGuidance Alerts

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31 Netsmart Clinical Model Internal Data Source (PBE) External Data Source (EBT) Golden Thread Pre-Intake Intake Service Plan ProgNotes Outcomes Mobile/Telemedicine Consumer Input Portals/PHRs Social Networking

32 Create & Edit Problem List

33 Link Problem Set & Treatment Plan

34 Integrate EBT Content into Treatment Plan

35 State of the Art Every treatment we know of only answers the question: What works best for most? We want to answer the question What works best for this client?

36 Dashboard Alerts Missed Medication Refills Missed Appointments Arrests

37 Important points to ensure success Cross-organizational buy-in is key! Staff is aware of the need for change Staff empowered to contribute to progress Ensure the quality of the metrics Value-based Valid & reliable Trainings Data integrity checks

38 Important points to ensure success Benchmark & Analyze Know how you compare Drill down Apply best practices Create meaningful reports Educate & Integrate Create a data-driven culture Provide feedback in real-time Integrate data with workflow

39 Important points to ensure success Don t Merely Survive, Thrive & Make a Difference Illustrate value Improve quality of life Create wisdom (Practice-Based Evidence) Inform payors Educate policy makers