The Power of PopIQ and Big Data. i2i Systems West Coast Regional User Conference September 5, 2014

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1 The Power of PopIQ and Big Data i2i Systems West Coast Regional User Conference September 5, 2014

2 Statewide Collaboration & Data Analytics

3 Community Clinics Health Network Founded in 1993 Current Initiatives/Areas of Focus Access, Quality, Health Information Technology, Patient-Centered Medical Home, Behavioral Health Integration, Health Reform, Contracting Mission The Community Clinics Health Network (CCHN) manages programs and provides services to community clinics and health centers to improve access to care, quality of care, health outcomes, operational efficiencies and financial performance.

4 Our 16 Community Clinic & Health Center Member Organizations

5 CCHN Data Journey Chart Audits Disease Registries Population Management Empanelment EPM EHR PCMH MU ICD 10 HIE

6 CCHN Active Patients in PopIQ 600, , , , , , , , ,

7 Innovative Approach to Population Health Intelligence Population Health Intelligence Electronic Medical Record Systems Visit data Medications Lab results Vital signs Allergies Practice Management Systems Patient demographics Billing information Payer information Appointment scheduling Auxiliary Data Systems Lab results Immunization registries Pharmacy data Other data systems Reports By region By ethnicity By disease By payer By age Outgoing data Incoming data Outgoing data San Diego CIE Data Warehouse

8 ALL HEART Report

9 ALL HEART Report

10 Blood Pressure Control

11 Diabetes and Hypertension Dashboard

12 Statewide Collaboration & Data Analytics

13 California Comparative Analytics Project The California Comparative Analytics Project (CCAP) is a collaborative effort among five community health center networks aimed at aggregating, analyzing and sharing data to advance statewide population health analytics and payment reform within the safety net.

14 CA Clinic Organizations in PopIQ Total 34 CCHN 12 CCALAC 10 CVHN 8 NCCN

15 CA Active Patients in PopIQ TOTAL 1,337,351 CCHN 516,583 CCALAC 296,985 CVHN 465,264 NCCN 58, , , , ,000 1,000,000 1,200,000 1,400,000 1,600,000

16 Changing Environment Volume Value Sampling Total Population Transaction based Payment Performance based Payment Clinic Transformation System Transformation

17 THREE PROJECTS ONE GOAL SNAP CCAP IHA Using data to strengthen the safety net The members of the CCAP collaborative envision the proposed project as a bridge between multiple data initiatives the Safety Net Analytics Program (SNAP) from the Center for Care Innovations, and the Strengthening Performance Measurement in the Safety Net project from Integrated Healthcare Association (IHA). Through SNAP, health centers can learn to use and manage data, which can be shared with regional networks for validation, aggregation and analysis. The data can then be shared with IHA and other partners for greater statewide discussions regarding analytics, performance improvement and payment reform. SNAP ACTIVITIES CCAP ACTIVITIES IHA ACTIVITIES Clinic level Assess clinic capacity in regard to analytics Coach clinics on using and optimizing analytics tools Coach clinics on using data for performance improvement Regional Network level Validate and aggregate data Build capacity through learning sessions for clinics and networks Share data across networks Focus on clinical, operational and financial improvement goals Statewide Build IHA knowledge base related to safety net and Medi Cal Work with state initiatives on incorporation of safety net solutions Expand performance measurement and improvement activities

18 Next Steps More clinics, more data Continue to review and share clinical data Begin to review and share more operational data Integrate financial and cost of care data Generate near real time dashboard reporting for performance improvement Align measures and benchmarks with payment reform, system transformation, quality incentives and value based care work

19 Thank you for the opportunity to share our story! Contact Information Christy Rosenberg sd.org

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