Driving Hospital Performance Through a Successful IT Platform Speakers Carl Dirks, M.D., Chief Medical Information Officer Saint Luke s Health System Deborah Gash, Chief Information Officer Saint Luke s Health System Michael Misko, M.D., Chief Medical Officer Citizens Memorial Hospital Diane Trimble, System Director of Nursing Informatics Saint Luke s Health System
Healthcare IT (HIT) Focus Areas for Success Meaningful Use of Electronic Health Records Revenue Cycle Management Information Exchange & Care Communication Telehealth Healthcare Analytics Population Health Management Patient Engagement
Meaningful Use (MU) Increased pressure to sustain the momentum of Meaningful Use (MU) Stage 3 requires focus on National Health Priority Goals Improve quality of care and safety Engage patients and families in their care Improve care Coordination Improve population and public health Encourage affordable care Reduce health disparities Be prepared for audits Must have a book of evidence Conduct mock audits
Meaningful Use Action Items Assign someone in your organization to be accountable to monitor new MU developments and authority to adjust the work plan Keep abreast of vendors success in delivering certified technology Treat MU as the foundation that supports other strategic goals Align with population health management Quality reporting programs National health priority goals Ensure year-over-year documentation to substantiate attestations.
Long-Term Value: EMR Optimization Establish a long term vision of the EMR as a strategic change driver Establish EMR optimization governance with common goals Establish approach to drive functionality into practice Establish monthly outcomes measurement system
Revenue Cycle Management ICD-10 Compliance Increasing need for financial data for analytics New Payment models Action Items: Evaluate current and proposed value based agreements to determine changes needed Dialogue with software vendors to determine their readiness for new payment models ICD-10 compliance testing and coder productivity plans Computer assisted coding solutions? Computer documentation improvements?
Information Exchange and Care Communication Managing patients across care continuum requires: Interfaces to systems for transaction support and inclusion into central analytics platform Coordination of the flow of information between organizations Standardization of data and processes to access results of analytics
Information Exchange and Care Communication Possible Approaches Single EMR for all providers Common platform, minimizes integration Cannot report on data outside the EMR Leverage Health Information Exchange Practical for collaboration Significant integration requirements Interoperability still in development Establish data store Supports analytic needs Lacks discrete data Custom extracts and conversion work
ehealth Expand patient access, improve quality outcomes, and avoid unnecessary costs Adoption increasing Reimbursement changes Action Items: Increase patient engagement leveraging MU functionality (personal monitoring) Build out telehealth services to support population health management Partnerships to expand market and services
Healthcare Analytics ( Big Data ) Healthcare moving from volumebased reimbursement to valuebased reimbursement Higher quality Lower costs Better patient experience Analytics is needed to: Identify and understand data Reduce cost Improve gaps in care Stratify patient populations Improve quality Provide more accessible care
Healthcare Analytics Action Items: Define strategic objectives (3 years out) Develop an analytics plan to meet these objectives Create structure and process to evaluate proposals and fill gaps Approaches Enterprise platform Analytics as a service Point solutions EMR Subsystem
Population Health Management Four essential activities: 1. Identify and segment populations 2. Manage chronic disease groups Reach out to patients and make them part of the care team Map patient conditions against recommended care and address gaps 3. Deliver care Support provider with timely data, report metrics to payers and regulators Support PCMH as well as remote care delivery programs 4. Manage the high risk patient Coordinate care
Population Health Management Action Items: Work with clinical leaders to optimize IT support for care standardization Collaborate with others to exchange information Identify methods to monitor performance and reporting
Patient Engagement Must engage patients in care to be successful in population health management Top priority: high risk patients Involve them in PCMH and disease management programs At-risk and health patients Provide convenient means to interact with providers
Patient Engagement Action Items: Establish patient engagement governance structure Develop formal engagement strategy Implement enterprise scheduling to permit patient self-scheduling
HIT Critical to Long Term Success Keys to success: Include IT leaders in strategic planning Invest in technology that supports strategic efforts Revamp internal processes Look for creative models to deliver IT services Leverage cloud solutions IT as a service Explore partnerships to implement needed technology Peer to Peer collaboration to stay abreast of changes
Thank You! Questions & Panel Discussion