Driving Value: Boosting Clinical Registry Value Using ARMUS Solutions

Health Catalyst
Health CatalystData-driven healthcare, technology marketer hyper focused on reducing inefficiences and creating transactional value
© Health Catalyst. Confidential and Proprietary.
Driving Insights, Driving Value:
Boosting Clinical Registry Value using ARMUS Solutions
Presenters: Zoltan Kurczveil, Sheila Fairless, and Joann Mader
© Health Catalyst. Confidential and Proprietary.
ARMUS Overview
© Health Catalyst. Confidential and Proprietary.
Clinical Registry Software Solutions
• HYBRID Outcomes - Streamlined and
customizable data entry
• HYBRID Analytics - Comprehensive reporting
• Interface Applications - Reduced data burden
• MIPS Submit - Quality measures to CMS
ARMUS
Solutions
Data Abstraction and Management
• Reduce costs and improve outcomes
© Health Catalyst. Confidential and Proprietary.
✓ Improved data quality
✓ Reduced data abstraction time
✓ One patient-centric application for all clinical registries
✓ Meaningful reporting to drive improved clinical outcomes
✓ On-demand and longitudinal analytics
(spanning all data versions)
✓ Technology + Cloud-based solution supports rapid
registry development
✓ Minimal Hospital IT Requirements
ARMUS
Benefits
© Health Catalyst. Confidential and Proprietary.
ARMUS History
© Health Catalyst. Confidential and Proprietary.
ARMUS Data Flow
To National Registries
STS, ACC/NCDR, AHA
To CMS
Manual Data Abstraction
Hospital Directory File Storage
Set to Auto-Transmit
to ARMUS SFTP
HYBRID Outcomes Registries
Procedure Data
• Collection
• Validation
• DQR
• Harvesting
• Ad-hoc
• Standard
• StarMetrix
• Dashboards
• MIPS Submit
CLINICAL Interface
Hospital builds output based on ARMUS
Specifications
AND / OR
ARMUS Device
Interface
(Hemodynamic or XML)
Cardiac Cath Lab
Data entered into Hemodynamic Monitor by
Cath Lab Staff
AND / OR
AND / OR
ADT Feed
HYBRID Analytics
Stream
Manager
ARMUS Hybrid Rapid Registry Development Platform
Specifications Metadata File
© Health Catalyst. Confidential and Proprietary.
500 Hospitals with over 4500 Users
Hospitals & Hospital Systems
© Health Catalyst. Confidential and Proprietary.
Clinical Registries Supported by ARMUS
National Society Registries State Initiative Registries Society Technology Partnerships
ACC-NCDR AFIB NY State PCIRS (PCI) Sub-Specialty Society Registries
ACC-NCDR CathPCI NY State CSRS (Adult Cardiac Surgery) ImageGuide Transthoracic Esophageal
ACC-NCDR Chest Pain MI NJ State Cardiac Cath (PCI) ImageGuide Stress Echo
ACC-NCDR EP Device Implant NJ State Open Heart Surgery ImageGuide Nuclear
ACC-NCDR IMPACT CA State CCORP (Adult Cardiac Surgery) International Registries
STS/ACC TVT GA State CV Disease Program - CathPCI/CPMI (Export
Only)
ACC Global Quality Initiative CathPCI
AHA GWTG-CAD MA State Adult Cardiac Surgery (Export only) ACC Global Quality Initiative CPMI
AHA GWTG-Heart Failure ACC Global Quality Initiative GHATI
AHA GWTG-Stroke Quality Collaborative Registries
STS Adult Cardiac Surgery PERForm (owned by MSTCVS**)
STS Congenital Heart Surgery OB COAP (Owned by FHCQ*)
STS General Thoracic Surgery
SCOAP (Surgical Care and Outcomes Assessment
Program) (Owned by FHCQ*)
*FHCQ: Foundation for Healthcare Quality, Washington
**MSTCVS: Michigan Society of Thoracic and CardiovascularSurgery
ARMUS Supported Registries
© Health Catalyst. Confidential and Proprietary.
1st Certified Vendor for LAAO*
“One patient-centric solution
for all of your registries.”
*Left Atrial Appendage Occlusion
© Health Catalyst. Confidential and Proprietary.
Poll Question 1:
What is your biggest challenge in
managing your clinical registry
participation?
A. Data abstraction - too time-consuming
•B. Providing reports to stakeholders - wish it were easier
•C. Meeting Data Submission Deadlines is a challenge
•D. Not Applicable - I do not participate directly in clinical registries
© Health Catalyst. Confidential and Proprietary.
Drive Insight and Value with ARMUS Solutions
Reduce
Data Abstraction
Time/Labor
• Streamlined data entry
• Interfaces / data feeds
• Data submission tools
Improve
Data Quality
• Data quality management
• IRR (Inter-Rater Reliability)
Achieve
Actionable
Analytics
• Comprehensive reporting
• Visual dashboards
© Health Catalyst. Confidential and Proprietary.
Utilizing Interfaces = Abstraction Time + Data Quality
Benefits of Interfacing
Interfaces
+
Cross Registry Mapping
Supported Interfaces:
• Hemo
• ADT
• Clinical Importers
(any registry)
Supported
hemodynamic
monitoring systems
• GE MacLab​
• Phillips
(XPER, WITT)​
• MERGE​
• Mckesson​
• Siemens​​
• FUJI​​
• and other
custom
interfaces​
© Health Catalyst. Confidential and Proprietary.
Drive Insight and Value with ARMUS Solutions
Reduce
Data Abstraction
Time/Labor
• Streamlined data entry
• Interfaces / data feeds
• Data submission tools
Improve
Data Quality
• Data quality management
• IRR (Inter-Rater Reliability)
Achieve
Actionable
Analytics
• Comprehensive reporting
• Visual dashboards
© Health Catalyst. Confidential and Proprietary.
• Poll Question 2:
How do you perform IRR for your
registries today?
(inter-rater reliability for data abstraction audits)
• (answer options: A. Paper, B. Electronic, C. Not currently doing but would like to, D. Not Applicable)
.
© Health Catalyst. Confidential and Proprietary.
Drive Insight and Value with ARMUS Solutions
Reduce
Data Abstraction
Time/Labor
• Streamlined data entry
• Interfaces / data feeds
• Data submission tools
Improve
Data Quality
• Data quality management
• IRR (Inter-Rater Reliability)
Achieve
Actionable
Analytics
• Comprehensive reporting
• Visual dashboards
Challenges & Impact Solution Results
©
Health
Catalyst
|
Proprietary
and
Confidential
A Health Catalyst Case Study
Electronic Data Abstraction Improves
Efficiency and Registry Submission Accuracy
Participation in the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery
Database (ACSD) National Database is a key component of Johns Hopkins
Medicine’s cardiothoracic surgery quality performance program. The organization
leveraged ARMUS by Health Catalyst to reduce its registry data entry burden and
simplify registry data management, achieving improved efficiency and data
quality, reducing data cleaning, and lowering missing data rates.
• Leveraged ARMUS by Health Catalyst to reduce
its registry data entry burden and simplify
registry data management.
• ARMUS Clinical Registry cloud-based
application streamlines the data collection,
validation, and submission process.
• The organization can now use its resources to
measure, analyze, and continually improve
performance rather than spending limited
resources on data abstraction.
• Participation in the program required the
organization to invest costly resources to
accurately abstract, validate, and submit
quality data.
• Impact: Johns Hopkins Medicine wanted to
pursue options that would allow it to
improve efficiencies while maintaining high-
quality performance.
• 69 ACSD registry fields automatically
imported.
• 12-15 minutes in abstraction time
saved per record.
• 10-25 percent reduction in
abstraction time.
© Health Catalyst. Confidential and Proprietary.
Drive Insight and Value with ARMUS Solutions
Reduce
Data Abstraction
Time/Labor
• Streamlined data entry
• Interfaces / data feeds
• Data submission tools
Improve
Data Quality
• Data quality management
• IRR (Inter-Rater Reliability)
Achieve
Actionable
Analytics
• Comprehensive reporting
• Visual dashboards
© Health Catalyst. Confidential and Proprietary.
StarMetrix – The fastest way to prep for M&M meetings
Quickly identify areas of
excellence as well as
opportunities for
improvement based on
benchmarks. Metric
definitions with patient
drilldown.
© Health Catalyst. Confidential and Proprietary.
Data Tables
“Ask your data: Use an Ad Hoc query builder to answer your own questions from all registry fields.”
© Health Catalyst. Confidential and Proprietary.
Metric Library
• Available for most registries
• Select specific metrics,
parameters or filters
• Output grid or graphs, and can
export to Excel or PDF
Ava
© Health Catalyst. Confidential and Proprietary.
Drive Insight and Value with ARMUS Solutions
Reduce
Data Abstraction
Time/Labor
• Streamlined data entry
• Interfaces / data feeds
• Data submission tools
Improve
Data Quality
• Data quality management
• IRR (Inter-Rater Reliability)
Achieve
Actionable
Analytics
• Comprehensive reporting
• Visual dashboards
© Health Catalyst. Confidential and Proprietary.
Meaningful Improvements lead to:
Increased
confidence
and clinical
engagement
Increased
data accuracy
Decreased
abstraction,
data cleaning and
harvest times
© Health Catalyst. Confidential and Proprietary.
Drive Insight and Value with ARMUS Solutions
Reduce
Data Abstraction
Time/Labor
• Streamlined data entry
• Interfaces / data feeds
• Data submission tools
Improve
Data Quality
• Data quality management
• IRR (Inter-Rater Reliability)
Achieve
Actionable
Analytics
• Comprehensive reporting
• Visual dashboards
© Health Catalyst. Confidential and Proprietary.
Q & A
Frequently Asked Questions
1 Can you house my historic data, and will it be available for reporting? Yes
2 How timely are you with new data versions? 1st
3 Do you have an IRR tool? Yes
4 Do you have dashboard reporting? Yes
5 Do you have patient detail reporting? Yes
6 Do you have Data Quality Tools and Definitions available in your data entry? Yes
7 Can I submit data from your tool? Yes
8 Can you interface from our EMR or our CathLab? Yes
© Health Catalyst. Confidential and Proprietary.
Win a Complimentary Pass to HAS24
Participate in the poll to be entered into the drawing.
To learn more about HAS24, visit https://hasummit.com/
© Health Catalyst. Confidential and Proprietary.
Questions?
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Driving Value: Boosting Clinical Registry Value Using ARMUS Solutions

  • 1. © Health Catalyst. Confidential and Proprietary. Driving Insights, Driving Value: Boosting Clinical Registry Value using ARMUS Solutions Presenters: Zoltan Kurczveil, Sheila Fairless, and Joann Mader
  • 2. © Health Catalyst. Confidential and Proprietary. ARMUS Overview
  • 3. © Health Catalyst. Confidential and Proprietary. Clinical Registry Software Solutions • HYBRID Outcomes - Streamlined and customizable data entry • HYBRID Analytics - Comprehensive reporting • Interface Applications - Reduced data burden • MIPS Submit - Quality measures to CMS ARMUS Solutions Data Abstraction and Management • Reduce costs and improve outcomes
  • 4. © Health Catalyst. Confidential and Proprietary. ✓ Improved data quality ✓ Reduced data abstraction time ✓ One patient-centric application for all clinical registries ✓ Meaningful reporting to drive improved clinical outcomes ✓ On-demand and longitudinal analytics (spanning all data versions) ✓ Technology + Cloud-based solution supports rapid registry development ✓ Minimal Hospital IT Requirements ARMUS Benefits
  • 5. © Health Catalyst. Confidential and Proprietary. ARMUS History
  • 6. © Health Catalyst. Confidential and Proprietary. ARMUS Data Flow To National Registries STS, ACC/NCDR, AHA To CMS Manual Data Abstraction Hospital Directory File Storage Set to Auto-Transmit to ARMUS SFTP HYBRID Outcomes Registries Procedure Data • Collection • Validation • DQR • Harvesting • Ad-hoc • Standard • StarMetrix • Dashboards • MIPS Submit CLINICAL Interface Hospital builds output based on ARMUS Specifications AND / OR ARMUS Device Interface (Hemodynamic or XML) Cardiac Cath Lab Data entered into Hemodynamic Monitor by Cath Lab Staff AND / OR AND / OR ADT Feed HYBRID Analytics Stream Manager ARMUS Hybrid Rapid Registry Development Platform Specifications Metadata File
  • 7. © Health Catalyst. Confidential and Proprietary. 500 Hospitals with over 4500 Users Hospitals & Hospital Systems
  • 8. © Health Catalyst. Confidential and Proprietary. Clinical Registries Supported by ARMUS National Society Registries State Initiative Registries Society Technology Partnerships ACC-NCDR AFIB NY State PCIRS (PCI) Sub-Specialty Society Registries ACC-NCDR CathPCI NY State CSRS (Adult Cardiac Surgery) ImageGuide Transthoracic Esophageal ACC-NCDR Chest Pain MI NJ State Cardiac Cath (PCI) ImageGuide Stress Echo ACC-NCDR EP Device Implant NJ State Open Heart Surgery ImageGuide Nuclear ACC-NCDR IMPACT CA State CCORP (Adult Cardiac Surgery) International Registries STS/ACC TVT GA State CV Disease Program - CathPCI/CPMI (Export Only) ACC Global Quality Initiative CathPCI AHA GWTG-CAD MA State Adult Cardiac Surgery (Export only) ACC Global Quality Initiative CPMI AHA GWTG-Heart Failure ACC Global Quality Initiative GHATI AHA GWTG-Stroke Quality Collaborative Registries STS Adult Cardiac Surgery PERForm (owned by MSTCVS**) STS Congenital Heart Surgery OB COAP (Owned by FHCQ*) STS General Thoracic Surgery SCOAP (Surgical Care and Outcomes Assessment Program) (Owned by FHCQ*) *FHCQ: Foundation for Healthcare Quality, Washington **MSTCVS: Michigan Society of Thoracic and CardiovascularSurgery ARMUS Supported Registries
  • 9. © Health Catalyst. Confidential and Proprietary. 1st Certified Vendor for LAAO* “One patient-centric solution for all of your registries.” *Left Atrial Appendage Occlusion
  • 10. © Health Catalyst. Confidential and Proprietary. Poll Question 1: What is your biggest challenge in managing your clinical registry participation? A. Data abstraction - too time-consuming •B. Providing reports to stakeholders - wish it were easier •C. Meeting Data Submission Deadlines is a challenge •D. Not Applicable - I do not participate directly in clinical registries
  • 11. © Health Catalyst. Confidential and Proprietary. Drive Insight and Value with ARMUS Solutions Reduce Data Abstraction Time/Labor • Streamlined data entry • Interfaces / data feeds • Data submission tools Improve Data Quality • Data quality management • IRR (Inter-Rater Reliability) Achieve Actionable Analytics • Comprehensive reporting • Visual dashboards
  • 12. © Health Catalyst. Confidential and Proprietary. Utilizing Interfaces = Abstraction Time + Data Quality Benefits of Interfacing Interfaces + Cross Registry Mapping Supported Interfaces: • Hemo • ADT • Clinical Importers (any registry) Supported hemodynamic monitoring systems • GE MacLab​ • Phillips (XPER, WITT)​ • MERGE​ • Mckesson​ • Siemens​​ • FUJI​​ • and other custom interfaces​
  • 13. © Health Catalyst. Confidential and Proprietary. Drive Insight and Value with ARMUS Solutions Reduce Data Abstraction Time/Labor • Streamlined data entry • Interfaces / data feeds • Data submission tools Improve Data Quality • Data quality management • IRR (Inter-Rater Reliability) Achieve Actionable Analytics • Comprehensive reporting • Visual dashboards
  • 14. © Health Catalyst. Confidential and Proprietary. • Poll Question 2: How do you perform IRR for your registries today? (inter-rater reliability for data abstraction audits) • (answer options: A. Paper, B. Electronic, C. Not currently doing but would like to, D. Not Applicable) .
  • 15. © Health Catalyst. Confidential and Proprietary. Drive Insight and Value with ARMUS Solutions Reduce Data Abstraction Time/Labor • Streamlined data entry • Interfaces / data feeds • Data submission tools Improve Data Quality • Data quality management • IRR (Inter-Rater Reliability) Achieve Actionable Analytics • Comprehensive reporting • Visual dashboards
  • 16. Challenges & Impact Solution Results © Health Catalyst | Proprietary and Confidential A Health Catalyst Case Study Electronic Data Abstraction Improves Efficiency and Registry Submission Accuracy Participation in the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) National Database is a key component of Johns Hopkins Medicine’s cardiothoracic surgery quality performance program. The organization leveraged ARMUS by Health Catalyst to reduce its registry data entry burden and simplify registry data management, achieving improved efficiency and data quality, reducing data cleaning, and lowering missing data rates. • Leveraged ARMUS by Health Catalyst to reduce its registry data entry burden and simplify registry data management. • ARMUS Clinical Registry cloud-based application streamlines the data collection, validation, and submission process. • The organization can now use its resources to measure, analyze, and continually improve performance rather than spending limited resources on data abstraction. • Participation in the program required the organization to invest costly resources to accurately abstract, validate, and submit quality data. • Impact: Johns Hopkins Medicine wanted to pursue options that would allow it to improve efficiencies while maintaining high- quality performance. • 69 ACSD registry fields automatically imported. • 12-15 minutes in abstraction time saved per record. • 10-25 percent reduction in abstraction time.
  • 17. © Health Catalyst. Confidential and Proprietary. Drive Insight and Value with ARMUS Solutions Reduce Data Abstraction Time/Labor • Streamlined data entry • Interfaces / data feeds • Data submission tools Improve Data Quality • Data quality management • IRR (Inter-Rater Reliability) Achieve Actionable Analytics • Comprehensive reporting • Visual dashboards
  • 18. © Health Catalyst. Confidential and Proprietary. StarMetrix – The fastest way to prep for M&M meetings Quickly identify areas of excellence as well as opportunities for improvement based on benchmarks. Metric definitions with patient drilldown.
  • 19. © Health Catalyst. Confidential and Proprietary. Data Tables “Ask your data: Use an Ad Hoc query builder to answer your own questions from all registry fields.”
  • 20. © Health Catalyst. Confidential and Proprietary. Metric Library • Available for most registries • Select specific metrics, parameters or filters • Output grid or graphs, and can export to Excel or PDF Ava
  • 21. © Health Catalyst. Confidential and Proprietary. Drive Insight and Value with ARMUS Solutions Reduce Data Abstraction Time/Labor • Streamlined data entry • Interfaces / data feeds • Data submission tools Improve Data Quality • Data quality management • IRR (Inter-Rater Reliability) Achieve Actionable Analytics • Comprehensive reporting • Visual dashboards
  • 22. © Health Catalyst. Confidential and Proprietary. Meaningful Improvements lead to: Increased confidence and clinical engagement Increased data accuracy Decreased abstraction, data cleaning and harvest times
  • 23. © Health Catalyst. Confidential and Proprietary. Drive Insight and Value with ARMUS Solutions Reduce Data Abstraction Time/Labor • Streamlined data entry • Interfaces / data feeds • Data submission tools Improve Data Quality • Data quality management • IRR (Inter-Rater Reliability) Achieve Actionable Analytics • Comprehensive reporting • Visual dashboards
  • 24. © Health Catalyst. Confidential and Proprietary. Q & A Frequently Asked Questions 1 Can you house my historic data, and will it be available for reporting? Yes 2 How timely are you with new data versions? 1st 3 Do you have an IRR tool? Yes 4 Do you have dashboard reporting? Yes 5 Do you have patient detail reporting? Yes 6 Do you have Data Quality Tools and Definitions available in your data entry? Yes 7 Can I submit data from your tool? Yes 8 Can you interface from our EMR or our CathLab? Yes
  • 25. © Health Catalyst. Confidential and Proprietary. Win a Complimentary Pass to HAS24 Participate in the poll to be entered into the drawing. To learn more about HAS24, visit https://hasummit.com/
  • 26. © Health Catalyst. Confidential and Proprietary. Questions?