Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
The Imperative of Linking Clinical and Financial Data to Improve Outcomes - H...Health Catalyst
Quality and cost improvements require the intelligent use of financial and clinical data coupled with education for multi-disciplinary teams who are driving process improvements. Once a data warehouse is established, healthcare organizations need to set up multi-disciplinary clinical, financial, and IT specialist teams to make the best use of the data. Sometimes, financial involvement is minimized or even excluded for a number of reasons that can turn out to be counterproductive. However, including financial measurements and participation up front can help enhance the recognized value and sustainability of quality improvement or waste reduction efforts. the In this session you will learn keys to success and real-life examples of linking clinical, financial and patient satisfaction data via multi-disciplinary teams that produce impressive results.
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
Patient-Centered Care Requires Patient-Centered Insight: What We Can Do To C...Health Catalyst
Health systems and providers are inundated with measurement systems and reporting. Why would we want to add to the measurement mayhem? The real question is, “Are we measuring what matters?”
Carolyn Simpkins MD, PhD, chief medical informatics officer, will discuss how putting the patient at the center of the measurement matrix can bring coherence and completeness to the picture of care delivery performance across the patient journey, and therefore the performance of the healthcare ecosystem.
She will describe the building blocks for patient-centered measurement and how other metrics, patient-reported outcomes, and patient satisfaction fit into this approach. Carolyn will also review the challenges that have kept health systems from completing a patient-centered outcomes approach and why we are poised to break through. Finally, she will share case studies of organizations who have begun to pioneer the use of patient centered metrics to improve care and outcomes.
Zero Sepsis Deaths: A Dialogue of Passion and Practical Wisdom on Sepsis Prev...Health Catalyst
Each year 1.7 million Americans are diagnosed with sepsis, resulting in 270,000 deaths, according to the Centers for Disease Control and Prevention. That’s one death every two minutes, making sepsis the leading cause of death in U.S. hospitals. The financial toll is also high, with the average cost per sepsis stay over $18,000. Sepsis is the number one cause of both initial hospitalizations and readmissions.
Nearly all sepsis deaths are preventable. Community outreach, focused attention on the emergency department, and effective technology and processes to monitor patients already admitted can reduce sepsis mortality. Making a goal of “zero sepsis deaths” a reality is a personal and professional passion of Armando Nahum, a patient activist and co-founder and President of the Safe Care Campaign, and Kathleen Merkley, DNP, ANP, FNP, Senior Vice President of Professional Services at Health Catalyst.
Nahum and Merkley share stories and practical steps to drastically reduce the sepsis toll. Michael L. Millenson, Senior Advisor to Health Catalyst, patient safety expert, and long-time advocate of safer, higher-quality, more patient-centered care, facilitates the dialogue.
What You’ll Learn
- How to implement community outreach to facilitate timely sepsis recognition and seeking of care.
- How to organize emergency department processes for prompt sepsis recognition and treatment.
- How to ensure prompt sepsis recognition and treatment in the inpatient environment.
- How to avoid sepsis readmissions.
Penalties are coming. Are you prepared? Widely recognized as one of healthcare's most knowledgeable speakers on healthcare policy, Brian Ahier will provide an in-depth look at current healthcare reform and more specifically the implications of the HITECH Act from 2009 as well as the Patient Protection and Affordable Care Act.
In this webinar, Brian covers: 1) The most important details defining the Affordable Care Act regulation, 2) Future implications of this body of reform legislation, 3) Paths healthcare executives can take to prepare,4) The importance of analytics to navigate healthcare reform, 5) The fundamental issues pertaining to Meaningful Use.
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
The Imperative of Linking Clinical and Financial Data to Improve Outcomes - H...Health Catalyst
Quality and cost improvements require the intelligent use of financial and clinical data coupled with education for multi-disciplinary teams who are driving process improvements. Once a data warehouse is established, healthcare organizations need to set up multi-disciplinary clinical, financial, and IT specialist teams to make the best use of the data. Sometimes, financial involvement is minimized or even excluded for a number of reasons that can turn out to be counterproductive. However, including financial measurements and participation up front can help enhance the recognized value and sustainability of quality improvement or waste reduction efforts. the In this session you will learn keys to success and real-life examples of linking clinical, financial and patient satisfaction data via multi-disciplinary teams that produce impressive results.
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
Patient-Centered Care Requires Patient-Centered Insight: What We Can Do To C...Health Catalyst
Health systems and providers are inundated with measurement systems and reporting. Why would we want to add to the measurement mayhem? The real question is, “Are we measuring what matters?”
Carolyn Simpkins MD, PhD, chief medical informatics officer, will discuss how putting the patient at the center of the measurement matrix can bring coherence and completeness to the picture of care delivery performance across the patient journey, and therefore the performance of the healthcare ecosystem.
She will describe the building blocks for patient-centered measurement and how other metrics, patient-reported outcomes, and patient satisfaction fit into this approach. Carolyn will also review the challenges that have kept health systems from completing a patient-centered outcomes approach and why we are poised to break through. Finally, she will share case studies of organizations who have begun to pioneer the use of patient centered metrics to improve care and outcomes.
Zero Sepsis Deaths: A Dialogue of Passion and Practical Wisdom on Sepsis Prev...Health Catalyst
Each year 1.7 million Americans are diagnosed with sepsis, resulting in 270,000 deaths, according to the Centers for Disease Control and Prevention. That’s one death every two minutes, making sepsis the leading cause of death in U.S. hospitals. The financial toll is also high, with the average cost per sepsis stay over $18,000. Sepsis is the number one cause of both initial hospitalizations and readmissions.
Nearly all sepsis deaths are preventable. Community outreach, focused attention on the emergency department, and effective technology and processes to monitor patients already admitted can reduce sepsis mortality. Making a goal of “zero sepsis deaths” a reality is a personal and professional passion of Armando Nahum, a patient activist and co-founder and President of the Safe Care Campaign, and Kathleen Merkley, DNP, ANP, FNP, Senior Vice President of Professional Services at Health Catalyst.
Nahum and Merkley share stories and practical steps to drastically reduce the sepsis toll. Michael L. Millenson, Senior Advisor to Health Catalyst, patient safety expert, and long-time advocate of safer, higher-quality, more patient-centered care, facilitates the dialogue.
What You’ll Learn
- How to implement community outreach to facilitate timely sepsis recognition and seeking of care.
- How to organize emergency department processes for prompt sepsis recognition and treatment.
- How to ensure prompt sepsis recognition and treatment in the inpatient environment.
- How to avoid sepsis readmissions.
Penalties are coming. Are you prepared? Widely recognized as one of healthcare's most knowledgeable speakers on healthcare policy, Brian Ahier will provide an in-depth look at current healthcare reform and more specifically the implications of the HITECH Act from 2009 as well as the Patient Protection and Affordable Care Act.
In this webinar, Brian covers: 1) The most important details defining the Affordable Care Act regulation, 2) Future implications of this body of reform legislation, 3) Paths healthcare executives can take to prepare,4) The importance of analytics to navigate healthcare reform, 5) The fundamental issues pertaining to Meaningful Use.
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
What can healthcare executives learn from military decision-making, as it relates to predictiveanalytics in healthcare? As it turns out, quite a lot. Dale Sanders, senior vice president for strategy at Salt Lake City, Utah-based Health Catalyst, drew some surprising parallels between these two vital sectors of the economy during a concluding session at the Plante Moran Healthcare Executive Summit on June 5 in Chicago. His main theme was to remember that in predictive analytic analytics, it's the intervention that matters, noting that much of the industry is seduced by flashy predictive analytics "objects" without thinking through the needed interventions which are needed to get the proper ROI.
How to Use Data to Improve Patient Safety: Part 2Health Catalyst
Stan and Valere will discuss how using an automated trigger tool for all-cause harm reviews will provide timely, real-time patient safety data useful to drive down harm rates with earlier interventions. Additional benefits of this approach include having a more accurate and robust source of data for identifying harm trends to then be able to integrate the findings into existing quality improvement processes for further quality improvement efforts.
Attendees will learn how to:
Understand the importance of dedicating resources to impact downstream costs
Identify their key sources of Patient Safety data
Integrate Patient Safety data in to existing Quality Improvement Processes
Learn and improve from real-time safety analytics combined with a Culture of Safety
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
The Top Seven Analytics-Driven Approaches for Reducing Diagnostic Error and I...Health Catalyst
From a wrong diagnosis to a delayed one, diagnostic error is a growing concern in the industry. Diagnostic error consequences are severe—they are responsible for 17 percent of preventable deaths (according to a Harvard Medical Practice study) and account for the highest portion of total payments (32.5 percent), according to a 1986-2010 analysis of malpractice claims. Patient safety depends heavily on getting the diagnosis right the first time.
Health systems know reducing diagnostic error to improve patient safety is a top priority, but knowing where to start is a challenge. Systems can start by implementing the top seven analytics-driven approaches for reducing diagnostic error:
Use KPA to Target Improvement Areas
Always Consider Delayed Diagnosis
Diagnose Earlier Using Data
Use the Choosing Wisely Initiative as a Guide
Understand Patient Populations Using Data
Collaborate with Improvement Teams
Include Patients and Their Families
An ACO Case Study: Quality Improvement in HealthcareHealth Catalyst
OSF HealthCare—one of the first Pioneer Accountable Care Organizations (ACOs)—has a strong history of providing outstanding quality improvement in healthcare within hospitals, clinics, home health and other health provider entities across Illinois. For ACOs to succeed under value-based care, it is critical that organizations effectively coordinate care in the effort to maximize quality and safety, while minimizing costs and waste. It is also imperative that ACOs understand patients’ needs and values and incorporate them into all health decisions.
Please join Leslie Falk, Health Catalyst and the OSF team—recipient of the 2014 Illinois Hospital Association (IHA) Institute for Innovations in Care and Quality’s first annual Tim Philipp Award for Excellence in Palliative and End-of-Life Care—as they discuss how they leveraged technology and data to launch a community-wide supportive care initiative that has successfully maximized value for the populations they serve.
Attendees of the webinar will:
Learn how OSF is improving healthcare quality and delivering on the Triple Aim.
Explore innovative ways to improve care coordination.
Discover how technology-enabled solutions drives community, patient, and physician engagement.
Understand the benefit of a team approach to improving care coordination.
Population Health Management: Where are YOU?Phytel
This presentation explains how population health is fundamental to value-based delivery models, including key principles and definitions of PHM, as well as how to assess your organization’s “population health readiness.”
The Changing Role of Healthcare Data AnalystsHealth Catalyst
The healthcare industry is undergoing a sea change, and healthcare data analysts will play a central role in this transformation. This report explores how the evolution to value-based care is changing the role of healthcare data analysts, how data analysts’ skills can best be applied to achieve value-based objectives and, finally, how Health Catalyst’s most successful health system clients are making this cultural transformation happen in the real world.
The Future of Personalized Health Care: Predictive Analytics by @Rock_HealthRock Health
View the archived webinar here: https://www.youtube.com/watch?v=UJak41hIDWc
How can we use new and existing sources of data to deliver better, personalized care? Predictive analytics underlies what has always been conducted by doctors through their training, experience, and decision-making. Dozens of new digital products have hit the market and $1.9B has flowed into the space since 2011—but what does it take for an algorithm to accurately and reliably impact care?
Purchase the report here: https://gumroad.com/l/gzbzV
There Is A 90% Probability That Your Son Is Pregnant: Predicting The Future ...Health Catalyst
Predictive: Relating to or having the effect of predicting an event or result. Analytics: The systematic computational analysis of data or statistics. Together they make up one of the most popular topics in healthcare today. But predictive analytics is a means to an ends, and there is little good in predicting an event or result without a strategy for acting upon that event, when it happens. If, as the Robert Wood Johnson Foundation recently published, 80% of healthcare determinants fall outside of the healthcare delivery system as we traditionally define it, should we focus our predictive analytics on the traditional 20% of traditional healthcare delivery, or broaden our focus to the 80% that includes social and economic factors, physical environment, and lifestyle behaviors? What if our predictive models reveal to us that the highest risk variable to a patient’s length of life and quality of life is their economic status? Can an accountable care organization and patient centered medical home realistically do anything to reduce that risk, in reaction to the predictive model? Given the current availability and type of data in the healthcare ecosystem, and our organizational ability or inability to realistically intervene, where should we focus our predictive and interventional risk management strategies? There is enormous potential value in the application of predictive analytics to healthcare, but, in contrast to predicting the weather, credit risk, consumer purchasing habits, or college dropout rates, the data collection, and social and ethical complexities of applying predictive analytics in healthcare are significantly higher. This session will explore some of the less technical, more human interest and philosophical issues, associated with predictive analytics in healthcare, including the speaker’s experience prior to healthcare, in the US Air Force, National Security Agency, and manufacturing.
Adding Value to the EMR: A Clinical PerspectiveHealth Catalyst
Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
The FICO Medication Adherence Score is a predictive analytics tool developed by the same organization responsible for FICO credit scores. The adherence score forecast an individual’s likelihood of taking his or her prescription medication as directed.
Why a Patient-centric Approach Is Best: Stories from a PhysicianHealth Catalyst
Good patient care means patient-centric care. Relying on good mentors during residency training, physicians can learn how to put patients first. For example, during one rotation of mine, I saw a mentor consistently use humor and expertise with patients to connect with them and help them change their environments at home. I was also part of patient-centered teams that worked together to identify potentially life-threatening conditions, and intervene to save lives. We can put people before projects and be patient-centric.
Use ACE Scores in Machine Learning to Predict Disease Earlier and Improve Out...Health Catalyst
The Adverse Childhood Experience (ACE) study conducted by the CDC and Kaiser Permanent showed a strong correlation between ACEs and negative health outcomes later in life (e.g., risky health behaviors, chronic health conditions, and early death). ACE scores help paint a more complete picture of a person’s health history—a more comprehensive data snapshot of the entire patient.
Given that ACE scores build better data sets and machine learning relies on high-quality data, health systems should incorporate these nutrient-rich data sources into their machine learning models to better predict negative health outcomes, allow for earlier interventions, and improve outcomes.
Healthcare machine learning is evolving to use ACE scores and lifestyle data (e.g., eating habits) to improve population health management.
Quality Data is Essential for Doctors Concerned with Patient EngagementHealth Catalyst
It might be a bit of a leap to associate quality data with improving the patient experience. But the pathway is apparent when you consider that physicians need data to track patient diagnoses, treatments, progress, and outcomes. The data must be high quality (easily accessible, standardized, comprehensive) so it simplifies, rather than complicates, the physician’s job. This becomes even more important in the pursuit of population health, as care teams need to easily identify at-risk patients in need of preventive or follow-up care. Patients engaged in their own care via portals and personal peripherals contribute to the volume and quality of data and feel empowered in the process. This physician and patient engagement leads to improved care and outcomes, and, ultimately, an improved patient experience.
The Top 7 Outcomes Measures and 3 Measurement EssentialsHealth Catalyst
Outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this blog adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these exact seven outcome measures to calculate overall hospital quality and arrive at its 2016 hospital star ratings. This blog also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement:
Transparency
Integrated care
Interoperability
This is the presentation I gave to the HIMSS Management Engineering and Process Improvement (ME-PI) Community on predictive analytics healthcare usage.
How to survive cms's most recent 3% hospital readmissions penalties increase Health Catalyst
Hospital readmissions rates are now at 3 percent, which means that health systems are feeling the financial burden of decreased payments from Medicare. They also need to track two more 30-day readmission rates. While there aren’t any new penalty measures planned for 2016, coronary artery bypass grafts will be added as yet another measure to track in 2017. By using three strategies to reduce readmission rates, health systems will experience better outcomes and decreased penalties. The three strategies include the following: (1) implementing a data warehouse that provides a single source of truth; (2) engaging a multidisciplinary team to lead the improvement efforts; (3) installing a sophisticated analytics platform.
5 Reasons the Practice of Evidence-Based Medicine Is a Hot TopicHealth Catalyst
Evidence-based medicine is an important model of care because it offers health systems a way to achieve the goals of the Triple Aim. It also offers health systems an opportunity to thrive in this era of value-based care. In specific, there are five reasons the industry is interested in the practice of evidence-based medicine: (1) With the explosion of scientific knowledge being published, it’s difficult for clinicians to stay current on the latest best practices. (2) Improved technology enables healthcare workers to have better access to data and knowledge. (3) Payers, employers, and patients are driving the need for the industry to show transparency, accountability, and value. (4) There is broad evidence that Americans often do not get the care they need. (5) Evidence-based medicine works. While the practice of evidence-based medicine is growing in popularity, moving an entire organization to a new model of care presents challenges. First, clinicians need to change how they were taught to practice. Second, providers are already busy with increasingly larger and larger workloads. Using a five-step framework, though, enables clinicians to begin to incorporate evidence-based medicine into their practices. The five steps include (1) Asking a clinical question to identify a key problem. (2) Acquiring the best evidence possible. (3) Appraising the evidence and making sure it’s applicable to the population and the question being asked. (4) Applying the evidence to daily clinical practice. (5) Assessing performance.
Michigan Hospital Association Governance meetingMary Beth Bolton
Patient centered medical home activities in MI and Nationally and the opportunity to improve quality outcomes by increased access to primary care doctors who outreach members who are missing preventive and chronic care services.
What can healthcare executives learn from military decision-making, as it relates to predictiveanalytics in healthcare? As it turns out, quite a lot. Dale Sanders, senior vice president for strategy at Salt Lake City, Utah-based Health Catalyst, drew some surprising parallels between these two vital sectors of the economy during a concluding session at the Plante Moran Healthcare Executive Summit on June 5 in Chicago. His main theme was to remember that in predictive analytic analytics, it's the intervention that matters, noting that much of the industry is seduced by flashy predictive analytics "objects" without thinking through the needed interventions which are needed to get the proper ROI.
How to Use Data to Improve Patient Safety: Part 2Health Catalyst
Stan and Valere will discuss how using an automated trigger tool for all-cause harm reviews will provide timely, real-time patient safety data useful to drive down harm rates with earlier interventions. Additional benefits of this approach include having a more accurate and robust source of data for identifying harm trends to then be able to integrate the findings into existing quality improvement processes for further quality improvement efforts.
Attendees will learn how to:
Understand the importance of dedicating resources to impact downstream costs
Identify their key sources of Patient Safety data
Integrate Patient Safety data in to existing Quality Improvement Processes
Learn and improve from real-time safety analytics combined with a Culture of Safety
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
The Top Seven Analytics-Driven Approaches for Reducing Diagnostic Error and I...Health Catalyst
From a wrong diagnosis to a delayed one, diagnostic error is a growing concern in the industry. Diagnostic error consequences are severe—they are responsible for 17 percent of preventable deaths (according to a Harvard Medical Practice study) and account for the highest portion of total payments (32.5 percent), according to a 1986-2010 analysis of malpractice claims. Patient safety depends heavily on getting the diagnosis right the first time.
Health systems know reducing diagnostic error to improve patient safety is a top priority, but knowing where to start is a challenge. Systems can start by implementing the top seven analytics-driven approaches for reducing diagnostic error:
Use KPA to Target Improvement Areas
Always Consider Delayed Diagnosis
Diagnose Earlier Using Data
Use the Choosing Wisely Initiative as a Guide
Understand Patient Populations Using Data
Collaborate with Improvement Teams
Include Patients and Their Families
An ACO Case Study: Quality Improvement in HealthcareHealth Catalyst
OSF HealthCare—one of the first Pioneer Accountable Care Organizations (ACOs)—has a strong history of providing outstanding quality improvement in healthcare within hospitals, clinics, home health and other health provider entities across Illinois. For ACOs to succeed under value-based care, it is critical that organizations effectively coordinate care in the effort to maximize quality and safety, while minimizing costs and waste. It is also imperative that ACOs understand patients’ needs and values and incorporate them into all health decisions.
Please join Leslie Falk, Health Catalyst and the OSF team—recipient of the 2014 Illinois Hospital Association (IHA) Institute for Innovations in Care and Quality’s first annual Tim Philipp Award for Excellence in Palliative and End-of-Life Care—as they discuss how they leveraged technology and data to launch a community-wide supportive care initiative that has successfully maximized value for the populations they serve.
Attendees of the webinar will:
Learn how OSF is improving healthcare quality and delivering on the Triple Aim.
Explore innovative ways to improve care coordination.
Discover how technology-enabled solutions drives community, patient, and physician engagement.
Understand the benefit of a team approach to improving care coordination.
Population Health Management: Where are YOU?Phytel
This presentation explains how population health is fundamental to value-based delivery models, including key principles and definitions of PHM, as well as how to assess your organization’s “population health readiness.”
The Changing Role of Healthcare Data AnalystsHealth Catalyst
The healthcare industry is undergoing a sea change, and healthcare data analysts will play a central role in this transformation. This report explores how the evolution to value-based care is changing the role of healthcare data analysts, how data analysts’ skills can best be applied to achieve value-based objectives and, finally, how Health Catalyst’s most successful health system clients are making this cultural transformation happen in the real world.
The Future of Personalized Health Care: Predictive Analytics by @Rock_HealthRock Health
View the archived webinar here: https://www.youtube.com/watch?v=UJak41hIDWc
How can we use new and existing sources of data to deliver better, personalized care? Predictive analytics underlies what has always been conducted by doctors through their training, experience, and decision-making. Dozens of new digital products have hit the market and $1.9B has flowed into the space since 2011—but what does it take for an algorithm to accurately and reliably impact care?
Purchase the report here: https://gumroad.com/l/gzbzV
There Is A 90% Probability That Your Son Is Pregnant: Predicting The Future ...Health Catalyst
Predictive: Relating to or having the effect of predicting an event or result. Analytics: The systematic computational analysis of data or statistics. Together they make up one of the most popular topics in healthcare today. But predictive analytics is a means to an ends, and there is little good in predicting an event or result without a strategy for acting upon that event, when it happens. If, as the Robert Wood Johnson Foundation recently published, 80% of healthcare determinants fall outside of the healthcare delivery system as we traditionally define it, should we focus our predictive analytics on the traditional 20% of traditional healthcare delivery, or broaden our focus to the 80% that includes social and economic factors, physical environment, and lifestyle behaviors? What if our predictive models reveal to us that the highest risk variable to a patient’s length of life and quality of life is their economic status? Can an accountable care organization and patient centered medical home realistically do anything to reduce that risk, in reaction to the predictive model? Given the current availability and type of data in the healthcare ecosystem, and our organizational ability or inability to realistically intervene, where should we focus our predictive and interventional risk management strategies? There is enormous potential value in the application of predictive analytics to healthcare, but, in contrast to predicting the weather, credit risk, consumer purchasing habits, or college dropout rates, the data collection, and social and ethical complexities of applying predictive analytics in healthcare are significantly higher. This session will explore some of the less technical, more human interest and philosophical issues, associated with predictive analytics in healthcare, including the speaker’s experience prior to healthcare, in the US Air Force, National Security Agency, and manufacturing.
Adding Value to the EMR: A Clinical PerspectiveHealth Catalyst
Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
The FICO Medication Adherence Score is a predictive analytics tool developed by the same organization responsible for FICO credit scores. The adherence score forecast an individual’s likelihood of taking his or her prescription medication as directed.
Why a Patient-centric Approach Is Best: Stories from a PhysicianHealth Catalyst
Good patient care means patient-centric care. Relying on good mentors during residency training, physicians can learn how to put patients first. For example, during one rotation of mine, I saw a mentor consistently use humor and expertise with patients to connect with them and help them change their environments at home. I was also part of patient-centered teams that worked together to identify potentially life-threatening conditions, and intervene to save lives. We can put people before projects and be patient-centric.
Use ACE Scores in Machine Learning to Predict Disease Earlier and Improve Out...Health Catalyst
The Adverse Childhood Experience (ACE) study conducted by the CDC and Kaiser Permanent showed a strong correlation between ACEs and negative health outcomes later in life (e.g., risky health behaviors, chronic health conditions, and early death). ACE scores help paint a more complete picture of a person’s health history—a more comprehensive data snapshot of the entire patient.
Given that ACE scores build better data sets and machine learning relies on high-quality data, health systems should incorporate these nutrient-rich data sources into their machine learning models to better predict negative health outcomes, allow for earlier interventions, and improve outcomes.
Healthcare machine learning is evolving to use ACE scores and lifestyle data (e.g., eating habits) to improve population health management.
Quality Data is Essential for Doctors Concerned with Patient EngagementHealth Catalyst
It might be a bit of a leap to associate quality data with improving the patient experience. But the pathway is apparent when you consider that physicians need data to track patient diagnoses, treatments, progress, and outcomes. The data must be high quality (easily accessible, standardized, comprehensive) so it simplifies, rather than complicates, the physician’s job. This becomes even more important in the pursuit of population health, as care teams need to easily identify at-risk patients in need of preventive or follow-up care. Patients engaged in their own care via portals and personal peripherals contribute to the volume and quality of data and feel empowered in the process. This physician and patient engagement leads to improved care and outcomes, and, ultimately, an improved patient experience.
The Top 7 Outcomes Measures and 3 Measurement EssentialsHealth Catalyst
Outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this blog adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these exact seven outcome measures to calculate overall hospital quality and arrive at its 2016 hospital star ratings. This blog also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement:
Transparency
Integrated care
Interoperability
This is the presentation I gave to the HIMSS Management Engineering and Process Improvement (ME-PI) Community on predictive analytics healthcare usage.
How to survive cms's most recent 3% hospital readmissions penalties increase Health Catalyst
Hospital readmissions rates are now at 3 percent, which means that health systems are feeling the financial burden of decreased payments from Medicare. They also need to track two more 30-day readmission rates. While there aren’t any new penalty measures planned for 2016, coronary artery bypass grafts will be added as yet another measure to track in 2017. By using three strategies to reduce readmission rates, health systems will experience better outcomes and decreased penalties. The three strategies include the following: (1) implementing a data warehouse that provides a single source of truth; (2) engaging a multidisciplinary team to lead the improvement efforts; (3) installing a sophisticated analytics platform.
5 Reasons the Practice of Evidence-Based Medicine Is a Hot TopicHealth Catalyst
Evidence-based medicine is an important model of care because it offers health systems a way to achieve the goals of the Triple Aim. It also offers health systems an opportunity to thrive in this era of value-based care. In specific, there are five reasons the industry is interested in the practice of evidence-based medicine: (1) With the explosion of scientific knowledge being published, it’s difficult for clinicians to stay current on the latest best practices. (2) Improved technology enables healthcare workers to have better access to data and knowledge. (3) Payers, employers, and patients are driving the need for the industry to show transparency, accountability, and value. (4) There is broad evidence that Americans often do not get the care they need. (5) Evidence-based medicine works. While the practice of evidence-based medicine is growing in popularity, moving an entire organization to a new model of care presents challenges. First, clinicians need to change how they were taught to practice. Second, providers are already busy with increasingly larger and larger workloads. Using a five-step framework, though, enables clinicians to begin to incorporate evidence-based medicine into their practices. The five steps include (1) Asking a clinical question to identify a key problem. (2) Acquiring the best evidence possible. (3) Appraising the evidence and making sure it’s applicable to the population and the question being asked. (4) Applying the evidence to daily clinical practice. (5) Assessing performance.
Michigan Hospital Association Governance meetingMary Beth Bolton
Patient centered medical home activities in MI and Nationally and the opportunity to improve quality outcomes by increased access to primary care doctors who outreach members who are missing preventive and chronic care services.
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 24, 2013
Jeff Thompson, Washington State Health Care Authority
David Downs, Engaged Public
David Swieskowski, Mercy ACO Mercy Clinics, Inc.
Lisa Weiss, High Value Healthcare Collaborative
Kate Chenok, Pacific Business Group on Health
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
Best Practices for Enabling HIE and Incorporating Capabilities into EHR Workf...Justin Campbell
Health Information Exchange (HIE) allows health care providers to access and share a patient’s medical information securely and electronically, providing a unified view of patient data across health care organizations. HIE enhances clinicians’ workflow and their ability to connect, coordinate, and collaborate on patient care quickly and easily. However, health care organizations frequently struggle with last-mile connectivity from their clinical system of record to the receiving system and incorporating HIE capabilities into EHR workflows. This session will provide a framework for successful HIE onboarding including data access, conformance testing & validation, as well as share strategies for implementing HIE capabilities at the point of care. This session will also introduce the concept of Patient Centered Data Home and illustrate how the exchange of information utilizing the PCDH model is a cost-effective, scalable solution to assuring real-time clinical data is available whenever and wherever care occurs to improve the quality of care.
North highland himss_hardwiringclinicalfinancialperformance_041315North Highland
North Highland's Ricardo Martinez and Donna Houlne's presentation on "Hardwiring Clinical and Financial Performance Through Patient-Centered, Physician-Directed Transformation"
Stephen Morgan, M.D.
Senior Vice President, Chief Medical Information Officer
Carilion Clinic
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
The Patient Centered Primary Care Collaborative has been working for years to build evidence and knowledge about how to improve healthcare by providing a medical "home" for each of us - a place where all our records reside, where the staff know us, etc. This April 2010 by Executive Director Edwina Rogers shows the phenomenal range of results they've produced.
Sills MR. Overview of the SAFTINet Program. Presented to the Emergency Department Research Committee, Department of Pediatrics, University of Colorado School of Medicine. 6 January 2015.
Preparing for the Future: How one ACO is Using Analytics to Drive Clinical & ...Health Catalyst
Crystal Run Healthcare — a physician-led Accountable Care Organization (ACO) and one of the first ACOs to participate in the Medicare Shared Savings Program — is experiencing the long-anticipated shift toward more value-based reimbursement.
To ensure financial stability as they assume more risk, Crystal Run is implementing a strategy focused on rapid growth and aligning physician reimbursement with favorable patient outcomes. To effectively execute on this strategy they knew they needed to become more data-driven. Webinar attendees will learn how this ACO is using advanced analytics to execute on their population management and growth strategies with a focus on continuous improvement in the following areas:
Ensuring patient care aligns with evidence based practices
Reducing inappropriate clinical variation
Enhancing operational efficiency
Analyzing data from a “single source of truth” integrated from their EMR, billing, costing, patient satisfaction and other operational systems
Making “self-service analytics” available to decision-makers to decrease time to decision
Please join Greg Spencer, MD, Chief Medical & Chief Medical Information Officer and Scott Hines, MD, Chief Quality Officer and Medical Specialties Medical Director, Crystal Run, as they discuss how advanced analytics is helping position the ACO for continued success in an increasingly value-based reimbursement environment.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Unlock the Secrets to Optimizing Ambulatory Operations Efficiency and Change ...Health Catalyst
Today’s healthcare leaders are seeking technology solutions to optimize efficiencies and improve patient care. However, without effective change management and strategies in place, healthcare leaders struggle to strategically improve patient flow, space, to strategically improve patient flow, space, and schedule management, and implement daily huddles. The role of technology in supporting operational efficiency and change management initiatives is inevitable.
During this webinar, attendees will learn how to optimize Ambulatory Operational Efficiencies and Change Management. Attendees will also learn about the importance of visual management boards in enhancing clinic performance and insights into effective change management approaches.
Patient expectations are rising, and organizations are continuously being asked to do more with less.
Additionally, the convergence of several significant emerging market and policy trends, economic uncertainty, labor force shortages, and the end of the COVID-19 public health emergency has created a unique set of challenges for healthcare organizations.
Attend this timely webinar to learn about new trends and their impact on key healthcare issues, such as patient engagement, migration to value-based care, analytics adoption, the use of alternative care sites, and data governance and management challenges.
During this webinar, we will discuss the complexities of AI, trends, and platforms in the industry. Dive deep into understanding the true essence of AI, exploring its potential, real-world use cases, and common misconceptions. Gain valuable insights into the latest technology trends impacting healthcare and discover strategies for maximizing ROI in your technology investments.
Explore the profound impact of data literacy on healthcare organizations and how it shapes the utilization of data and technology for transformative outcomes. Understand the top technology priorities for healthcare organizations and learn how to navigate the digital landscape effectively. Furthermore, simplify industry jargon by defining common data elements, fostering clearer communication and collaboration across stakeholders.
Finally, uncover the transformative potentials of platforms in healthcare and how they can revolutionize scalability, interoperability, and innovation within your organization. Don't miss this opportunity to gain invaluable insights from industry experts and stay ahead in the ever-evolving healthcare landscape. Reserve your spot now for an enlightening journey into the future of healthcare technology!
Three Keys to a Successful Margin: Charges, Costs, and LaborHealth Catalyst
How can cost management and complete charge capture protect and enhance the margin?
In this webinar, we will look at 2024 margin pressures likely to impact your organization’s financial resiliency. This presentation will also share how organizations can move from Fee-for-Service to Value; bringing Cost to the forefront.
2024 CPT® Updates (Professional Services Focused) - Part 3Health Catalyst
Each year the CPT code set undergoes significant changes. Physicians and their office staff need to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted and revised CPT codes and associated guidelines for 2024. This presentation will focus on the changes to the CPT dataset and the associated work RVU value changes that impact professional service reporting.
During this complimentary webinar, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. You will leave with an understanding of the financial implications of the changes on your practice.
2024 CPT® Code Updates (HIM Focused) - Part 2Health Catalyst
Each year the CPT code set and the HCPCS code set undergo significant changes, and your coding staff needs to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted and revised CPT codes and associated guidelines for 2024. This is part two in a three-part series.
During these complimentary webinars, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. This presentation will be geared towards hospital staff with a focus on the surgical section of the CPT book in addition to surgical Category III codes.
2024 CPT® Code Updates (CDM Focused) - Part 1Health Catalyst
Each year the CPT and the HCPCS code sets undergo significant changes, and your staff needs to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted, and revised CPT codes and associated guidelines for 2024. This is part one in a three-part series, with a CDM focus.
During these complimentary webinars, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. This presentation will be geared towards hospital staff with a focus on the non-surgical sections of the CPT book.
What’s Next for Hospital Price Transparency in 2024 and BeyondHealth Catalyst
The Centers for Medicare & Medicaid Services (CMS) published updates to the hospital price transparency requirements in the CY 2024 Outpatient Prospective Payment System (OPPS) Final Rule. The updates will be phased in over the next 14 months and include several significant changes including the use of a CMS-mandated template, a requirement for an affirmation statement from the hospital, and several new data elements. Join us to discover what changes are scheduled for implementation in 2024 and 2025 and how they’ll impact your facility.
During this complimentary 60-minute webinar, we’ll analyze the key provisions of the Price Transparency regulations and provide insights to help you prepare for the upcoming changes.
Automated Patient Reported Outcomes (PROs) for Hip & Knee ReplacementHealth Catalyst
What was once voluntary reporting will soon be made mandatory with penalties.
On July 1, 2024, all health systems will be required to collect Patient Reported Outcome Measures (PROM) as part of the Centers for Medicare & Medicaid Services (CMS) regulation for the following measures:
Hospital-Level, Risk Standardized Patient-Reported Outcomes Performance Measure (PRO-PM) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA)
Hospital-Level Risk-Standardized Complication Rate (RSCR) Following Elective Primary THA/TKA
Are you equipped to handle these new requirements?
Mandatory data collection begins April 1, 2024, and failure to submit timely data can result in a 25 percent reduction in payments by Medicare.
Attend this webinar to learn how mobile engagement can empower your organization to meet this requirement.
2024 Medicare Physician Fee Schedule (MPFS) Final Rule UpdatesHealth Catalyst
According to the Centers for Medicare & Medicaid Services (CMS), the calendar year (CY) 2024 MPFS final rule was created to advance health equity and improve access to affordable healthcare. This webinar will cover the major policy updates of the MPFS final rule including updates to the telehealth services policy and remote monitoring services and enrollment of MFTs and MHCs as Medicare providers. The conversation will also cover policy changes on split (or shared) evaluation and management (E/M) visits, and the Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging.
What's Next for OPPS: A Look at the 2024 Final RuleHealth Catalyst
During this webinar, we’ll analyze the key provisions of the OPPS final rule and identify the significant changes for the coming year to help prepare your staff for compliance with the 2024 Medicare outpatient billing guidelines.
Insight into the 2024 ICD-10 PCS Updates - Part 2Health Catalyst
Prepare for mandatory ICD-10 PCS diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 procedure codes and their guidelines, enabling accurate and compliant coding for optimal billing and reimbursement.
Vitalware Insight Into the 2024 ICD10 CM Updates.pdfHealth Catalyst
Prepare for mandatory ICD-10 CM diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 diagnosis codes and their guidelines, along with major complication or comorbidity (MCC), complication or comorbidity (CC), and Medicare Severity Diagnosis Related Groups (MS-DRGs) classification changes. With this information, professionals can ensure accurate and compliant diagnosis coding for optimal billing and reimbursement.
Driving Value: Boosting Clinical Registry Value Using ARMUS SolutionsHealth Catalyst
Many hospitals today face a perfect storm of operational and financial challenges. With increasing competition from outpatient facilities and rising care costs negatively impacting budgets, now is the time to boost your clinical registry’s value. However, collecting and analyzing data can be time-consuming and costly without the right tools. During this webinar, we will share insights and best practices for increasing the value of registry participation and how it’s possible to reduce costs while improving outcomes using the ARMUS Product Suite.
Tech-Enabled Managed Services: Not Your Average OutsourcingHealth Catalyst
During this webinar you'll learn the following:
The importance of optimizing performance, reducing labor costs and sourcing talent given current market challenges.
Highlighting the need for a balanced approach to cost reduction.
How to reap the benefits of outsourcing (cost cutting, expertise, etc) while protecting yourself from the collateral damage that often comes with them.
This webinar will provide an in-depth review of the CPT/HCPCS code set changes that will be effective on July 1, 2023. The review will include additions and deletions to the CPT/HCPCS code set, revisions of code descriptors, payment changes, and rationale behind the changes.
How Managing Chronic Conditions Is Streamlined with Digital TechnologyHealth Catalyst
Chronic conditions across the United States are prevalent and continue to rise. Managing one or more chronic diseases can be very challenging for patients who may be overwhelmed or confused about their care plan and may not have access to the resources they need. At the same time, care teams are overburdened, making it difficult to provide the support these patients require to stay as healthy as possible. A new approach to chronic condition management leverages technology to enable organizations to scale high-quality care, identify gaps in care, provide personalized support, and monitor patients on an ongoing basis. Such streamlined management will result in better outcomes, reduced costs, and more satisfied patients.
COVID-19: After the Public Health Emergency EndsHealth Catalyst
In this fast-paced webinar, we will discuss the impact of the end of the public health emergency (PHE), including upcoming changes to the different flexibilities allowed during the PHE and the timeline for when these flexibilities will end. We’ll also cover coding changes and reimbursement updates.
Automated Medication Compliance Tools for the Provider and PatientHealth Catalyst
When it comes to sustaining patient health outcomes, compliance and adherence to medication regimens are critically important, especially as providers manage patients with complex care needs and multiple medications. But, with provider burnout and staffing shortages at an all-time high, an efficient solution is critical. The use of automated medication management workflows to decrease provider burnout, while improving both medication compliance and patient engagement, is the way forward.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21
1. Session #21
Key Principles and Approaches to PHM
Sreekanth Chaguturu, MD
Vice President for Population
Health Management, Partners
HealthCare
Dr. Sreekanth Chaguturu is Vice President for Population
Health Management at Partners HealthCare. He provides
clinical oversight to population health management clinical
programs, assists in management of clinical relationships
for risk contracts with commercial and government payers,
as well as oversight for Partners’ self-insured health plan.
In these roles, he leads the assessment and development
of information technology and analytic solutions to support
population health programs.
Dr. Chaguturu is also an Instructor in Internal Medicine at
the Harvard Medical School and an attending physician at
Massachusetts General Hospital.
1
Greg Spencer, MD
Chief Medical &
Chief Medical
Information Officer,
Crystal Run
Healthcare
Dr. Greg Spencer is the Chief Medical Officer and Chief Clinical
Information Officer at Crystal Run Healthcare. He graduated from the
Medical College of Wisconsin and completed residency training in
Internal Medicine at Wilford Hall US Air Force Medical Center in San
Antonio, TX, where he was chief resident and assistant director of the
Internal Medicine Residency program and attained the rank of major. He
is board certified in Internal Medicine and a Fellow of the American
College of Physicians.
David A. Burton, MD
Former Chairman and CEO,
Health Catalyst, Former
Senior Executive,
Intermountain Healthcare
Dr. David A. Burton is the former Executive Chairman and
CEO of Health Catalyst, and currently serves as a Senior
Vice President, future product strategy. Before his first
retirement, Dr. Burton served in a variety of executive
positions in his 23-year career at Intermountain
Healthcare, including founding Intermountain’s managed
care plans and serving as a Senior Vice President and
member of the Executive Committee. He holds an MD
from Columbia University, did residency training in internal
medicine at Massachusetts General Hospital and was
board certified in Emergency Medicine.
2. Poll Questions (1-3)
Does your organization sponsor or participate in a population health management/shared
accountability initiative (e.g., ACO or commercial)
a. Yes
b. No
c. Not sure
d. Not applicable
What percent of your patients are covered by your organization’s population health/shared
accountability initiative?
a) Less than 5%
b) 5-10%
c) More than 10%
d) No idea
e) Not applicable
In your opinion, how successful has your organization’s population health/shared
accountability initiative been to date?
a) Not at all successful
b) Slightly successful
c) Somewhat successful
d) Successful
e) Very successful
f) Unsure or not applicable
4. Our Approach
• Triple Aim as an organizational outline
Better care, better health, lower cost
• Analytics: multisource, scalable platform
• Provider involvement
• Care managers, CARETEAM, Telehealth
• Monitor the data
4
5.
6. NY Healthcare Environment
• Massive consolidation and mergers
• Bankruptcies
• Larger systems and groups
• Optum
• Venture capital
• Mostly unmanaged
• Urgent care centers and retail medicine
6
7. Crystal Run Healthcare
Physician owned MSG in NY State,
founded 1996
300+ providers, 20 locations
Joint Venture ASC, Urgent Care,
Diagnostic Imaging, Sleep Center,
High Complexity Lab, Pathology
Early adopter EHR (NextGen®) 1999
Accredited by Joint Commission 2006
Level 3 NCQA PCMH Recognition
2009, 2012
8. Crystal Run Healthcare ACO
• Single entity ACO
• April 2012: MSSP participant
• December 2012: NCQA ACO Accreditation
• 35,000 commercial lives at risk
• MSSP
11,000 attributed beneficiaries
82% primary care services within ACO
8
9. Business Intelligence Past
• Initially BI = business only, reports
• Quality, safety measures and clinical performance
later
• Basic tools: SQL, SSRS, Excel
• Manual and time consuming
• Report generation > analysis
• Lack of scalability and extensibility
• Mostly tabular / numeric
9
11. Business Intelligence Now
• Central EDW- many sources, fewer joins
• Scalable
• More analysis, less reporting
• Self-service and drill down
• Consume and deliver information
• Visual
11
13. Basic System Needs
• Common integrative platform
Pull together disparate data
• Cost: claims where available, internal costs
• A way to implement change
• “Leakage” and network
Where are patients going, are needs being met?
• Lean
Waste reduction, everywhere
13
14. How we chose our EDW
• Our bias: controlled by us
• Avoiding “black boxes”
• Prior healthcare experience
• Modern technology
• Established track record
• Teach us how to fish
14
21. Total cost difference
(equalized as cost per patient treated)
PEG-filgrastim use in Breast cancer patients
2012 pre-pathway
791 patients
$595,920
2013 post-pathway
817 patients
$368,160
TOTAL COST
SAVINGS
$227, 760
22. Summary
• Triple Aim, core values as a guide
• Unified analytics platform that integrates disparate
systems is required
• Quality, safety and performance programs that are
tracked
• Physician involvement, variation reduction
• Patient experience
• Leakage, where and why
• Systematically find and reduce waste
22
23. Sreekanth Chagaturu, MD
Medical Director for Population Health Management
Partners HealthCare
24. Chapter 2: Innovations in
Population Health Management
Sree Chaguturu, MD
Vice President, Population Health Management,
Partners Health Care
Division of Population Health Management
September, 2014
25. 25
My goals for today
• Describe Massachusetts health reform efforts
• Provide overview of Partners Healthcare
• Review select programs
31. Who We Are: Partners HealthCare
• Massachusetts General Hospital
• Brigham and Women’s Hospital
Teaching Hospitals
• Newton Wellesley Hospital
• North Shore Medical Center
• Martha’s Vineyard and Nantucket Hospitals
Community Hospitals
Non Acute Care • Spaulding Rehabilitation Network
Mental Health Care • McLean Hospital
• Partners Community Health Care
• Community Health Centers
Community Provider
Network
31
32. 32
Partners HealthCare across eastern
Massachusetts
Towns With PCHI Primary Care
Care Physician Practices
MGH
McLean
Salem &
Shaughnessy
Kaplan
Union
BWH
Faulkner
Newton-
Wellesley
Spaulding
Partners Acute Hospitals
Partners Specialty Hospitals
Partners Home Care Branches
RHCI
33. Our Employees
• ~60K employees – the largest non-government employer in the
state
• ~13K are MDs, RNs and direct care givers
• ~5K are primarily involved in research
Our Patients
• ~1.6M ambulatory visits
• ~168K discharges
• ~4K licensed beds
• ~$205M investment in community benefits
Teaching
• 28 residency programs provide training to ~1,400 residents
• ~$ 167M investment in teaching
Clinical Research
• ~$1.6B in academic/research revenue
• ~2,800 paid researchers (MDs & PhDs)
33
What we do
34. Partners currently covers over 500,000 lives in an
accountable care contract
1 2 3 4
Medicare Commercial Self Insured
•Example:
Pioneer ACO
•Covered
lives: ~74k
•Example:
Alternative
Quality
Contract
•Covered
lives: ~350K
•Example:
Partners
Plus
•Covered
lives: ~100k
34
Medicaid
•Example:
NHP
•Covered
lives: ~30k
35. Partners is implementing over a dozen PHM Programs
35
Primary Care •Patient Centered Medical Home (PCMH)
•High risk care management (palliative care)
•Mental health integration
•Virtual visits
Specialty Care •Active referral management (eConsults/curbsides)
•Virtual visits
• Procedural decision support (appropriateness)
•Patient reported outcomes
•Episodes of care (bundles)
Care Continuum •SNF care improvement (network/waiver/SNFist)
•Home care innovation (mobile
observation/telemonitoring)
•Urgent care
Patient Engagement •Shared decision making
•Customized decision aids and educational materials
Infrastructure •Single EHR platform with advanced decision support
•Data warehouse, analytics, performance metrics
36. And why these programs?
36
Primary Care •Patient Centered Medical Home (PCMH)
Develop team based care
•High risk care management (palliative care)
•Mental health integration
•Virtual visits
Promote Medical Neighborhood
Specialty Care •Active referral management (eConsults/curbsides)
•Virtual visits
• Procedural decision support (appropriateness)
•Patient reported outcomes
•Episodes of care (bundles)
Demonstrate value in procedures
Care Continuum •SNF care improvement (network/waiver/SNFist)
•Home care innovation (mobile
observation/telemonitoring)
•Urgent care
Reduce post acute variation
Patient Engagement •Shared decision making
Empower patients in their care
•Customized decision aids and educational materials
Infrastructure •Single EHR platform with advanced decision support
Information -> Insight -> Action
•Data warehouse, analytics, performance metrics
37. Successful ACOs will use predictive analytics to
launch a high risk care management program
High risk patients - those at risk
of being high cost
Not
Chronically
Ill, Medically
Complex
Medically
Complex
37
Primary Care
38. Significant opportunity in integrating mental health services into
primary care
Mental Health Disorder
Chronic Condition
Mental
Health
Key Elements Examples [Current and Future]
Patients with a
mental health
disorder have 40%
higher chronic
condition costs
Primary
Care
Better identify patients Increased screening
Better triage of patients Phone access line with referral support
Better use of protocols IMPACT for depression, SBIRT for substance
abuse
Better self-management Online patient-directed therapy (iCBT)
Better access to services
Better tracking outcomes
Embedded mental health resources,
consulting psychiatrist
IT tools tracking longtitudinal progress,
Patient reported outcomes measurement
38
Primary Care
39. Virtual visits allow us to connect
to patients in more convenient
ways (and avoids unnecessary
office visits)
Asynchronous Visits
exchanges between students and teachers ar e frequently enacted asynchronously
face conversations. This type of communication taking place at dif ferent times
learning, auction, and business web services. W ith RelayHealth, a provider of
Practice is testing a tool that conducts asynchr onous exchanges between phy-sicians
visits. V isits are available for about 100 non-ur gent symptoms and conditions
Synchronous
Models that allow people and
providers to connect in real time
practice. Patients login to the RelayHealth website and complete a r elevant online
organizational and financial support to enable virtual
39
Virtual Visit
Asynchronous
Models that deliver care to people
without requiring real-time interaction
Specialty Care
40. Patient Reported Outcome Measures are outcomes that matter
(and demonstrates value to market)
Direct collection of information from patients regarding symptoms, functional
status, and mental health.
40
Functional Status
time
Surgery
Tier 3: Sustainability
of Recovery
Tier 1: Health
status achieved
Tier 2: Process
of Recovery
Specialty Care
41. We can improve a patient’s surgical journey
(and avoid unnecessary or unwanted surgeries)
Patient
with a
Surgical
Problem
41
PROMs PrOE (Procedure Decision Support) PROMs
Assess
Appropriateness
Criteria
Shared
Decision
Making
Physician Schedule
Procedure Recovery
Encounter
OR
Possible
Need for
Procedure
Pre-
Procedure
Testing
Short-term
Outcome
Measures
Long-term
Outcome
Measures
Personalized
Risk
(Consent Form)
Informed
Consent
PROs
Survey(s)
Milford CE, Hutter MM, Lillemoe KD, Ferris TG. (2014). Optimizing appropriate use of procedures in an era of payment reform. Annals of Surgery 206(2): 202-204
Specialty Care
42. Nationally, these 7 procedures
account for $56.6 billion, or 55%
of the total costs of the 20 most
costly procedures in the US:
• Spine fusion
• Spine laminectomy
• Knee arthroplasty
• Hip replacement
• PCI
• CABG
• Heart valve repair
42
We target the most costly procedures
Specialty Care
43. Clinical
Office
MGH
Admit-ting
Payer
Patient visits surgeon
and lumbar
laminectomy is
indicated
Surgeon
schedules
procedure
Admin
knows
procedure
requires
PA?
Admin
faxes form
to admitting
Admitting
checks for
form
Decision
submitted
to
Admitting
Admitting
submits PA PA
reviewed
by third
party
Patient
undergoes
procedure
Admitting
enters auth
# in
PATCOM
Authorization
submitted to
Admitting
Manually
appeal
claim
Admitting
checks for
form
Admitting
calls clinic
to work
through PA
form
No
Yes
Denied
PrOE
completed
PrOE PA
form sent to
Admitting
PA is granted
without third
party review
Potential savings:
• Current process:
o 4-5% denial rate,
o <1% ultimately denied
• PrOE process:
o Produces same result (<1%
denial rate)
o Reduces administrative
burden
43
Ultimately, we have created a more efficient
prior authorization
Specialty Care
44. We can do a better job in helping our patients
understand their healthcare encounters….
4
Problem
Redundant,
inconsistent, and
perishable
educational
encounters in
healthcare
Outcome
Reduced provider
productivity and
patient
satisfaction
Patient Eng.
45. … by providing a non-perishable, personalized solution
to patient education
4
Problem
Redundant,
inconsistent, and
perishable
educational
encounters in
healthcare
Outcome
Improved provider
productivity and
patient
satisfaction
Solution
Provider-generated,
video-based
education
prescribed to
patients before,
during, and after
clinical
encounters.
Patient Eng.
46. We believe personalized non-perishable
education will
improve outcomes and
satisfaction
46
• Series of short, single-topic
videos featuring a
patient's own
healthcare provider.
• Improve provider
efficiency, increase
patient engagement,
and improve clinical
outcomes
Patient Eng.
48. Appropriateness Results: Diagnostic Cath
Catheterization for Suspected CAD at MGH vs. NY
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Appropriateness Scores for Diagnostic
Cardiac Database*
MGH NY Cardiac Database
Median hospital-level
inappropriateness rate
is 28.5%*
Rarely
Appropriate
Maybe
Appropriate
Appropriate
Appropriateness Scores for Diagnostic
Catheterization by Month (all AUC Indications)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Aug Sept Oct Nov Dec
n=156 n=8986
*Hannan, EL, et al. Appropriateness of Diagnostic Catheterization for Suspected Coronary Artery Disease in New York State. CIRC INTERVENTIONS. January 28, 2014. 113.000741
49. PrOE: Inputs and outputs
INPUTS OUTPUTS
Appropriateness
Data Repository
Procedure
Scheduling
PrOE Appropriateness tool
Public
Reporting
PCI, CABG,
Vascular,
Harris Joint
Internal
Performance
Dashboards
Billing and
Prior
Authorization
RPM,
RPDR,
CDR,
EMPI
Pre-populated
data fields
(NLP
search)
Personalized
EMR
EHR note created
Copy of
appropriateness
results placed in
LMR and CDR
Existing consent form
registries
LMR, OnCall
Data
storage
Appropriateness Indications
& Decision support
Measurement & analysis of
appropriateness and outcomes
inform guidelines and
indications in real-time
Data passback to
registries (Web service)
49
51. Session Feedback Survey
51
1. On a scale of 1-5, how satisfied were you overall with this session?
1) Not at all satisfied
2) Somewhat satisfied
3) Moderately satisfied
4) Very satisfied
5) Extremely satisfied
2. What feedback or suggestions do you have?
3. On a scale of 1-5, what level of interest would you have for
additional, continued learning on this topic (articles, webinars,
collaboration, training)?
1) No interest
2) Some interest
3) Moderate interest
4) Very interested
5) Extremely interested
52. Upcoming Keynote Sessions
2:20 PM – 3:10 PM
23. Predictive and Suggestive Analytics
Dale Sanders
Senior Vice President, Health Catalyst
3:25 PM – 4:25 PM
24. From The Heart: Healthcare Transformation From India
To The Cayman Islands
Dale Sanders
Senior Vice President, Health Catalyst
Chandy Abraham, MD
Chief Executive Officer, Director of Medical Services
Health City, Cayman Islands
Gene Thompson, Health City Director, Director of
Thompson Development, Ltd.
4:15 PM – 4:45 PM
25. Closing Keynote
Dan Burton, Chief Executive Officer, Health Catalyst
52
Location
Main Ballroom
Editor's Notes
Ambulatory discovery apps
Cohort Builder
Key Process Analysis
Regulatory Explorer
Risk Stratification and Predictive Analytics
Ambulatory foundation apps
8 registries
Ambulatory Population Explorer
Practice Management Explorer
Ambulatory advanced apps
Population modules
Population Health Dashboard
Others
IDEA data entry
This table shows the reduction in visits per patient for the initial 15 diagnoses evaluated. Through adherence to best practice guidelines, approximately 13,000 visits were eliminated, creating capacity to care for additional patients.
Creating a culture of efficiency has improved access in our organization. Assuming that the average physician sees 3,612 visits/year (MGMA), we have “created” 12 “new” physicians. Widespread adoption will mitigate the projected physician shortage.
Variation between physicians has to do with patient populations and stage of disease treated and percentages of patients on pathway and off pathway
THREE POLICIES MAKE THIS EASIER
-- Payment reform that rewards better outcomes and forces differentiation
-- HITECH ACT to get computers in the office so we have capability
-- HDI to liberate data to fuel innovative products
Follow up group participation
1Would you like to participate in a follow up group on this topic that would meet 2-3 times next year to share progress, challenges and best practices? (Yes, No)
Follow up group participation
1Would you like to participate in a follow up group on this topic that would meet 2-3 times next year to share progress, challenges and best practices? (Yes, No)