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.
Evolving in medical profession: Pedigree based vs performance based
Role of JCAHO / Joint Commission
Role of value based payment models (Bundled payments, ACOs, capitation and population
Paying for value vs paying for volume (FFS)
International examples: demand for transparency of value (cost, quality, access) happening all over
To deliver to this future vision we are announcing a broad expansion of what we have previously called the Catalyst Analytics Platform. The Health Catalyst Data Operating System will include all the data ingest, processing, and distribution capabilities and software services needed to build rich, immersive healthcare applications needed.
At the core of the Health Catalyst Data Operating System will be Catalyst’s Metadata driven Analytics Engine.
The Analytics engine will add real-time data ingestion and analytics computation to its existing capabilities and provide a significant expansion of its machine learning capabilities. We will provide deep support for NLP as well. This builds on top of the support it provides to connect and ingest to 140+ of the most common data sources in healthcare with many more to come.
We will also add a layer of services to the kernel of the data operating system that will allow you to integrate with the Metadata, Data Processing Pipeline, and the raw data in the analytics system.
On top of that kernel we will introduce a suite of healthcare specific services that expose healthcare data in a way that has never been done before in the industry. Historically healthcare data has been walled off by vendors for their use only. The Health Catalyst Data Operating System will allow applications to start data rich rather than data poor. Over the next day and half we will be presenting on the various services we are building in this layer. No longer will analytics be relegated to the realm of dashboards and reports.
In the app layer these we are taking two approaches to close the usability and information gap and deliver these next generation experiences. First we will do the work to enable you to integrate the information directly into your EHR screens so that information is provided in context to those who need it – where they need it. In addition to that we are building a suite of applications that are built with usability and analytics in mind and at the forefront. Like EMRs should have been from the beginning.
Over the next couple of days you will be learning more about these experiences we are building and why we chose them to start with and this is only the beginning of what we will do.
We will also be opening up these same services for third parties to leverage.
We get what we measure: what’s missing? What matters?
Following the patients journey to identify gaps
Improving outcomes and care by refocusing measurement matrix on the patient
Our ambition is to replace the current fee-for-service system with a fee-for-outcome system, where healthcare providers are rewarded not for the number of activities, but instead for the quality of life and for the health benefits experienced by patients, per invested Euro
We collaborated with the ImproveCareNow network
ICN is…
Prototype for the ABP MOC program for subspecialists with the goal of bringing together improvement and research methods to produce better outcomes for children
The setting was ImproveCareNow, an improvement network for pediatric inflammatory bowel disease. We collaborated with patients and families, clinicians, researchers, social scientists, technologists, and designers using a modified idealized design process to develop the design for the C3N. At the time the network had 24 pediatric GI sites.
As there is uncertainty regarding whether the sequencing of the intervention is important (e.g., whether patients must initiate a full SCD diet before liberalizing), we opted to randomize the initial treatment to be able to examine whether effects differ based on the initial diet type.
Although using an ABAB/BABA design without randomization of treatment periods may result in patients anticipating their next intervention period, we do not believe this will result in increased dropout rates or failure to complete all treatment periods because patients and parent stakeholders expressed that they are interested in testing both diets—those who improve on SCD will be interested in determining whether they can maintain improvements on an more liberal SCD and those who improved on the liberal SCD will be interested in determining whether they can achieve greater improvements on a more strict SCD.
These numbers mean more kids feeling well, doing sports, go to their first prom, going on class trips.
NEW CENTERS: register all of your patients, do PVP for all of your visits, do frequent PM.