Allina Health is a large health system in Minnesota serving over 3 million patients annually. Facing rising healthcare costs and an unsustainable model, Allina transitioned to focus on higher value care through advanced analytics. Allina developed predictive models and dashboards to identify at-risk patients, coordinate care more effectively, and drive improvements in outcomes like reducing readmissions. By leveraging enterprise data and strategic use of analytics, Allina has achieved leading quality scores and cost reductions while better supporting providers to improve population health.
User Group Kickoff and New Product Roadmap - HAS Session 12Health Catalyst
This session will be highly interactive, targeted primarily at existing Health Catalyst clients. First, our “three amigos” will introduce the concept of three user groups focused around analytics, deployment, and clinical knowledge assets, and solicit your feedback and input on the best way to collaborate and share best practices. Then we will introduce our new product category offerings, and solicit your interactive input and priorities as a guide to our future product roadmap.
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
Against the Odds: How this Small Community Hospital Used Six Strategies to Su...Health Catalyst
The constant thread weaving through every healthcare organizational strategy should be adherence to the Triple Aim. But with uncertainty generated by the changes at the federal level, healthcare organizations may be tempted to put their value-based care plans on hold. This article explains why that’s not necessary and lists six strategies for thriving under a fee-for-value model: 1.) Use Leadership and Team Structure to Support Improvement 2.) Drive Down Costs 3.) Reduce Unnecessary Waste 4.) Encourage the Learning Organization 5.) Prioritize Patient Education 6.) Track Data and Outcomes This blog cites one small medical center with odds stacked against it, and how it is managing to not only weather the changes, but also distinguish itself by staying true to the values of the Triple Aim.
Breaking All the Rules: What the Leading Health Systems Do Differently with A...Health Catalyst
Voluntarily or not, we are entering the Age of Analytics in healthcare. As the healthcare industry emerges from the deployment of EMR’s and health information exchanges, enterprise data warehouses represent the next significant opportunity in information technology.
However, the meaningful use of an enterprise data warehouse is much more difficult to achieve than the meaningful use of an EMR. There are scant few organizations in healthcare that have achieved excellence in the “meaningful use” of an enterprise data warehouse.
Fortunate to see both failings and successes, Dale Sanders has spent the last 18 years analyzing the characteristics of healthcare analytics and data warehousing leadership. Join him as he shares his observations and lessons to help you and your organization become one of the success stories.
Presentation Covers:
Why C-level involvement is important, but not a guarantee of success, and can sometimes be a hindrance
The pivotal characteristics of culture, strategy, and execution that are critical to data warehousing and analytics success
How to balance tactical analytic victories without sacrificing strategic adaptability and scalability
Analytics and Small Hospitals: Embracing Data to Thrive in the New Era of Val...Health Catalyst
Value-based care has remade the healthcare landscape for small hospitals. Many are struggling to compete with the larger, better-funded medical centers in the communities they serve. Embracing data and analytics is no longer a luxury for these organizations if they are to succeed and remain competitive. Data analysis can assist senior leaders in identifying opportunities for improvement while balancing long-term goals with short-term pressures. Incorporating data in to the culture and making it a part of everyday decision making will enable smaller hospitals to not only survive, but thrive in the new era of value-based care.
Why Process Measures Are Often More Important Than Outcome Measures in Health...Health Catalyst
The healthcare industry is currently obsessed with outcome measures — and for good reason. But tracking outcome measures alone is insufficient to reach the goals of better quality and reduced costs. Instead, health systems must get more granular with their data by tracking process measures. Process measures make it possible to identify the root cause of a health system’s failures. They’re the checklists of systematically guaranteeing that the right care will be delivered to every patient, every time. By using these checklists, organizations will be able to improve quality and cost by reducing the amount of variation in care delivery.
Why Most Analytic Applications Will Never Be Able to Significantly Improve He...Health Catalyst
The availability of healthcare IT solutions can be overwhelming and all promise to solve an organization’s most pressing issues. While typical data and analytic applications are excellent at exposing opportunities for improvement that are impacting the bottom line, most are not effective at helping the organization determine what to do to address them and improve outcomes. However, a new approach to creating analytics applications is emerging. Analytics applications that incorporate best practices clinical content along with the best practices visualizations help everyone understand the problem and the solution. These applications also enable clinicians to better understand, adopt, roll out, and execute outcome improvement initiatives with healthcare systems. Health Catalyst has deliberately created a comprehensive, dynamic suite of applications that integrate clinical content and facilitate the orderly implementation of action plans.
Partners’ Care Management Strategy: A 10-Year JourneyHealth Catalyst
Chronic diseases are responsible for seven out of 10 deaths each year, killing more than 1.7 million Americans annually. Additionally, 133 million Americans—approximately 45 percent of the population—have at least one chronic disease. Partners HealthCare believes that chronically ill patients with multiple medical conditions often need the most help coordinating their care, which is why this well-respected health system has spent the last 10 years perfecting an integrated care management program (iCMP).
Key elements of the iCMP at Partners include access to specialized resources (e.g., mental health, palliative care), involvement through the continuum of care, patient self-management, IT-enabled systems to improve care coordination, data-driven analytics to support strategic decision making, a payer-blind approach, and ongoing support and training for its teams and staff.
Attendees will learn how to:
Identify the essential elements of an effective care management program for chronically ill patients
Recognize how care management plays a key role in an effective population health management strategy
Determine how to use information to identify and effectively manage complex, chronically ill patients
User Group Kickoff and New Product Roadmap - HAS Session 12Health Catalyst
This session will be highly interactive, targeted primarily at existing Health Catalyst clients. First, our “three amigos” will introduce the concept of three user groups focused around analytics, deployment, and clinical knowledge assets, and solicit your feedback and input on the best way to collaborate and share best practices. Then we will introduce our new product category offerings, and solicit your interactive input and priorities as a guide to our future product roadmap.
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
Against the Odds: How this Small Community Hospital Used Six Strategies to Su...Health Catalyst
The constant thread weaving through every healthcare organizational strategy should be adherence to the Triple Aim. But with uncertainty generated by the changes at the federal level, healthcare organizations may be tempted to put their value-based care plans on hold. This article explains why that’s not necessary and lists six strategies for thriving under a fee-for-value model: 1.) Use Leadership and Team Structure to Support Improvement 2.) Drive Down Costs 3.) Reduce Unnecessary Waste 4.) Encourage the Learning Organization 5.) Prioritize Patient Education 6.) Track Data and Outcomes This blog cites one small medical center with odds stacked against it, and how it is managing to not only weather the changes, but also distinguish itself by staying true to the values of the Triple Aim.
Breaking All the Rules: What the Leading Health Systems Do Differently with A...Health Catalyst
Voluntarily or not, we are entering the Age of Analytics in healthcare. As the healthcare industry emerges from the deployment of EMR’s and health information exchanges, enterprise data warehouses represent the next significant opportunity in information technology.
However, the meaningful use of an enterprise data warehouse is much more difficult to achieve than the meaningful use of an EMR. There are scant few organizations in healthcare that have achieved excellence in the “meaningful use” of an enterprise data warehouse.
Fortunate to see both failings and successes, Dale Sanders has spent the last 18 years analyzing the characteristics of healthcare analytics and data warehousing leadership. Join him as he shares his observations and lessons to help you and your organization become one of the success stories.
Presentation Covers:
Why C-level involvement is important, but not a guarantee of success, and can sometimes be a hindrance
The pivotal characteristics of culture, strategy, and execution that are critical to data warehousing and analytics success
How to balance tactical analytic victories without sacrificing strategic adaptability and scalability
Analytics and Small Hospitals: Embracing Data to Thrive in the New Era of Val...Health Catalyst
Value-based care has remade the healthcare landscape for small hospitals. Many are struggling to compete with the larger, better-funded medical centers in the communities they serve. Embracing data and analytics is no longer a luxury for these organizations if they are to succeed and remain competitive. Data analysis can assist senior leaders in identifying opportunities for improvement while balancing long-term goals with short-term pressures. Incorporating data in to the culture and making it a part of everyday decision making will enable smaller hospitals to not only survive, but thrive in the new era of value-based care.
Why Process Measures Are Often More Important Than Outcome Measures in Health...Health Catalyst
The healthcare industry is currently obsessed with outcome measures — and for good reason. But tracking outcome measures alone is insufficient to reach the goals of better quality and reduced costs. Instead, health systems must get more granular with their data by tracking process measures. Process measures make it possible to identify the root cause of a health system’s failures. They’re the checklists of systematically guaranteeing that the right care will be delivered to every patient, every time. By using these checklists, organizations will be able to improve quality and cost by reducing the amount of variation in care delivery.
Why Most Analytic Applications Will Never Be Able to Significantly Improve He...Health Catalyst
The availability of healthcare IT solutions can be overwhelming and all promise to solve an organization’s most pressing issues. While typical data and analytic applications are excellent at exposing opportunities for improvement that are impacting the bottom line, most are not effective at helping the organization determine what to do to address them and improve outcomes. However, a new approach to creating analytics applications is emerging. Analytics applications that incorporate best practices clinical content along with the best practices visualizations help everyone understand the problem and the solution. These applications also enable clinicians to better understand, adopt, roll out, and execute outcome improvement initiatives with healthcare systems. Health Catalyst has deliberately created a comprehensive, dynamic suite of applications that integrate clinical content and facilitate the orderly implementation of action plans.
Partners’ Care Management Strategy: A 10-Year JourneyHealth Catalyst
Chronic diseases are responsible for seven out of 10 deaths each year, killing more than 1.7 million Americans annually. Additionally, 133 million Americans—approximately 45 percent of the population—have at least one chronic disease. Partners HealthCare believes that chronically ill patients with multiple medical conditions often need the most help coordinating their care, which is why this well-respected health system has spent the last 10 years perfecting an integrated care management program (iCMP).
Key elements of the iCMP at Partners include access to specialized resources (e.g., mental health, palliative care), involvement through the continuum of care, patient self-management, IT-enabled systems to improve care coordination, data-driven analytics to support strategic decision making, a payer-blind approach, and ongoing support and training for its teams and staff.
Attendees will learn how to:
Identify the essential elements of an effective care management program for chronically ill patients
Recognize how care management plays a key role in an effective population health management strategy
Determine how to use information to identify and effectively manage complex, chronically ill patients
Landmark Review of Population Health ManagementHealth Catalyst
Population health management (PHM) is in its early stages of maturity, suffering from inconsistent definitions and understanding, overhyped by vendors and ill-defined by the industry. Healthcare IT vendors are labeling themselves with this new and popular term, quite often simply re-branding their old-school, fee-for-service, and encounter-based analytic solutions. Even the analysts —KLAS, Chilmark, IDC, and others—are also having a difficult time classifying the market. In this paper, I identify and define 12 criteria that any health system will want to consider in evaluating population health management companies. The reality of the market is that there is no single vendor that can provide a complete PHM solution today. However there are a group of vendors that provide a subset of capabilities that are certainly useful for the next three years. In this paper, I discuss the criteria and try my best to share an unbiased evaluation of sample of the PHM companies in this space.
Tackling the Challenge of Effective Patient Engagement: How Health Catalyst i...Health Catalyst
Effective population health management within a provider organization is an interesting combination of technology, change management, and modified financial incentives. Turns out, managing a team member population to the same goals requires a similar set of tools and effort. It is possible to improve team member clinical outcomes (both individually and as a population) while driving down both corporate and personal health costs.
Join Jeff as he draws parallels between managing these surprisingly similar groups, using tools and principles that guide our thinking across both our client patient populations and our corporate team member populations, and suggests strategies for corporations to improve outcomes for their most important asset – their people.
Wednesday, June 8
1-2PM EST
Attendees will learn:
Parallels between patient and employee populations, and how one group informs the other for success.
Effective strategies Health Catalyst employs for both populations.
The “gamification” of wellness programs, and how this will drive future patient engagement and care management.
Quality Improvement In Healthcare: Where Is The Best Place To Start?Health Catalyst
One of the biggest challenges providers face in their quality improvement efforts is knowing where to get started. In my experience, one of the best ways to overcome that “where do we begin?” factor is by using data from an enterprise data warehouse to look for high-cost areas where there are large variations in how health care is delivered. Variation found through the KPA is an indicator of opportunity. The more avoidable variation that is reflected in a particular care process, the more opportunity there is to reduce that variation and standardize the process. Suppose after performing a KPA you discover three areas of opportunity. How do you determine which one to pursue, especially if it’s your first journey into process improvement? The most obvious answer would seem to be the one with the largest potential ROI. That may not always be the best course to pursue, however. You will also want to take into consideration the readiness/openness to change in each of those areas.
How to Evaluate a Clinical Analytics Vendor: A ChecklistHealth Catalyst
Based on 25 years of healthcare IT experience, Dale outlines a detailed set of criteria for evaluating clinical analytic vendors. These criteria include 1) completeness of vision, 2) culture and values of senior leadership, 3) ability to execute, 4) technology adaptability and supportability, 5) total cost of ownership, 6) company viability, and 7) nine elements of technical specificity including data modeling, master data management, metadata, white space data, visualization, security, ETL, performance and utilization metrics, hardware and software infrastructure.
Why You Need to Understand Value-Based Reimbursement and How to Survive ItHealth Catalyst
There are clear signs the healthcare industry is in the midst of a shift to value-based reimbursement. The most noticeable signs are the recent and proposed 2015 rulings from CMS. There are four areas in value-based reimbursement that will be impacted by the end of 2015: the physician payment structure, bundled payments, Inpatient Prospective Payment Systems regulations, and commercial payers. To survive the shift to value-based reimbursement, it’s important for providers and payers to take three steps: provide access to rich data, share knowledge and learn from each other, develop strategies by doing assessments.
Five Strategies for Easing the Burden of Clinical Quality MeasuresHealth Catalyst
Healthcare systems need to view regulatory measures in a different light. Rather than approaching them as required processes that burden the system, they should be viewed as quality improvement opportunities that lead to best practices. It helps to have a strategy to get there:
Prioritize measures that truly impact patient care
Have a line-of-sight to reimbursement
Understand measure alignment across programs
Involve the right people
Get involved in measure development upstream
The right tools also help, but a plan for success is advised for healthcare system administrators and clinicians who need to ease the reporting burden and take advantage of every measure in a positive way.
What Is the ROI of Investing in a Healthcare Data AnalystHealth Catalyst
Making the most of a healthcare data analyst’s knowledge is a key component to getting the best ROI from a hospital improvement project. But all too often, analysts serve merely as data validators — they justify the data that leadership wants validated. Because analysts aren’t decision makers, they don’t have the authority to ask the questions that can save a health system millions. Empowering analysts, however, enables them to ask the right questions — and find the right answers — that will lead to significant savings.
Value-Based Purchasing in healthcare is here to stay. Though the industry has come to terms with this reality, there are still more updates and changes than most of us can keep up with. In a world of accountable care, quality measures, shared savings, and bundled payments, everyone seems to have more questions than answers.
Bobbi Brown, Vice President, Financial Engagements outlines the latest announcements on Value-Based and how to prepare your organization for success in this new reality. Having previously worked in healthcare administration and finance for Kaiser, Sutter, and Intermountain, Bobbi is no stranger to translating complex legislative requirements for complex health systems.
Bobbi discusses the various programs offered by CMS, in particular:
What the programs are
How these programs are measured
What the current incentives are
Results of the programs to date
Organizational changes needed for the shift in programs
Becoming the Change Agent Your Healthcare System NeedsHealth Catalyst
I’ve met many clinical and operational leaders across the U.S. and seen how many have become progressively cynical and disengaged when faced with important healthcare reform issues like cost cutting and tight budgets. These clinicians would agree that equally important are quality and safety issues. However, most don’t have the tools available to actually measure that quality or patient outcomes. When clinicians do have access to the ability to measure, and the work together, I’ve seen enormous energy arise as they ask questions they really care about: What is quality? What do we measure? How do we achieve the best outcome?
How to Measure Health Outcomes that Matter to EveryoneHealth Catalyst
To measure health outcomes that matter to everyone, it’s important to ask several questions before starting out:
How do regulatory requirements differ from outcomes improvement?
Do the measurements align with organizational goals and values?
Are the measurements worth the resources required to document them?
Will the metrics actually be applied to outcomes improvement?
Who are the beneficiaries of the outcomes improvement initiative?
The answers to these questions help save time and resources, sustain and expand the improvement effort, refine the list of measures to those that truly improve outcomes, and most of all, help avoid the outcomes measures graveyard.
Leveraging Healthcare Analytics to Reduce Heart Failure Readmission Rates Health Catalyst
Heart failure patients are adding an enormous strain to the US healthcare system. In addition, readmission rates for these diseases are adding to the burden. Healthcare analytics can play a key role. By following these 4 steps, all of which include data analytics, health systems can begin to reduce readmission rates: 1) Understand your true admission rates. 2) Establish reliable baseline measures. 3) Be aware of balance measures. 4) Establish an EDW.
Finding the perfect data governance environment is an elusive target. It’s important to govern to the least extent necessary in order to achieve the greatest common good. With the three data governance cultures, authoritarian, tribal, and democratic, the latter is best for a balanced, productive governance strategy.
The Triple Aim of data governance is: 1) ensuring data quality, 2) building data literacy, and 3) maximizing data exploitation for the organization’s benefit. The overall strategy should be guided by these three principles under the guidance of the data governance committee.
Data governance committees need to be sponsored at the executive board and leadership level, with supporting roles defined for data stewards, data architects, database and systems administrators, and data analysts. Data governance committees need to avoid the most common failure modes: wandering, technical overkill, political infighting, and bureaucratic red tape.
Healthcare organizations that are undergoing analytics adoption will also go through six phases of data governance including: 1) establishing the tone for becoming a data-driven organization, 2) providing access to data, 3) establishing data stewards, 4) establishing a data quality program, 5) exploiting data for the benefit of the organization, 6) the strategic acquisition of data to benefit the organization.
As U.S. healthcare moves into its next stage of evolution, the organizations that will survive and thrive will be those who most effectively acquire, analyze, and utilize their data to its fullest extent. Such is the mission of data governance.
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.
How to Improve Clinical Programs by Breaking the Cycle of Waste in HealthcareHealth Catalyst
To succeed with value-based care, health systems must demonstrate to CMS they operate more effectively, efficiently, and safely. This requires organizations to identify and improve three types of waste commonly found in clinical programs: ordering waste, workflow and operational variations waste, and defect waste. Finding these areas, however, requires three critical solutions: an EDW, a KPA Application, and organizational readiness assessments.
How Physicians Can Prepare for the Financial Impact of MACRAHealth Catalyst
If all goes according to plan, the first performance period for the new Medicare Access and Chip Reauthorization Act (MACRA) is just around the calendar corner. It’s a complicated reimbursement structure with multiple tracks that are guaranteed to reward with bonuses or inflict pain through penalties in CMS’s new zero sum game. To the physicians and practices that adopt this new program early and position themselves for the best fiscal outcomes, go the spoils. But for many smaller practices and those that consistently underperform, the outlook may be glum regardless. Here are some highlights of the new program and the financial impact it will have on clinicians and practices.
The Deployment System: Creating the Organizational Infrastructure to Support ...Health Catalyst
Join Dr. Haughom as he continues the next installment in his webinar series. He will help participants to better understand the key components of an effective deployment system that supports sustainable large-scale improvements in quality, safety and efficiency. He will also continue his live demonstration of the power of modern analytics in managing the health of populations.
Attendees will learn:
Through a live demonstration, the use of analytics to identify potential risk by understanding the size of disease populations and their risk profiles
How to effectively engage opinion leaders in quality improvement and move the entire organization’s workforce forward
How to organize teams that take ownership of the organization’s quality, cost and patient satisfaction improvement strategy
The elements of an effective team structure and governance model for quality improvement
The implementation of an agile, or iterative, approach that fosters continuous improvement
The integration of Lean process improvements with the measurement system to achieve and sustain improvement gains
Unlike few can do, Dr. David Burton has simplified these complex topics into a simple construct of four population health management building blocks. By acquiring proficiency in each of these four dimensions, healthcare delivery systems can create an asset which can be marketed to various types of governmental and commercial payers, which sponsor health benefit plans and offer shared accountability contracts (i.e. accountable care) into which these population health management sponsors can enter.
The key learning points of the webinar include:
The four building blocks of population health management (provider network, population(s), quality/safety outcomes, and cost outcomes)
The central role patient registries play in success in population health management
Pragmatic tools and methodologies to help healthcare delivery systems become proficient in each of the four dimensions of the framework
A discussion of the categories of governmental and commercial sponsors of shared accountability solutions, including the potential impact of the shift from defined benefit to defined contribution health benefit programs
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.
Linking Clinical And Financial Data: The Key To Real Quality And Cost OutHealth Catalyst
Since accountable care took the healthcare industry by a storm in 2010, health systems have had to move from their predictable revenue streams based on volume to a model that includes quality measures. While the switch will ultimately improve both quality and cost outcomes, health systems now need the capability of tracking and analyzing the data from both clinical and financial systems. A late-binding enterprise data warehouse provides the flexible architecture that makes it possible to liberate both kinds of data to link it together to provide a full picture of trends and opportunities.
How to Drive ROI In Your Healthcare Quality Improvement Projects Health Catalyst
At a time when average hospital’s margins are stagnating, executives should be asking tough questions about the ROI of "indispensable" technologies. Will new technologies prove their worth or drive them further into the red? How do you measure and track ROI?
We need to educate clinicians on financial metrics and finance people need to learn more about the clinical processes and outcomes. One of the historical problems with calculating ROI has been the fundamental culture divide between clinicians and finance. Gone should be the days that clinicians deliver care without knowing the financial cost of that care.
This slide set give practical advice on how to set goals, measure ROI and gives excel templates that are based on years of experience by the authors
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
In order to best prepare our clients for CMS' transition from Fee-For-Service to Fee-For-Value physician reimbursement, we have prepared a summary of the Merit Incentive-Based Payment System (MIPS). The MIPS program will consolidate PQRS, Meaningful Use, and the Value-Based Modifier into a single reporting program in which CMS affecting ≈95% of physicians beginning in 2017.
Landmark Review of Population Health ManagementHealth Catalyst
Population health management (PHM) is in its early stages of maturity, suffering from inconsistent definitions and understanding, overhyped by vendors and ill-defined by the industry. Healthcare IT vendors are labeling themselves with this new and popular term, quite often simply re-branding their old-school, fee-for-service, and encounter-based analytic solutions. Even the analysts —KLAS, Chilmark, IDC, and others—are also having a difficult time classifying the market. In this paper, I identify and define 12 criteria that any health system will want to consider in evaluating population health management companies. The reality of the market is that there is no single vendor that can provide a complete PHM solution today. However there are a group of vendors that provide a subset of capabilities that are certainly useful for the next three years. In this paper, I discuss the criteria and try my best to share an unbiased evaluation of sample of the PHM companies in this space.
Tackling the Challenge of Effective Patient Engagement: How Health Catalyst i...Health Catalyst
Effective population health management within a provider organization is an interesting combination of technology, change management, and modified financial incentives. Turns out, managing a team member population to the same goals requires a similar set of tools and effort. It is possible to improve team member clinical outcomes (both individually and as a population) while driving down both corporate and personal health costs.
Join Jeff as he draws parallels between managing these surprisingly similar groups, using tools and principles that guide our thinking across both our client patient populations and our corporate team member populations, and suggests strategies for corporations to improve outcomes for their most important asset – their people.
Wednesday, June 8
1-2PM EST
Attendees will learn:
Parallels between patient and employee populations, and how one group informs the other for success.
Effective strategies Health Catalyst employs for both populations.
The “gamification” of wellness programs, and how this will drive future patient engagement and care management.
Quality Improvement In Healthcare: Where Is The Best Place To Start?Health Catalyst
One of the biggest challenges providers face in their quality improvement efforts is knowing where to get started. In my experience, one of the best ways to overcome that “where do we begin?” factor is by using data from an enterprise data warehouse to look for high-cost areas where there are large variations in how health care is delivered. Variation found through the KPA is an indicator of opportunity. The more avoidable variation that is reflected in a particular care process, the more opportunity there is to reduce that variation and standardize the process. Suppose after performing a KPA you discover three areas of opportunity. How do you determine which one to pursue, especially if it’s your first journey into process improvement? The most obvious answer would seem to be the one with the largest potential ROI. That may not always be the best course to pursue, however. You will also want to take into consideration the readiness/openness to change in each of those areas.
How to Evaluate a Clinical Analytics Vendor: A ChecklistHealth Catalyst
Based on 25 years of healthcare IT experience, Dale outlines a detailed set of criteria for evaluating clinical analytic vendors. These criteria include 1) completeness of vision, 2) culture and values of senior leadership, 3) ability to execute, 4) technology adaptability and supportability, 5) total cost of ownership, 6) company viability, and 7) nine elements of technical specificity including data modeling, master data management, metadata, white space data, visualization, security, ETL, performance and utilization metrics, hardware and software infrastructure.
Why You Need to Understand Value-Based Reimbursement and How to Survive ItHealth Catalyst
There are clear signs the healthcare industry is in the midst of a shift to value-based reimbursement. The most noticeable signs are the recent and proposed 2015 rulings from CMS. There are four areas in value-based reimbursement that will be impacted by the end of 2015: the physician payment structure, bundled payments, Inpatient Prospective Payment Systems regulations, and commercial payers. To survive the shift to value-based reimbursement, it’s important for providers and payers to take three steps: provide access to rich data, share knowledge and learn from each other, develop strategies by doing assessments.
Five Strategies for Easing the Burden of Clinical Quality MeasuresHealth Catalyst
Healthcare systems need to view regulatory measures in a different light. Rather than approaching them as required processes that burden the system, they should be viewed as quality improvement opportunities that lead to best practices. It helps to have a strategy to get there:
Prioritize measures that truly impact patient care
Have a line-of-sight to reimbursement
Understand measure alignment across programs
Involve the right people
Get involved in measure development upstream
The right tools also help, but a plan for success is advised for healthcare system administrators and clinicians who need to ease the reporting burden and take advantage of every measure in a positive way.
What Is the ROI of Investing in a Healthcare Data AnalystHealth Catalyst
Making the most of a healthcare data analyst’s knowledge is a key component to getting the best ROI from a hospital improvement project. But all too often, analysts serve merely as data validators — they justify the data that leadership wants validated. Because analysts aren’t decision makers, they don’t have the authority to ask the questions that can save a health system millions. Empowering analysts, however, enables them to ask the right questions — and find the right answers — that will lead to significant savings.
Value-Based Purchasing in healthcare is here to stay. Though the industry has come to terms with this reality, there are still more updates and changes than most of us can keep up with. In a world of accountable care, quality measures, shared savings, and bundled payments, everyone seems to have more questions than answers.
Bobbi Brown, Vice President, Financial Engagements outlines the latest announcements on Value-Based and how to prepare your organization for success in this new reality. Having previously worked in healthcare administration and finance for Kaiser, Sutter, and Intermountain, Bobbi is no stranger to translating complex legislative requirements for complex health systems.
Bobbi discusses the various programs offered by CMS, in particular:
What the programs are
How these programs are measured
What the current incentives are
Results of the programs to date
Organizational changes needed for the shift in programs
Becoming the Change Agent Your Healthcare System NeedsHealth Catalyst
I’ve met many clinical and operational leaders across the U.S. and seen how many have become progressively cynical and disengaged when faced with important healthcare reform issues like cost cutting and tight budgets. These clinicians would agree that equally important are quality and safety issues. However, most don’t have the tools available to actually measure that quality or patient outcomes. When clinicians do have access to the ability to measure, and the work together, I’ve seen enormous energy arise as they ask questions they really care about: What is quality? What do we measure? How do we achieve the best outcome?
How to Measure Health Outcomes that Matter to EveryoneHealth Catalyst
To measure health outcomes that matter to everyone, it’s important to ask several questions before starting out:
How do regulatory requirements differ from outcomes improvement?
Do the measurements align with organizational goals and values?
Are the measurements worth the resources required to document them?
Will the metrics actually be applied to outcomes improvement?
Who are the beneficiaries of the outcomes improvement initiative?
The answers to these questions help save time and resources, sustain and expand the improvement effort, refine the list of measures to those that truly improve outcomes, and most of all, help avoid the outcomes measures graveyard.
Leveraging Healthcare Analytics to Reduce Heart Failure Readmission Rates Health Catalyst
Heart failure patients are adding an enormous strain to the US healthcare system. In addition, readmission rates for these diseases are adding to the burden. Healthcare analytics can play a key role. By following these 4 steps, all of which include data analytics, health systems can begin to reduce readmission rates: 1) Understand your true admission rates. 2) Establish reliable baseline measures. 3) Be aware of balance measures. 4) Establish an EDW.
Finding the perfect data governance environment is an elusive target. It’s important to govern to the least extent necessary in order to achieve the greatest common good. With the three data governance cultures, authoritarian, tribal, and democratic, the latter is best for a balanced, productive governance strategy.
The Triple Aim of data governance is: 1) ensuring data quality, 2) building data literacy, and 3) maximizing data exploitation for the organization’s benefit. The overall strategy should be guided by these three principles under the guidance of the data governance committee.
Data governance committees need to be sponsored at the executive board and leadership level, with supporting roles defined for data stewards, data architects, database and systems administrators, and data analysts. Data governance committees need to avoid the most common failure modes: wandering, technical overkill, political infighting, and bureaucratic red tape.
Healthcare organizations that are undergoing analytics adoption will also go through six phases of data governance including: 1) establishing the tone for becoming a data-driven organization, 2) providing access to data, 3) establishing data stewards, 4) establishing a data quality program, 5) exploiting data for the benefit of the organization, 6) the strategic acquisition of data to benefit the organization.
As U.S. healthcare moves into its next stage of evolution, the organizations that will survive and thrive will be those who most effectively acquire, analyze, and utilize their data to its fullest extent. Such is the mission of data governance.
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.
How to Improve Clinical Programs by Breaking the Cycle of Waste in HealthcareHealth Catalyst
To succeed with value-based care, health systems must demonstrate to CMS they operate more effectively, efficiently, and safely. This requires organizations to identify and improve three types of waste commonly found in clinical programs: ordering waste, workflow and operational variations waste, and defect waste. Finding these areas, however, requires three critical solutions: an EDW, a KPA Application, and organizational readiness assessments.
How Physicians Can Prepare for the Financial Impact of MACRAHealth Catalyst
If all goes according to plan, the first performance period for the new Medicare Access and Chip Reauthorization Act (MACRA) is just around the calendar corner. It’s a complicated reimbursement structure with multiple tracks that are guaranteed to reward with bonuses or inflict pain through penalties in CMS’s new zero sum game. To the physicians and practices that adopt this new program early and position themselves for the best fiscal outcomes, go the spoils. But for many smaller practices and those that consistently underperform, the outlook may be glum regardless. Here are some highlights of the new program and the financial impact it will have on clinicians and practices.
The Deployment System: Creating the Organizational Infrastructure to Support ...Health Catalyst
Join Dr. Haughom as he continues the next installment in his webinar series. He will help participants to better understand the key components of an effective deployment system that supports sustainable large-scale improvements in quality, safety and efficiency. He will also continue his live demonstration of the power of modern analytics in managing the health of populations.
Attendees will learn:
Through a live demonstration, the use of analytics to identify potential risk by understanding the size of disease populations and their risk profiles
How to effectively engage opinion leaders in quality improvement and move the entire organization’s workforce forward
How to organize teams that take ownership of the organization’s quality, cost and patient satisfaction improvement strategy
The elements of an effective team structure and governance model for quality improvement
The implementation of an agile, or iterative, approach that fosters continuous improvement
The integration of Lean process improvements with the measurement system to achieve and sustain improvement gains
Unlike few can do, Dr. David Burton has simplified these complex topics into a simple construct of four population health management building blocks. By acquiring proficiency in each of these four dimensions, healthcare delivery systems can create an asset which can be marketed to various types of governmental and commercial payers, which sponsor health benefit plans and offer shared accountability contracts (i.e. accountable care) into which these population health management sponsors can enter.
The key learning points of the webinar include:
The four building blocks of population health management (provider network, population(s), quality/safety outcomes, and cost outcomes)
The central role patient registries play in success in population health management
Pragmatic tools and methodologies to help healthcare delivery systems become proficient in each of the four dimensions of the framework
A discussion of the categories of governmental and commercial sponsors of shared accountability solutions, including the potential impact of the shift from defined benefit to defined contribution health benefit programs
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.
Linking Clinical And Financial Data: The Key To Real Quality And Cost OutHealth Catalyst
Since accountable care took the healthcare industry by a storm in 2010, health systems have had to move from their predictable revenue streams based on volume to a model that includes quality measures. While the switch will ultimately improve both quality and cost outcomes, health systems now need the capability of tracking and analyzing the data from both clinical and financial systems. A late-binding enterprise data warehouse provides the flexible architecture that makes it possible to liberate both kinds of data to link it together to provide a full picture of trends and opportunities.
How to Drive ROI In Your Healthcare Quality Improvement Projects Health Catalyst
At a time when average hospital’s margins are stagnating, executives should be asking tough questions about the ROI of "indispensable" technologies. Will new technologies prove their worth or drive them further into the red? How do you measure and track ROI?
We need to educate clinicians on financial metrics and finance people need to learn more about the clinical processes and outcomes. One of the historical problems with calculating ROI has been the fundamental culture divide between clinicians and finance. Gone should be the days that clinicians deliver care without knowing the financial cost of that care.
This slide set give practical advice on how to set goals, measure ROI and gives excel templates that are based on years of experience by the authors
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
In order to best prepare our clients for CMS' transition from Fee-For-Service to Fee-For-Value physician reimbursement, we have prepared a summary of the Merit Incentive-Based Payment System (MIPS). The MIPS program will consolidate PQRS, Meaningful Use, and the Value-Based Modifier into a single reporting program in which CMS affecting ≈95% of physicians beginning in 2017.
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
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CMS Innovation Center
http://innovation.cms.gov
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Integrated ACO selected for the NAACOS Innovation ShowcaseEric Weaver
Integrated ACO has been recognized as an ACO Innovation Leader in Data and Analytics. My company was chosen from a competitive field of applicants to present its innovation solution at the National Association of ACOs (NAACOS) Spring 2015 Conference in Baltimore, MD on April 2, 2015. Our in-house development of a predictive model for Congestive Heart Failure hospital admissions was recognized as one of the best in the country.
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.
Maxine Powers, National Improvement Advisor at Department of Health, addresses Why QIPP and why now?, Programme design, National Work stream plans for safety and the role and contribution of AHPs. COT Annual Conference 2010 (22-25 June 2010)
Case Study "Using Real Time Clinical Data To Support Patient Risk Stratification in The Clinical Care Setting"
HealthInfoNet operates the statewide health information exchange in Maine. The exchange currently manages clinical and patient care encounter information on 97 percent of the residents of the State of Maine. The information is gathered in real time, standardized, and aggregated at a patient specific level to support treatment. For the past three years, HealthInfoNet has worked with HBI Solutions, Inc of Palo Alto, CA to utilize this real time clinical and encounter data to support the development of predictive analytic tools that risk stratify patient populations and individual patients for future incidence of disease, cost, and both inpatient and ambulatory care encounters. These real time predictive models have now been used in clinical care settings for a year. The presentation will cover both lessons learned to date from implementing and optimizing real time predictive analytic tools and the early finding of the impact that the use of these tools is having on patient care management, utilization and outcome.
Devore Culver
Executive Director & CEO
HealthInfoNet
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.
The healthcare transformation from fee for service to fee for outcomes just got an adrenaline shot in the arm April 27th when the Department of Health and Human Services surprised many in the market by announcing a Quality Payment Program, a proposed set of new rules to take effect in 2019 based on key provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Similar to How Allina Health Uses Analytics to Transform Care - HAS Session 16 (20)
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.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
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
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
How Allina Health Uses Analytics to Transform Care - HAS Session 16
1. Session #16:
How Allina Health Uses Analytics to Transform Care
Penny Ann Wheeler, MD
President and Chief Clinical Officer, Allina Health
2. ADVANCING CARE THROUGH ANALYTICS
THE ALLINA HEALTH JOURNEY
Penny Wheeler, M.D.
President and Chief Clinical Officer
September 2014
3. Key Questions
• Who is Allina Health?
• Why change?
• What are the new measures of success?
• What’s needed to move to higher value care?
• How do we use advanced analytics to drive
improvement?
• What are our results thus far and lessons learned?
3
5. Allina is the Region’s Largest
Health Care Organization
• 13 Hospitals
• 82 Clinic sites
• 3 Ambulatory care centers
• Pharmacy, hospice, home
care, medical equipment
• 26,000 employees
• 5,000 physicians
• 2.8 million+ clinic visits
• 110,000+ inpatient hospital
admissions
• 1,658 staffed beds
• 3.4B in revenue
• 32% Twin Cities market
share
5
6. The Imperative for Change:
The Traditional Healthcare Model is Broken
Representative timeline of a patient’s experiences in the U.S. health
care system
http://www.iom.edu/~/media/Files/Activity%20Files/Quality/LearningHealthCare/Release%20Slides.pdf
7. Why Change?
If food prices
had risen at
medical inflation rates
since the 1930s
*Source: American Institute for Preventive Medicine
2009
1 dozen eggs $85.08
1 pound apples $12.97
1 pound sugar $14.53
1 roll toilet paper $25.67
1 dozen oranges $114.47
1 pound butter $108.29
1 pound bananas $17.02
1 pound bacon $129.94
1 pound beef shoulder $46.22
1 pound coffee $68.08
10 Item Total $622.27
7
8.
9. All About Creating Value…
9
Value = Good / Cost
“Quality improvement is the most powerful driver of
cost containment.”
- Michael Porter, PhD Economics
Harvard Business School
10. Preventable Complications
Unnecessary Treatments
Inefficiency
Errors
Services
That
Add
Value
40%
Waste
60%
Value
All Services
Add
Value
100%
Value
Future
Now
What We Pay For…
10
11. Poll Question #1
In your opinion, which of the 4 categories of
waste is the most important to address by the
healthcare industry?
a) Preventable Complications
b) Unnecessary Treatments
c) Inefficiency
d) Errors
12. Four Measures of Success:
Allina Health 2016 Strategic Outcomes
1. Patient Care/Experience
2. Population Health
3. Patient Affordability
4. Organizational Vitality
12
Better
Care/
Experience
Better
Health
Reduce per
capita costs
Organizational Vitality
13.
14. Triple Aim Integration Initiatives
Quality Roadmap
Goal Initiative(s)
1) Perform under payment for quality and
value models
Accountable care pilots
• Pioneer ACO
• Commercial partnerships
2) Align incentives across employed and
affiliated providers
Allina Integrated Medical Network
3) Give providers the data and
information needed to improve
outcomes
Advanced analytics infrastructure
including a robust Enterprise Data
Warehouse (EDW)
4) Provide consistently exceptional care
without waste
• Primary care team model redesign
• Care management/patient engagement
• Clinical program optimization
5) Support transformation with new skills
development
Allina Advanced Training Program
15. Allina Health Enterprise Health Management Platform
Transitioning Data to Actionable Information
16. Bridging Historical, Current, and Predictive Information
Selected Health Intelligence & Delivery Tools at Allina
PPR Dashboard
“Potentially
Preventables”
Census
Dashboard
Enterprise Data
Warehouse
Reporting
Workbench
Retrospective Real time Predictive
What happened? What is happening? What may happen?
General Specific
Readmissions
Model
Modeling of
Potentially
Preventable
Events
17. Poll Question #2
For healthcare providers, on a scale of 1-5,
how well do you feel you are using predictive
information to address potentially preventable
events?
1) No use
2) Just starting or sporadic use
3) Moderate use but increasing
4) Good use
5) Very strong use
6) Unsure or not applicable
18. Example: Supporting Care Coordination
Predicting Unnecessary Admissions and
Readmissions
Challenge
– Substantially reduce unnecessary admissions and readmissions
Solution
– Predict patients at high risk for unnecessary admissions and readmissions
– Develop and use census dashboard to identify and manage patients
– Prioritize care coordination and clinical interventions based on risk level
– Predictive model C-statistic of 0.729
Results
– Reduced readmissions for patients
who received transition
conferences (June 2013-June
2014)
• High-risk patients: 15.8%
decrease in readmissions
• Moderate-high-risk patients:
5.4% decrease in readmissions
19. Getting the Model to the Bedside
The Census Dashboard
Identifies Patient
Readmit Risk
Identifies Transition
Conference Status
Identifies Prior IP Visits
in Last Week & Month
22. The Readmission Model Results:
How are our patients grouped?
• High Risk:
– 20 – 100% Readmission Risk: 7% of population
• Moderate-High Risk:
– 10 – 20% Readmission Risk: 19% of population
• Moderate Risk:
– 5 – 10% Readmission Risk: 35% of population
• Low Risk:
– 0 – 5% Readmission Risk: 39% of population
22
0% to 5% 5% to 10%
10% to
15%
15% to
20%
20% to
25%
25% to
35%
35% to
80%
45%
40%
35%
30%
25%
20%
15%
10%
5%
Percent of Total Patients 39% 35% 13% 6% 3% 3% 1%
Percent of total Readmissions 14% 31% 22% 13% 9% 7% 5%
35%
30%
25%
20%
15%
10%
5%
0%
0%
Percent of Total Readmissions
Percent of Total Patients
Model estimated percent probability of readmission
23. Predictive Model Confidence
Why do we believe the Readmission Model?
Comparing existing models with standard C-Statistic (Area under
ROC Curve) measure of performance
– Random coin toss selection: 0.5
– State-of-art techniques(ACG): (0.70 to 0.77)[1]
– Current Allina technique: 0.861
Allina Model was found to have a precision* of ~ 0.9
*Precision is the fraction of Predicted patients that actually have a PPE. In this case, on a dataset in
which it was tested about 90% of patients predicted by the model had a PPE. Note, this is different
from sensitivity, which is the fraction of actual PPE instances that are predicted.
1 Shannon M.E. Murphy, MA, Heather K. Castro, MS, and Martha Sylvia, PhD, MBA, RN, “Predictive Modeling in Practice: Improving the
Participant Identification Process for Care Management Programs Using Condition-Specific Cut Points”, POPULATION HEALTH
MANAGEMENT, Volume 14, Number 0, 2011
24. Example: Basic Cost Curve for Individual
$9,000
$8,000
$7,000
$6,000
$5,000
$4,000
$3,000
$2,000
$1,000
$0
with a Major Hospitalization
-20 -19 -18 -17 -16 -15 -14 -13 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Months Before and After High Cost Event
Healthways Data for Diabetics with heart Failure(blue line)
24
Point of traditional payer-based
care management
Point of predictive
intervention
Green: potential cost curve
with predictive intervention
25. Example: Supporting Cohort Management
Providing Care to Patients with Diabetes
Challenge
– Provide superior care for Allina Health’s diabetic population
Solution
– Identified and stratified diabetes cohorts using registries
– Identified gaps in care for diabetes patients (e.g. A1c, blood pressure
management)
– Provided workflow capability for care teams to manage the population
through ambulatory quality dashboard
Results
– Highest national score for Diabetes Care Quality Measure in 2012 of all
CMS Pioneer ACOs
– U.S. leader in management of diabetes patients and Diabetes Optimal
Care results
26. Supporting Cohort Management
Driving Improvement through Access to Information
Select by patient,
clinic, provider or
any combination Filter by Pioneer
Shows performance
of composite measure
components
ACO Patients
27. Example: Supporting Wellness & Prevention
Successfully Keeping Patients Well
Challenge
– Avoiding future illness is core to
superior population health
management
Solution
– Established and reported on
optimal care scores for individuals
– Identified gaps in care and
accurately connected them to care
teams to close gaps in care
Results
– Eliminated significant gaps in
wellness screening and
preventative care
– Allina Health has achieved some
of the best ambulatory optimal
care scores in the nation through a
focused clinician engagement
strategy using the EHMP
Colon Cancer Screening Optimal Care
76.0%
71.0%
66.0%
61.0%
88.0%
86.0%
84.0%
82.0%
80.0%
78.0%
76.0%
74.0%
Mammogram Optimal Care Goal = 85%
Jan-11
Mar-11
May-11
Jul-11
Sep-11
Nov-11
Jan-12
Mar-12
May-12
Jul-12
Sep-12
Nov-12
Jan-13
Mar-13
May-13
Jul-13
56.0%
Colon Cancer Screening Optimal Care Goal = 73%
Mammogram Optimal Care
28. Supporting Wellness & Prevention
Ambulatory Dashboard
MD Name
Ability to focus on a
specific provider or
patient population
Shows performance on
optimal care and component
measures with patient detail,
provider name and clinic
29. Summary
This is only just the start…
Lessons Learned
– Pareto analysis of population data key for determining
opportunity and focus
– Consistent quality drives lower cost of care
• Focus on waste / “unhelpful care variation”
– Use predictive modeling to focus care management
resources
– Strengthen the patient/primary care team relationship
– Keep the patient at the center of all decisions
31. Transition from Volume to Value
Planning for the inflection point
Payment Type
Penetration
FFS
Global payment
Other
Time
100%
50%
5%
• Retain patients (keepage)
• Regulatory requirements
• Manage risk progression
• Payment reform
• Increase volume
• Maximize payment
• Minimize cost
• Meet regulatory
requirements
Today Transition Tomorrow
Phase
Objectives
• Evolve priorities based on:
• Contracts
• Populations
• Regulatory changes
32. Driving Improvement to Advance Care
The Clinical Program Infrastructure
Clinical Program Infrastructure
Clinical /Operational
Leadership Team
Regional and system
wide physician,
administrative and
clinical operations
leaders needed to
implement
best practice
Information Management Infrastructure
Measurement System
Staff support personnel
and systems necessary
to measure
clinical, financial and
satisfaction
outcomes
for key clinical
processes
Implementation Support
Staff and systems
necessary to develop,
disseminate, support
and maintain
the clinical
knowledge base
necessary to
implement
best practice
33. Translating Concept to Action
Selection of Key Allina Health Initiatives
Allina Integrated Medical (AIM) Network
– Aligns 900+ independent physicians and 1,200 Allina Health employed physicians to
deliver market-leading quality and efficiency in patient care
– Clinical Service Lines (CSLs)
– Provide consistently exceptional and coordinated care across the continuum of care and
across sites of care. CSLs are physician-led, professionally-managed and patient
centered.
Medicare Pioneer ACO
– Member of CMS Pioneer Pilot Demonstration
– Above average performance for 25 of 33 quality performance measures, including the
highest performer for 3 of the measures
– Held the Pioneer ACO Population to 0.8% cost growth for 2012
Northwest Metro Alliance
– A multi-year collaboration between HealthPartners & Allina Health in the Northwest Twin
Cities suburbs focused on the Triple Aim and a learning lab for ACOs
– Since the Alliance model was implemented, medical cost increases have been below the
metro average for the past two years and cost increases were less than one percent for
two years in a row
– Expanded access to stress tests for ED patients with chest pain and prevented 480 low-risk
chest pain inpatient admissions, saving an estimated $2.16 Million in 2012
34. Pioneer ACO
Selected Focus Areas
Area of Focus Implemented Tactics
Preventable
Admissions &
Emergency Department
Visits
• Applied risk stratification to provide outreach and support to patients at risk for preventable
events through Advanced Care Team or Team Care resources
• Outreach to patients who have not been seen, check treatment compliance and schedule visit
• Using After-Visit-Summary instructions during patient follow-up care
• Develop patient-centered goals
• Provide social worker support if needed
• Provide support for Advanced Care Planning
Preventable
Readmissions
• Applied predictive tool to identify patients most at risk for readmission
• Prepare integrated After-Visit-Summary and provide the patient w/a Discharge ‘Packet’
• Provider transitions
• Care transitions intervention
• Determine and leverage role of pharmacist
• Patient education
• Skilled nursing facility transitions
Mental Health • Care coordination for high-risk patients
• Assign a Primary Care Provider to each MH patient
• Eliminate delayed access
• Effective management of MH resources through patient prioritization
• Efficient patient transitions
Late Life Supportive
Care
• Redesigning care so that patient’s needs are documented and that caregivers including family
are able to access, understand, and comply during the course of caring for the patient
End Stage Renal
Disease (ESRD)
• Currently in process of reviewing potential opportunities with nephrologists