Analytics & Teamwork A 5-Year Perspective Who we are. The - - PowerPoint PPT Presentation

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Analytics & Teamwork A 5-Year Perspective Who we are. The - - PowerPoint PPT Presentation

Oct 08, 2023 539 likes •716 views

Analytics & Teamwork A 5-Year Perspective Who we are. The original population health challenge. The analytics solution: New challenge opportunities. Key success drivers. Measurable benefits. Lessons learned and next

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SLIDE 1

Analytics & Teamwork

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SLIDE 2

A 5-Year Perspective

  • Who we are.
  • The original population health challenge.
  • The analytics solution:
  • New challenge opportunities.
  • Key success drivers.
  • Measurable benefits.
  • Lessons learned and next steps.
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SLIDE 3

GBMC Healthcare System

  • Greater Baltimore Health Alliance (GBHA)
  • ACO in the Medicare Shared Savings Program
  • Private practicing physicians
  • Greater Baltimore Medical Associates (GBMA) (200+)
  • GBMC Medical Center (245 beds)
  • Gilchrist Hospice Care (ADC 777)
  • Circle of Life Award Winner (2012)
  • 3 Inpatient Units
  • Towson
  • Howard County
  • Baltimore City (Joseph Richey House) December 2014
  • Support Our Elders Program
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SLIDE 4

GBMC Healthcare Vision

What do we want for our loved ones?

  • 1. The Best Health Outcomes
  • 2. The Best Care Experience
  • 3. Lowest Cost (Least Waste)
  • 4. With the Most Joy for those providing the care
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SLIDE 5

The Challenges

  • Original Challenge:
  • Annual labor-intensive CMS reporting

requirements, just for DM, the CMS documentation runs to 25 pages!

  • Replace manual Excel sheet-based process

with automated report to be reviewed prior to annual CMS submission.

  • Evaluated third-party solutions, decided to

leverage our newly designed internal data warehouse.

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SLIDE 6

Technical Overview: Architecture

6

Hospital EHR Hospital EHR Medical Staff Medical Staff Patient Tracking Patient Tracking

Integrated DW UNIVERSE Integrated DW UNIVERSE

CRYSTAL 4.0 CRYSTAL 4.0 WEBI WEBI DASH- BOAR D DASH- BOAR D

ODS ODS DW DW STAGE STAGE

CMS CLAIMS CMS CLAIMS

SAP BI 4.1

BI LAUNCHPAD

CMS_Claims UNIVERSE CMS_Claims UNIVERSE

The GBMC DW and its universes

CRYSTAL 2011 CRYSTAL 2011

ICD PROC GROUPER ICD PROC GROUPER Ambulatory Non- employed Ambulatory Non- employed CMS NPI CMS NPI Ambulatory EHR Ambulatory EHR

MS SQL 2008 DATA WAREHOUSE

ICD DRG GROUPER ICD DRG GROUPER

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SLIDE 7

Technical Overview: Data Model

COMMON DIMENSIONS

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SLIDE 8

Technical Overview: Business Layer

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SLIDE 9

New Opportunities

  • Analyze our entire population, not just the

CMS sample and not just Medicare.

  • Integrate with thousands of other data points.
  • Distribute monthly scorecards to all providers.
  • Ad-hoc inquiries with fresh (daily) data.
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SLIDE 10

Provider & Practice Scorecards

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SLIDE 11

Key Success Drivers

  • Executive support for BI framework and

resources shared across functional areas.

  • Early MIS engagement.
  • ACO, Physician Practice and MIS stakeholders

jointly defined the scope and deliverables.

  • Few but skilled in-house resources with
  • rganizational knowledge.
  • Trust in each other.
  • Knowledge and feedback freely transferred

across departmental lines.

  • No hidden agendas.
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SLIDE 12

Key Success Drivers

  • Shared data governance and stewardship: well

defined roles (who owns the data), clear metric definitions, ongoing data quality and process validation.

  • Physician and GBHA leadership support of

standardized workflows, e.g. CARE2, falls risk

  • Incremental build approach, focused on

strategic priorities: quick pivot to ACO focus.

  • Scalable model: e.g. CARE3 current meds.
  • Use of proxies: do not automate 100%,

leverage system to point to further research.

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SLIDE 13

Measurable Benefits

  • A once-a-year reporting process mostly automated
  • Expanded from a small sample population to a panel of

all patients with an office visit in the last 18 months and all practices

  • Provided access to thousands of other data points

beyond ACO-specific

  • Requiring on average six less people to support.
  • Monthly scorecards and ability to review at any point in

time through the prior day.

  • CARE2 – Falls Risk Screening, in place since

inception, has improved from 58.1% in Sep 2014 to 86.6% in Sep 2016.

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SLIDE 14

Measurable Benefits

39.4% 39.7% 39.7% 39.8% 39.8% 40.0% 40.9% 41.4% 42.0% 42.7% 43.4% 44.1%

36% 37% 38% 39% 40% 41% 42% 43% 44% 45% CARE3 – Documentation of Current Meds

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SLIDE 15

Lessons Learned and Next Steps

  • Impact of new integrated EHR.
  • Scalable model moot point once we switched to a new

data warehouse.

  • 18-month period split across two systems.
  • Skills and knowledge transferable, same technology

(SQL, SAP BI).

  • Same data governance and definitions: e.g. 18-month

panel.

  • Collaborative approach, teamwork and shared

experiences streamlined definition and implementation

  • f rules in new system.
  • On-going improvement efforts, e.g. leveraging alerts and

non-IT opportunities.