CHCNet 3.0 AC ACCELERATING DATA GOVERNANCE AND INNOVATION by by - - PowerPoint PPT Presentation
CHCNet FY19 Summer Learning Retreat Follow Up CHCNet 3.0 AC ACCELERATING DATA GOVERNANCE AND INNOVATION by by Rhonda Metze, Founder/CEO Health Initiatives HEALTH INITIATIVES CONSULTING: Optimizing Health Outcomes Through, People, Process, and
HEALTH INITIATIVES CONSULTING: Optimizing Health Outcomes Through, People, Process, and Technology
AC ACCELERATING DATA GOVERNANCE AND INNOVATION
by by Rhonda Metze, Founder/CEO Health Initiatives
CHCNet FY19 Summer Learning Retreat Follow Up
OUR HISTORY
The Maine Primary Care Association (MPCA) operates a Health Center Controlled Network (HCCN), the Community Health Center Network of Maine (CHCNet), which launched in 2005. Recognized as an important source of HIT related value, CHCNet has expanded to include 17 participating community health centers (PHCs) with a total of 84 sites, which are moving forward collaboratively on their mission “to strengthen and improve population health
OUR MISSION
To strengthen and improve population health outcomes by leveraging health information technologies and building strong systems of care.
Bucksport Regional Health Center Community Clinical Services DFD Russell Medical Center Eastport Health Care, Inc Fish River Rural Health Harrington Family Health Center Health Access Network Health Reach Community Health Centers Islands Community Medical Services Katahdin Valley Health Center Maine Migrant Programs Pines Health Services Portland Community Health Center Regional Medical Center at Lubec Sacopee Valley Health Sebasticook Family Doctor (Hometown) Health ) St Croix Regional Family Health Center York County Community Action Corporation Maine Primary Care Association Health Initiatives Consulting Other Collaborative Stakeholders
17 PHCs
Focus Areas A:
Enhance the Patient and Provider Experience
Focus Area A1: Patient Access Focus Area A2: Patient Engagement Focus Area A3: Provider Burden
Focus Areas B:
Advance Interoperability
Focus Area B1: Data Protection Focus Area B2: Health Information Exchange Focus Area B3: Data Integration
Focus Areas C:
Use Data to Enhance Value
Focus Area C1: Data Analytics Focus Area C2: Social Risk Factor Intervention Applicant Choice (CHCNet - OUD)
HRSA HCCN FY19 funds must be used by the HCCN to support Participating Health Centers (PHCs) in leveraging health information technology (health IT) to enhance the patient and provider experience, advance interoperability, and use data to enhance value
Core Focus Areas (3)
Core Objectives (3)
Core Objective A: Enhance the Patient and Provider Experience
Core Objective B: Advance Interoperability
Core Objective C: Use Data to Enhance Value
HRSA HCCN FY19 funds must be used by the HCCN to support Participating Health Centers (PHCs) in leveraging health information technology (health IT) to enhance the patient and provider experience, advance interoperability, and use data to enhance value
New round of HCCN funding and programming goals align with the strategic and operational priorities established by CHCNe including: 1. Leverage and expand existing HIT infrastructure and best practices 2. Foster opportunities to optimize CHCNet technology and data analytics capabilities 3. Accelerated approaches leading to multi-program and VBC/P success
CHCNet members want support and solutions they can use. Providers and their care teams need actionable data in order to meet the complexity and urgency in the safety-net environment.
As one health center put it, “we need to move as quickly as possible to data that can be acted upon at the care team level.”
The PHCs are seeking information that allows them to better understand and manage the patients for whom they are responsible.
Data Out Blvd. Data In Ave.
Have we been data driven?
Data Churn
UDS
Private Grants Health Plans ACOs
Or just report fatigued?
H C C N
QI A 2017 study published in JAALAS (lab animal science) found that wheel running by mice leads to pronounced and permanent circling behavior with route-tracing.
/
HIT Integration Discovery Macro-level Data Discovery Evaluate All- Programs and VBP Crosswalk HIT Optimization and Population- Based Impact Analysis Assess Data Governance and Practices Data Discovery Review and Training
MP MPCA-CHCNe CHCNet Cu Current State Ou Outcome
Impact
SUCCESSES CHALLENGES BEST PRACTICES
“OUR UNIQUE PAST PREPARES US FOR OUR UNIQUE FUTURE”
by Mr. Positively Inclined, Ervin Welsh
(HCCN Program FY15-19)
CHALLENGES
Lack of Resources at the Macro and Micro-Levels Competing Priorities and Multi-Program Alignment Lack of Clarity Around HCCNs Strategic Mission, Vision and Value Proposition Inability to Capture and Use “Whole-Person” Data Which Impacts Outcome and Income An Ever-Changing and Highly Complex Healthcare Market Is Ever Present Health IT Continues to be Disruptive (Implementations/Migrations/Vendors) The Adoption of Formalized Data Governance and Stewardship is Lacking Supporting Core Goals and VBP Is Lacking Decline In MU Incentives Due to Challenges with HIT nteroperability, Data Validity, and Patient Engagement
(HCCN Program FY15-19)
SUCCESSES
Stakeholder Buy in and Collaboration Are Ever Present Data-Driven Innovations and Outcomes Success Are Measurable and Numerous A Cohesive Desire to Optimize HIT and Use Data to Accelerate Strategic Success Exists Growth in Stakeholder Participation in FY19 CHCNet Program is Compelling Apparent Trust In and Appreciation of New Leadership at the Macro Level Evident State and National Level Certification and/or Recognition Are Widespread Stakeholder Identified Core Priority Areas of Focus Are 1) Data Governance/Stewardship, 2) Analytics Insight/Training, 3) TA/Training and Education
(HCCN Program FY15-19)
BEST PRACTICES
Development of a Data Strategy Patient Safety Organizations (PSOs) Health IT User Groups (UGMs) Data Sharing and Transparency: Advanced HIT and PHM Integrations Meaningful Use Incentive Program HIPAA Compliance and Security Network Forums and Peer-Learning Data Governance and Stewardship Strategy Workshops
MEPCA CQM 2018 Report Meeting or Exceeding (out of 11): UDS 2017 National HP2020 Target UDS 2018 PopIQ NA UDS 2017 State 11 8 11 9
MEPCA CQM 2018 Report Meeting or Exceeding (out of 11): UDS 2017 National HP2020 Target UDS 2018 PopIQ NA UDS 2017 State 8 9 3 4
Total Funding to Maine: 18 awards totaling $1,447,920 Electronic Health Record (EHR) Reporters Awards: 17/18 awards totaling $85,000 (94%) Clinical Quality Improver Awards: 14/18 awards totaling $240,133 (78%) Health Center Quality Leader Awards: 5/18 awards totaling $148,998 (83%) National Quality Leader Awards: 1/18 awards totaling $89,289 (18%) Enhancing Access to Care Awards: 4/18 awards totaling $75,000 (22%) Delivering High Value Health Care Awards: 0/18 awards totaling $0 (0%) Addressing Health Disparities Awards: 4/18 awards totaling $37,500 (22%) Advancing Health Information Technology (HIT) for Quality Awards: 18/18 totaling $92,000 (100%) Achieving PCMH Recognition Awards: 16/18 awards totaling $680,000 (89%)
Sources: Return to FY2018 Health Center Quality Improvement Awards index
Total Funding to Maine: 18 health centers received awards totaling $1,494,737 Access Enhancers: 7/18 awards totaling $120,000 (39%) Advancing Health Information Technology (HIT) for Quality: 18/18 awards totaling $91,000 (100%) Clinical Quality Improvers: 15/18 awards totaling $189,608 (83%) Health Center Quality Leaders: 10/18 awards totaling $305,556 (56%) Health Disparities Reducers: 5/18 awards totaling $47,500 (28%) National Quality Leaders: 3/18 awards totaling $91,073 (17%) Patient Centered Medical Home (PCMH) Recognition: 15/18 awards totaling $650,000 (83%) Value Enhancers: 0/18 awards totaling $0 (0%)
Sources: Return to FY2018 Health Center Quality Improvement Awards index
FY18 Award # FY19 Award # FY18 Award $ FY19 Award $ FY 18 Award % FY19 Award % Total Funding to Maine 18 18 $1,447,920 $1,494,737 100 % 100 Electronic Health Record (EHR) Reporters 17 $85,000 $ 94 % Clinical Quality Improvers 14 15 $240,133 $189,608 78 % 83 % Health Center Quality Leader 5 10 $148,998 $305,556 28 % 56 % National Quality Leader 1 3 $89,289 $91,073 .05% 17% Enhancing Access to Care 4 7 $75,000 $120,000 22 % 39 % Delivering High Value Health Care $0.00 $0.00 0 % 0 % Addressing Health Disparities 4 5 $37,500 $47,500 22 % 28 % Advancing Health Information Technology (HIT) for Quality 18 18 $92,500 $91,000 100 % 100 % Achieving PCMH Recognition 16 15 $680,000 $650,00 89 % 83 %
We need innovative technology that brings together longitudinal patient data in an intuitive, easy-to-read, nested summary.
place
all populations whenever you need it
Purpose and Goals - Data governance is like any other project or process, it needs to have a purpose – a reason to exist; in other words, a problem to solve. Leadership and Executive Sponsorship - Strong leadership support and engaged executive sponsors are critical success factors for governance even if the need for governance often arises from other levels in the organization. Data Strategy - A data strategy is a documented plan that defines resource allocation, activities, and timeframes for addressing data acquisition, completeness, accuracy, timeliness and use Data Governance is a Journey. Start small, produce value and grow the data governance function as your organization and information needs grow.
Supporting Innovation Best Practices Across All CHCNet Stakeholders
FOSTERING A NEW DATA DRIVEN CULTURE POWERED BY INNOVATION EMPOWERED BY BUSINESS INTELLIGENCE DEMONSTRATING OUTCOMES ACHIEVING VALUE PROPOSITION CELEBRATING SUCCESS BEING A RISING STAR
30
§ Manage data as a strategic asset § Assess data analytic capabilities § Grow and build a data driven culture
Source: Center For Care Innovations Safety Net Analytics Program
HCCN
Know all incentive programs and use to prioritize data management resources
Data Governance may be work in progress Don’t let competing priorities and lack of resources hold you back
34
Access
Stick to Basics: “Triple Aim” of Data Governance
DataDrivenCulture.org
Source: Center For Care Innovations Safety Net Analytics Program
When is our next Data Governance meeting? We need to discuss our Data Management needs Self Service access to data from our smart phone would be great I want to be the Data Steward for the Peds team We really need to improve the Data Literacy of our staff When is lunch?
Define data steward role for each department or priority QI effort
development needs
Convene all data stewards periodically
The ability to read, understand,
create and communicate data as
information. Much like literacy as a general concept, data literacy focuses on the competencies involved in working with data.
37 Source: Center For Care Innovations Safety Net Analytics Program
DM HbA1c control and HTN BP control performing better than national Dental sealants (6-9 yo) and HTN BP control better than HP2020 target DM HbA1c Control Dental Sealants (6-9 yo) HTN BP Control
Many HCCNs and centers have made significant improvements but still more to do.
No health centers meeting or exceeding HP2020 goals on at least 5 selected UDS measures
DM HbA1c Control Dental Sealants (6-9 yo) HTN BP Control
A wide range in performance across centers suggests a “bell curve” of data-driven capabilities.
Great progress in making better use of data for improvement (clinical,
financial)
Add new data tools to your toolbox
8 centers using BI tools in addition to Excel 2 centers with BI tool implementations under way
Most centers (80%) have some type of dashboard (custom, within EHR or PHM) Excel is most often used (64%) to generate dashboards Dashboard focus is
and financial (38%) measures
Most on Excel but many adopting BI/data viz tools (Also, need to bring in more financial data)
100+ health centers attended
BI/Data Viz tools for Self Service
Organizations that offer users a curated catalog of internal and external data will derive twice as much business value from analytics as those that do not. By 2020, the number of data and analytics experts in business units/departments will grow at three times the rate of experts in IT departments.
Tableau Microsoft
Gartner “Magic Quadrant” Annual Report
Stratification (e.g., site, provider) Drill down & Stratification dropdowns for end user to mine data Measure Trend Measure definition “Hover over” information (e.g., num & den values) Graph of measure performance West County Health Center, CA
All UDS measures trended with ability to compare centers and sites
West County Health Center, CA A simple, fun view to engage department staff
PC/Workstation Tablets & Smart Phones
Per to Peer Learning Video Learning Series
People
Analysts
Process
Technology
Analytics
Source: Center For Care Innovations Safety Net Analytics Program
Baseline and periodically assess your analytics capability
by Henry Ford
The Result – Program Impact, Outcomes and Measuraable Value Proposition
Trusted Advisors For High-Value Business Transformation Impact
Rhonda B. Metze, Founder & CEO rhondam@hiccare.net Office: 803-816-5001 Mobile: 803-260-6701 www.hiccare.net
Bucksport Regional Health Center (bucksportrhc.com/) Community Clinical Services (communityclinicalservices.com/) DFD Russell Medical Centers (dfdrussell.org/) East Grand Health Center, Inc. (eastgrand.org/) Eastport Health Care (eastporthealth.org/) Fish River Rural Health (frrh.org/) Greater Portland Health (greaterportlandhealth.org/) Harrington Family Health Center (harringtonfamilyhealth.org/) Health Access Network (hanfqhc.org/) HealthReach Community Health Centers (healthreachchc.org/) Islands Community Medical Services (icmsvh.com/) Katahdin Valley Health Center (kvhc.org/) Maine Migrant Health Program (mainemigrant.org/) Nasson Health Care (nassonhealth.com/) Pines Health Services (pineshealth.org/) Regional Medical Center at Lubec (rmcl.org/) Sacopee Valley Health Center (svhc.org/)
*Penobscot Community Health Care (pchc.com/) *Hometown Health Center (hometownhealthcenter.org/) *non-CHCNet Participating Member Health Centers FY19