Why Most Analytic Applications Will Never Be Able to Significantly Improve Healthcare Outcomes

1. Why Most Analytic Applications Will Never Be Able to Significantly Improve Healthcare Outcomes

2. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Promise of IT Solutions The sheer number of health IT solutions promising to improve outcomes and solve the healthcare industry’s most pressing issues is staggering. Just ask anyone who trekked across row after row at the HIMSS15 Conference and Exhibition in Chicago

3. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Promise of IT Solutions It’s easy to get lured into thinking the solution to an organization’s challenges is a technology purchase away. Many vendors, especially those focused on data and/or analytics, certainly make it appear that way. In reality it is not that simple.

4. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Promise of IT Solutions A new category of healthcare analytic applications is emerging that delivers clinical best practices that enable clinicians to improve outcomes by: • Uncovering the issues • Determining the solution • Implement changes

5. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Promise of IT Solutions Health Catalyst has developed a range of applications that integrates clinical content and support systematic rollout plans optimized for your current environment and scalable to meet future analytics needs.

6. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Healthcare is shifting from gathering data and reporting metrics to improving outcomes along the lines of the IHI’s Triple Aim. CMS, which has traditionally focused on the reporting of process measures, is proposing changes that would focus more on outcomes. Accumulating data through EHRs and using an analytics solution to identify high levels of variance in treatments, costs, and outcomes doesn’t make an organization data-driven. SOURCE: IHI TRIPLE AIM

7. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes The Health Catalyst Heart Failure Advanced application helps a clinical improvement team visualize the CMS measure and others to ensure patients aren’t just being administratively handled. The team improves patient outcomes using specific strategies such as: Reconciling patient medications prior to discharge Ensuring the patient has a follow up appointment scheduled Makes sure the patient receives a follow-up phone call

8. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Example screen: Heart Failure Advanced Application

9. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Making Application Information Actionable Suppose an analysis reveals the number of Caesarian Sections being performed is above the national average? Unnecessary C-Sections increase the risks to the mother, infant, and the hospital and increases per-capita birth costs. Commercial payers that are part of a shared risk program will want to address this issue quickly.

10. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Making Application Information Actionable If the organization has a clinical content system in place, the literature can be reviewed and guidelines established to provide clear direction for scheduling early caesarian section deliveries. The organization must also drive and manage the change.

11. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Making Application Information Actionable What is the process if an OB physician requests an early cesarean section be scheduled? With strong organizational change management and support in place, the scheduling nurse will be empowered and feel safe declining the request. The physician can appeal to the medical director to explain why an exception should be made.

12. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Making Application Information Actionable The skillset required to successfully drive change is not typically taught in medical or nursing school or even as part of healthcare administration programs. However, essential to the success of any improvement initiative the entire organization, as well as the team accountable for implementing the strategy, must be ready for and willing to change.

13. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Using Applications to Guide Starting Improvement Efforts Often the long-term success of a quality improvement program is determined by the first few projects. It’s important to choose an area the data shows has high volume and variance. Using the Key Process Analysis app healthcare organizations can uncover the best opportunities for improvement and cost reduction.

14. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications That Focus On Improving Clinical Outcomes Example screen: Key Process Analysis

15. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. ACOs Bring Urgency to Using Analytics Applications The need for quality improvement and cost containment is more urgent for ACOs, whose successes are based on value rather than volume. These organizations need to find ways to reduce costs without lowering quality and also enhancing clinical outcomes. Healthcare quality leaders such as Intermountain Healthcare and Allina Health have shown that quality improvement also reduces costs.

16. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. ACOs Bring Urgency to Using Analytics Applications The ACO Measures application can help organizations identify poor performance and put a population health or operational efficiency improvement team in place prior to actual CMS reporting of a poor measure.

17. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. ACOs Bring Urgency to Using Analytics Applications Example screen: ACO Measures Tool

18. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Taking an Agile Approach to Clinical Improvement Taking an agile, iterative approach that delivers continuous process improvement has proven far more effective than trying to make one big change to an entire department. As the organization begins to implement improvements, it is important to ensure metrics are being met at both the process and outcome levels.

19. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Taking an Agile Approach to Clinical Improvement Another advantage of continuously monitoring and measuring process improvement is to protect against changes in the original conditions. The only constant is change. Using an agile approach can greatly shorten that timeframe while at the same time deliver measurable and sustainable improvements.

20. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications Not Just For Clinical Improvements Implementing a Late-Binding™ enterprise data warehouse provides access to a broad swath of clinical, financial, patient satisfaction, claims and other data. This easily accessible information helps the organization make better, more-educated decisions. Consider the performance of an ambulatory clinic.

21. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications Not Just For Clinical Improvements All appointment slots are filled for the week so it would be easy to draw the conclusion that the clinic is working efficiently and no major improvements are needed. However, the measure fails to account for patient satisfaction. Using the Practice Management Explorer: Patient Access application the clinic can get the big-picture.

22. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications Not Just For Clinical Improvements Applications for Analyzing Patient Satisfaction If patients must wait a week to see a physician when they’re ill or injured, their satisfaction scores may be unsatisfactory. Measures such as Healthcare Effectiveness Data and Information Set (HEDIS), Press Ganey, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores are becoming increasingly important.

23. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications Not Just For Clinical Improvements Example screen: Patient flow explorer Using the Patient Flow Explorer, hospital leadership can find patterns or trends to help improve workflow.

24. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications Not Just For Clinical Improvements Applications for Hospital Finances Hospital-acquired conditions such as catheter-associated urinary tract infections or central line-associated bloodstream infections must be treated without reimbursement (no- pay), which negatively impacts the organization’s bottom line. Using CAUTI Prevention and CLABSI Prevention Advanced Applications, health system leadership can address these issues.

25. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications Not Just For Clinical Improvements Applications for Accessing Patient Risk and Population Health Management Organizations can use data analytics to identify opportunities for quality, outcome, and cost improvements among their most expensive patient populations using the Patient Risk Stratification application.

26. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Applications Not Just For Clinical Improvements Example screen: Risk Model Analyzer application

27. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Driving Continuous Improvement through Analytics Applications There are many confusing healthcare applications available today. Unfortunately, most don’t really help improve care. While there is no technology silver bullet, new types of healthcare applications allow health systems to integrate their best practices content and present the data in ways that clinicians can internalize and advocate while significantly improving care.

28. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Patient Flight Path Analytics: From Airline Operations to Healthcare Outcomes Dale Sanders, Senior Vice President Strategy & David Crocket, Senior Director of Research & Justin Gressel, Senior data scientist Improving Outcomes for Sepsis Patients: 3 Key Solutions Proven to Help Paul Horstmeier, Senior Vice President Linking Clinical and Financial Data: The Key to Real Quality and Cost Outcomes Bobbi Brown, Vice President of Financial Engagement The Glaring Omission in Healthcare: Patient Satisfaction and Outcome Data Dale Sanders, Senior Vice President Strategy Health Catalyst Overview: How Improving Outcomes Can be Like an Awesome Ski Trip Webinar Link to original article for a more in-depth discussion. Why Most Analytic Applications Will Never Be Able to Significantly Improve Healthcare Outcomes

30. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Dan Soule joined Health Catalyst in February 2014 as Vice President of Product Management. Prior to coming to Health Catalyst, Dan worked for Medicity as Vice President of Product Management. He brings over 25 years of health IT experience at SpaceLabs, Cerner and Allscript, as well as 12 years of clinical experience at Good Samaritan Hospital in Phoenix. Dan has a Bachelor’s degree in Engineering from Arizona State University.