Actionable analytics demonstrated at conference
- Date:
- November 13, 2013
- Source:
- American Medical Group Association (AMGA)
- Summary:
- Four principles for putting analytics into action were presented at the American Medical Group Association’s Institute of Quality Leadership Conference..
- Share:
Holston Medical Group (HMG) presented four principles for putting analytics into action at the American Medical Group Association's Institute of Quality Leadership Conference (AMGA IQL) in Scottsdale, Arizona on September 26. Wendy Oberdick, MD, Medical Director for HMG's Patient-Centered Medical Home and HMG's Value-Based Operations, and Jason Tipton, MBA, Director of Informatics for HMG, presented a detailed plan for each principle: (1) stratifying your patient population, (2) developing your data assets, (3) creating care resources, workflows, and processes to support performance, and (4) measuring compliance.
Over a period of 30 months, HMG has reduced the number of hospital admissions per month by 20% among Medicare fee-for-service patients and by 28% among Medicare Advantage and commercial patients. For commercial contracts, HMG is 3.2% better than market in quality performance, 8.1% better than market in total medical cost, which represents a savings of $23 per member per month. Oberdick and Tipton have front-line experience managing accountable care organization (ACO) risk contracts in their additional roles with Qualuable Medical Professionals, an ACO participating in the Medicare Shared Savings Program (MSSP). Achieving these levels of performance required clinical analytics to more accurately understand each patient's needs than had been possible using claims data alone.
According to Oberdick, "To truly achieve our desired outcomes, we knew that 'running the gaps' was not enough. We needed to stratify our patient populations in a meaningful, impactful manner. Only then were we able to deploy the right resources for the right patients."
HMG shared their re-engineered workflows and how they are using analytics to sustain return on investment via fee-for-service while driving efficiency and achieving their metrics for value-based contracts.
HMG uses Humedica MinedShare as a key component to understand and stratify their population. Additionally, this tool is used in their workflows to worklist patients and for cohort reporting. As a participant in AMGA's Anceta Collaborative, HMG addressed three themes that have emerged: the composition of care teams, changes in workflow and how members of the care team interact, and actionable data displays.
As Tipton observed, "What we do today will not get us to tomorrow. We need a paradigm shift." Realizing this, he said, set the stage for transitioning from a reactive "sick model" and use of claims data reflecting past expenditures to a proactive wellness model that begins with understanding gaps in care, with clinical detail.
Story Source:
Materials provided by American Medical Group Association (AMGA). Note: Content may be edited for style and length.
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