IMT Identity Solution Experts - Maximize Your EMPI Investment · 2019-01-17 · The market forces...

Maximize Your EMPI Investment:

Reduce Data Stewardship Workload 50%

while Expediting Patient Registration

June 23, 2015

Our Featured Panelists:

Michelle Majerus, MBA, CPHIT

HIM Director and Privacy Officer

Olmsted Medical Center

Lorraine Fernandes, RHIA

Global HC Industry Ambassador

IBM Analytics

Corinne Blair

IT Industry Consultant

IMT

Today’s Panelists

Lorraine Fernandes, RHIA

Global HC Industry Ambassador

IBM Analytics

Michelle Majerus, MBA, CPHIT

HIM Director and Privacy Officer

Olmsted Medical Center

Corinne Blair

IT Industry Consultant

IMT

© 2015 IBM Corporation4

Proven solutions • Groundbreaking solutions from IBM Research, the genesis for

repeatable proven solutions that are brought to market• Designed by health and social care professionals and implementation

experience in care delivery systems• $16B+ in analytics acquisitions; 12 Analytics Solution Centers • IBM Watson cognitive computing that works how people do

Leadership • $2B investment in Healthcare. 500+ analytics patents; 600+

healthcare related patents; 7534 total patents in U.S. in 2014,

and 22th consecutive year of patent leadership

• Ability to convene stakeholders within communities of care

• IBM Institute for Business Value, IBM Cúram Research Institute

provide deep research into health and social care best practices

Industry expertise • 300+ mathematicians, researchers and thousands of analytics

practitioners helping build smarter cities• 500+ social program professionals, 60+ medical doctors, 350

healthcare professionals focused on care transformation• Thousands of successful implementations in care related

industries

IBM is deeply involved across the healthcare ecosystem as a consumer, influencer of change, & technology- based solutions provider


Industry Trend: The healthcare system is rapidly evolving to a value based,

consumer centric model with a focus on info exchange

• Over-emphasis on expensive treatments and incremental improvement

• Myopic focus on capacity for acute care

• Use of volume-based reimbursement models

• Patients are responsible for coordinating

their own care

• Care varies by venue and clinician

• Quality is determined by the provider

• Focus is on value, coordinated around the patient and integrated into communities

• Emphasis is on proactive preventative care to meet health needs

• Care is standardized according to evidence-based guidelines

• We measure quality & make rapid changes to improve it

• Holistic approach that combines social and clinical needs

Core Principles of Current System Evolving Healthcare System

The market forces driving this transformation requires Healthcare Organizations to optimize, share &

analyze data across the ecosystem stakeholders to reduce costs and to offer better quality of care

Providers are moving away from a reactive model—one that is focused on treatment—to a

model focused on prevention, in which outcomes are expected and rewarded


Industry Trend: Industry analysts believe that Healthcare organizations will

focus on Analytics as the #1 enabler to meet their primary business drivers

and IT goals

Analytics is key to gain clinical and operational insights

…Healthcare analytics will be a significant part of healthcare data solutions that facilitate healthcare organizations to gain better insights from medical records of patients collected from various sources. Organizations in the healthcare sector have started applying analytics to develop clinical and operational insights..

Analytics will be critical for success outcomes

….Superior use of analytics will be a dominant factor in health system success for the rest of this decade, and it is a growing component of the CIO work. Efforts must be heavily directed to advancing the state of retrospective and real-time analytics…

Source: http://www.marketwatch.com/story/us-healthcare-it-market-2019---advanced-analytics-tools-and-mobile-devices-adoption-is-major-driver-and-trend-observed-

2015-03-05

Analytics will help track clinical outcomes and better decisions at point of care

…Half of providers and payers see advanced analytics as their top investment priority. The respondents' top goals for analytics were -1) Identifying at-risk patients (66%), 2) Tracking clinical outcomes (64%), 3) Performance measurement and management (64%), and 4) Clinical decision making at the point of care (57%). Source: http://www.informationweek.com/healthcare/clinical-information-systems/healthcare-organizations-go-big-for-analytics/d/d-id/1109129?page_number=2

Information Governance and Data Quality are foundational for successful Analytics programs

….Ignoring or underestimating information governance is the most common mistake we've seen Healthcare Development Organization CIOs make in recent years…And this has an impact of the analytics projects –both in terms of timely delivery as well as adoption

Source: http://www.gartner.com/technology/reprints.do?id=1-1R0QJVG&ct=140221&st=sb

Source: http://www.gartner.com/technology/reprints.do?id=1-1R0QJVG&ct=140221&st=sb


Public & Private PayersPatient Education

Disease Management

Fraud Prevention

Risk Management

Social media data

Healthcare ProvidersElectronic Medical Records

Health information exchange

Patient ID & eHealth

Social media data

Life SciencesClinical Development

Clinical Trials

Medication Compliance

Medical Devices

Consumer Relationships

Wellness and Care Services

RegulatorsHealthcare Policy

Medical Research

Regulatory Compliance

Transaction ServicesClaims Processing

Banks: Health Savings

Accounts and Payments

Medical Research Centers Clinical Research

Cohort Studies

Clinical TrialsRetail Clinics

Consumer

ServicesPharmaciese-prescribing

New services

Public HealthPandemic readiness

Vaccine inventory &

distribution

Sanitation & public safety

Healthy Lifestyles and Diet

Living with Chronic Disease

Health ClubsHealth & Wellness

Programs

EmployersBenefit Plan Design

Health & Wellness

Programs

Managing Trusted Information across the enterprise & the healthcare ecosystem is

critical to draw insights and to deliver patient valueBuilding a trusted view of patient and provider information is the first step in this journey

Patients

&

Consumers

Social media data

Personal health records

Medical device tracking data


Innovation Strategy

HIE, HIM

CMO CMIO,CIO

Compliance

Chief Medical Officer

CFO

Access, Registration

Build member/patient/ consumer centric view for

customer satisfaction

Evaluate effectiveness of shared savings, risk- based contracts and programs

Deliver correct patient information to the right provider and location, portal

Comply with HIPAA, SOX, Federal, state

regulations

Single view of provider data without impacting credentialing systems

Create single view of Patient data for analytics and pop health

A trusted, unified view of a patient/customer and provider are needed by operational, clinical, executive and IT stakeholders

Define value of referral, owned physicians, programs

Market convergence requires robust, flexible Patient and

Provider definition

Olmsted Medical Center:Case Study: Resolve:ID EMPI Solution

June 2015

Our Mission

The delivery of exceptional patient care focusing on caring, quality, safety, and service

Our Vision

To be the healthcare provider of choice in our service area by leading in quality, access, and service

Our Core Values

Our patients come first.

Every employee is a caregiver.

Our employees are the key to our success.

OMC is an active, contributing partner in the

communities it serves.

We have a duty to position and prepare OMC

for the future.

Caring for Patients Throughout

Southeast Minnesota

Byron

Cannon Falls

Chatfield

Pine Island

Plainview

Preston

Rochester

St. Charles

Spring Valley

Stewartville

Wanamingo

Quick Facts…Annually

• $180 million net operating revenue

• 156 clinicians / 1200 employees

• 80,000 unique patients served

• 300,000 ambulatory patient visits

• 25,000 emergency room visits

• 3,000 MRI and 4,800 CT scans

• 3,800 surgical procedures

• 900 births

Information Technology

Environment

RIS/PACS

(GE)

LIS/Path

(SCC)

Registration

(Cerner)

Registration

(McKesson)EMR

(Cerner)

EMR

(McKesson)

Data Environment

• 15-20 Multi-facility Patient Identifiers

• Multiple Reporting Databases/Marts

• Multiple Patient Matching Algorithms

Challenges

• Patient Matching Across Systems

– Automated data flows inefficient, fallout

– Many identifiers per patient

– Basic algorithm matching techniques

• Patient Safety

– Potential for misdiagnosis, delay in treatment,

delays in communicating critical results

Challenges

• Multiple systems with “MPIs”

– “Silo” approach to patient identification

• Inefficient, Manual Patient Search & Match

– Lack of accurate data matching process for

patient identification

• Population Health Management

– fragmented patient records

Project Overview

EMPI Vendor Selection

+

Passive Registration

Patient matching occursafter the patient is registered

Active Registration

Seamless Patient matching occurs in realtime with the patient at registration using IMT Resolve:ID

Key Benchmarks Measurements

Ancillary SystemsAmbulatoryHospital

B A S E L I N E

40Duplicates

10Staff Hours

75Duplicates

15Staff Hours

15Staff Hours

verifying duplicate

corrections

( measured over 4 weeks )

Data Quality Stats

Days in Time Study

Plus & Cerner Duplicate

Cerner Duplicate Only

EMPI Linkage Reviews

Overlay/Custom PO

Cerner Person

Other

Total Count/Minutes

Hrs & Mins conversion

April 2014EMPI + Passive Registration

Sept 2014Active Registration Adopted

May 2015Active Registration Today

( measured over 5 days )

60Data Quality Issues

22/3Duplicates/Overlays

11:28Staff Time Spent







Reduction in Data Issues: ~66%

Staff Time on Issues Saved: ~80%

Results…..

• Improved Patient Identification

- Enhanced Patient Safety

– Reduction in Duplicates and Overlays

• Reduces potential for mis-diagnosis

• Reduces potential for incorrect care or treatment

• Reduces potential delays in care or diagnosis

• Reduces potential delays in communicating

critical results to patients

Results…..

• Patient Satisfaction

– Reduces Duplicate Billing

• Staff Efficiency• Reduction in Stewardship tasks & fewer rejections

– Reduction in Registration Time

– Reduction in Staff Confusion

• Consistent application of patient identification and

registration standards and practices

2015-07-10

23Page

About IMT

We strive to be just one thing:

IDENTITY

Core Registries

EMPI

SOLUTIONS

Healthcare

Insurance & Payers

EXPERTS

Proven (100+ Projects)

End-to-End Solutions

Quick Start

• A complete EMPI solution in an easy to deploy Appliance

• Uses IBM MDM – 300+ healthcare organizations globally

• Simple procurement – H/W, S/W, Config & Support - 3

year TCO

Deploys in 90-120 Days

Minimal Impact on Staff

14 Years of Best Practices

Extensible – e.g.

Resolve:ID

Pre-configured and Tested

Tuned for Healthcare

EMPI(IBM MDM)

Cerner EMR

Patient Registration

(Cerner)

McKesson EMR

Existing record

for Patient you

are registering

No Patient

Found

Traditional search only looks for

Patients in the local system, often

using inflexible logic.

How Active Registration Works

Active Registration (Resolve:ID)

searches the EMPI, using more

sophisticated probabilistic logic.

EMPI(IBM MDM)

Cerner EMR

Patient Registration

(Cerner)

McKesson EMR

Resolve:ID

EMPI holds the

master list of all

Patient records.

How Active Registration Works

Patient

Found

Active Registration Benefits

Add new functionality

to existing registration

screens


Provide Guidance

Enforce Standards

Real-Time Help


Get better

candidates

lists

Drill – down and see more information


Compare Local

Registration to the

EMPI and quickly

select what to update

from which system


Automatically

populate the local

HIS system with the

information selected

to avoid data entry

IMT Canada

900-330 St. Mary Avenue

Winnipeg, MB, CA

R3C 3Z5

[email protected]

IMT USA

795-701 Lee Street

Des Plaines, IL, USA

60016

[email protected]

IMT Identity Solution Experts - Maximize Your EMPI Investment · 2019-01-17 · The market forces...

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Transcript of IMT Identity Solution Experts - Maximize Your EMPI Investment · 2019-01-17 · The market forces...