Liddell - Benchmarking, Quality, And the Connected Community

Tom Liddell, Executive DirectorMichiana Health Information Network

Benchmarking, Quality, and the Connected Community

Introduction

Today’s Agenda

1. 5 Steps to Analytics

2. Actionable Data Case Studies

3. Trended Quality vs. Real Time Clinical Quality

4. How to Measure Quality

5 Steps to Analytics

Level 1: Data on the move

Level 2: Single Event Analytics

Level 3: Aggregated Analytics

Level 4: Aggregated Comparison Analytics

Level 5: Self to Peer Comparative Analytics

Move. Measure. Monitor. React.

Level 1: Leveraging data movement

1. Get data on the move.• Inventory all clinical and financial data available.• Understand the value of discrete data.• Embrace the information exchange of data.• Make it available through product integration.

Level 1: Data on the Move


Level 2: Leveraging data movement for basic analytics

2. Single-event analytics = Measuring events that seem out of scope• Can be measured through:

• Results delivery• Interface integration• Printed report• Charting

Level 1: Data on the Move





Levels 3 & 4: Trending and internal comparisons

3. Aggregated Analytics• Measure trends with your

organization.• Single-unit trending

4. Aggregated Comparison Analytics• Investigate inside the trends• Utilize peer to peer comparisons with

providers in your organization.


Level 5:Outside comparative analytics

5. Self to Peer Comparative Analytics• Compare your organization or

individuals in your organization with like communities, like states, like regions, etc.

• Ask: How do I stack up?



Actionable Data:Health Information Exchange Analytics • Improve Healthcare and Provider

Satisfaction- Quicker access to more complete patient

information and histories- Enhance quality and safety

• Comprehensive Result Distribution and Clinical Messaging

• Complete interoperability for all data sources to EHRs

• Meet Meaningful Use and Other HIE Requirements

• Cross Connect to State and other infrastructures as required

• Maintain local control and governance of your Health Information

1 2

3 5

• Compression for all clinical information at the time of care

• Comprehensive orders, referrals, results

• Vendor management

• Smart clinical workflow support

• Project management

Physician and Clinical Staff Goals for HIE and Integration

Actionable Data:Health Information Exchange Analytics

2

5

1

3

• Compression for all clinical information at the time of care

• Comprehensive orders, referrals, and results

• Measurable, discrete data

• Community view of relevant patient information

• Real-time alerts

What does that look like for a doctor?

Actionable Data:Health Information Exchange Analytics 1

3

2

5

HIE Product Matrix and Benefit

Product Example BenefitMHIN-CDR (Cerner-Oracle) Regions Clinical Repository Region Wide 10 Years Platform- ACO,MedicalHome

Emergency Department, Hospitalist, Physician-EHR, Select Health, Community Physicians

MHIN-Messenger Clinical Messaging (Axolotl) Used Across the Region for Clinical Result Delivery

Hospital Medical Records, Cost Savings, Quality, Tool for Provider Practices, Simple Easy Access

MHIN-Smart Integration Clinical Results Interface Single Point Interface for Over 130 Sources of Data

Hospital, Administration, Over 500 SJRMC Employed or Partner Physicians, Patients

MHIN- EHR Cerner local hosted EHR Used by over 100 providers CCHIT - MU Enabled

Used by over 70 SJRMC Physicians, Comprehensive Region Data, MU platform for 1.5m in ARRA funding

Using the Engine· ADT· Results· Reports

SUMMARY AT REGISTRATION

NationalConnect XYZ Group

Physicians EMR

Community Physicians EMR

Hospital Registration System Radiation/Oncology

System

CCD· Immunizations· Allergies· ProblemList· Meds List

1

2

3

4

6

76

5

ISDH2

Actionable Data: Sepsis Rescue Agent 1 4

Actionable Data: HealthcareND

1

35

Actionable Data: HealthcareND 5

Disease Networks from EHR Genetic factors

Personalized Medicine: Merging EHR and Genetic Networks

Actionable Data: HealthcareND

5

Actionable Data:Benchmarking/ Peer to Peer Analytics

Benchmarking

• Aggregated analytics for your hospital

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Getting to Utopia:Real Time Clinical Quality

1. Comprehensive results into physician EHRs

2. Real time analytics

3. You drive your own quality measures– not your insurance companies.

Your data, in your community, helping you to improveyour service to your patients.

Getting to Utopia:Real Time Clinical Quality

Level 1: Data on the move





Thank you. Questions?

[email protected]

Remember: Move. Measure. Monitor. React.

Liddell - Benchmarking, Quality, And the Connected Community

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