MobCon DH 2015 - Patrick Yoder, Dan Rubin - prevention through advanced clinical decision support
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Transcript of MobCon DH 2015 - Patrick Yoder, Dan Rubin - prevention through advanced clinical decision support
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Dan Rubin & Patrick YoderCo-Founders, LogicStream Health, Inc.
Prevention Through Advanced
Clinical Decision Support (CDS)
@Logic_StreamLogicStream Health, Inc.
2 February 13, 2015
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Presenters
LogicStream Health
Dan Rubin, MD, MHI
Co-founder
LogicStream CMO
Board-Certified Pediatrician
Self-taught programmer
Patrick Yoder, PharmD
Co-founder
LogicStream CEO
Clinical Pharmacy Specialist
Informaticist
3 February 13, 2015
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LogicStream Health, Inc.
Health System Strategy
Improve Healthcare Outcomes
Increase Patient/Provider Satisfaction
Save Money & Reduce Revenue Risks
4 February 13, 2015
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The Problem with Healthcare Today
Massive spending not equaling improved outcomes
5 February 13, 2015
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United States vs. Mexico
Costs of care and life expectancy explored
6 February 13, 2015
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Payment Reform
Improving US healthcare
7 February 13, 2015
-Sylvia Burwell, U.S. Secretary of Health and Human
Services, New England Journal of Medicine, January 26,
2015
“Our goal is to have 85% of all
Medicare fee-for-service
payments tied to quality or value
by 2016, and 90% by 2018."
--CMS annual spending in 2013 = $1.1 Trillion--
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A significant shift
Quality-based reimbursement
8 February 13, 2015
Health Systems need to reduce unnecessary variation in care to prepare for quality-based reimbursement
Reimbursement for Quality and Value
Reimbursement for Volume and Quantity
Current State Future State
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Unnecessary Care Variation
The Current Environment
9 February 13, 2015
Icon by carlotta zampini
from The Noun Project
• No CDS protocol
• VTE prevention
not ordered
• Patient dies
• CDS protocol prompted
provider
• VTE prevention ordered
• Patient discharged
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Practice-based Clinical Protocols
The Future
10 February 13, 2015
Icon by carlotta zampini
from The Noun Project
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Adjust
DesignImplement
Evaluate
The Learning Health System - Envisioned
The Problem
11 February 13, 2015
Disseminate
Solutions determined and shared
EXTERNALINTERNAL
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Care Standardization through CDS
Delivering positive outcomes
12 February 13, 2015
Patient
Population
Positive
Outcome
(blood clot
prevented)
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Care Protocol
Quality Improvement
13 February 13, 2015
Population Health
Care Outcomes
Alerting Systems
Order Set Content
Quality Improvement
Solutions
Nursing Documentation
Physician Documentation
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Population Comparison
Comparison of those with CDS protocol versus those without
14 February 13, 2015
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Blood Clot Protocol and Processes
An Overview
2616 Baseline
Care
2075 with CDS
Protocol
February 13, 201515
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LogicStream Health, Inc.
LogicStream Results
Improve Healthcare Outcomes
40 LIVES Saved
Increase Patient/Provider Satisfaction
563 Complications Eliminated
Save Money & Reduce Revenue Risks
$6.9 Million/year Saved
16 February 13, 2015
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Solutions for Multiple Conditions
Applied on a large scale
17 February 13, 2015
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Adjust
DesignImplement
Evaluate
The Learning Health System – A Reality
Solving the Problem
18 February 13, 2015
Disseminate
Solutions determined and shared
EXTERNALINTERNAL
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Practice-based Clinical Protocols
The Future
19 February 13, 2015
19Icon by carlotta zampini
from The Noun Project