Physician Workshop – Data Analytics
Speakers:
Paul Kleeberg, MD
CMIO Stratis Health
David Marc
Assistant Professor, College
of St. Scholastica
Panelists
:
Bruce Penner, RN
Director of Quality, Integrity
Health Network
Christopher Murgic, IT
Director,
Edina sport Health &
Wellness
Jeffrey Scrivner, MD, Chief
Medical Officer
Scenic Rivers Health
Service
Nancy Mault, EMR
Director/QI Coordinator
Scenic Rivers Health
Service
Outline
• Why Analytics is important?
• What is Data Analytics?
• Small Groups:
– What is your experiences and challenges in
using Data Analytics?
• Panel Discussion:
– How we use Data Analytics
Minnesota
• …where all the
women are strong, all
the men are
good-looking, and all the
children are above
average
To prove it, one needs data
• “If you can not
measure it, you can
not improve it.”
– William Thomson
(Lord Kelvin) Lecture
on "Electrical Units of
Measurement" (3 May
1883) paraphrased
What is your role within your organization?
1. IT
2. Healthcare provider
3. Administrator
4. Health Information
Manager/Health informaticist
5. Other
0%
0%
0%
0%
0%
How would you describe the geographic area
where you work?
1. Rural
2. Urban
3. Suburban
4. Do not know
0%
0%
0%
0%
But it used to be different
• One patient, one
doctor
• One patient, one
(paper) chart
• Patients paid for their
care and judged the
value
• Population
management was not
a medical issue
Health Care Reform
• Moving away from an
episodic, fee for service
payment approach and
towards a coordinated
model that is focused on
delivering high-quality,
low-cost care across the
continuum of care.
Moving from Volume to Value
Health Plan Readiness To Operationalize Value-based Payment Models:
Payment Reform
• Attempted repeal of the Medicare Sustainable
Growth Rate (SGR)
– A move away from a fee-far-service (FFS) model to
one that rewards quality, efficiency, and innovation
– Named the PCMH as a supportive framework for
alternative value-based payment models that rewards
quality and value
• Commercial health plans increasingly transitioned
their PCMH “demonstrations” or pilots into a
standard business operation, incentivizing with
PMPM payments or care coordination fees
PQRS Value Based Reimbursement
• The Value Modifier Program (or Value-based
payment modifier program) will begin to be applied
to the CQM PQRS EP reporting of CQMs
– In 2015, it will apply to groups of physicians with 100
or more EPs and based on data from 2013
– In 2016 CMS will apply the Value Modifier to groups of
physicians with 10 or more EPs.
– By 2017, all physicians will be added
• The Value Modifier assesses
– quality of care furnished
– cost of that care under the Medicare Physician Fee
Schedule to determine EP CMS reimbursement levels
and will be either an up, down or neutral adjustment.
Total Accountable Care Organizations
by Sponsoring Entity
Total Accountable Care Organizations
Source: Leavitt Partners Center for Accountable Care Intelligence,
http://healthaffairs.org/blog/2014/01/29/accountable-care-growth-in-2014-a-look-ahead/
Accessed
Accountable Care Organizations by
Hospital Referral Region
Estimated ACO Covered Lives by
Hospital Referral Region
Source: Leavitt Partners Center for Accountable Care Intelligence,
http://healthaffairs.org/blog/2014/01/29/accountable-care-growth-in-2014-a-look-ahead/
Accessed
For Quality Improvement
• Patient list by
specific condition
• Decision Support
• Reporting Quality
Measures
REACH Data Analytics Survey
•
Between February 11th and March 27th,
REACH conducted a web-based survey
regarding the current state of data
analytics among its clients
Overall Responses and Demographics
Organization Type
<25
What is your current EHR software?
1. Allscripts
2. eClinicalWorks
3. Epic
4. GE / Centricity
5. Healthland
6. Meditech
7. NextGen
8. Other
0% 0% 0% 0% 0% 0% 0% 0%What are your organization’s top 3 barriers to
analyzing data? Pick 3 and push send
1. Analytic software
2. Cost
3. Data infrastructure
4. Data governance / policy
5. Data variety
6. Data source integration
7. Data volume
8. Security
Ranking Results
Points
Item
Analytic Tools used by
Organizations
Current State of Data Analytics
How well does your organization perform the following information and
analytic tasks?
Efficacy of Data Analytics
How effective is your organization at employing the following analytic
techniques?
Current State of Data Analytics
To what extent does your organization apply analytics to the following
activities?
Trust in Data, Analytics Strategy,
and Data Governance
Select the greatest skill gap within your
organization in dealing with data and analytics.
1. Statistical knowledge
2. Database management
3. Database architecture
4. Analytical software
knowledge
5. Analytical skills combined
with clinical knowledge
0 / 10
Cross-tab label
0%
0%
0%
0%
0%
1
2
3
4
5
The REACH survey found the
following:
In a nutshell
•
We collect a lot of data
•
We lack a skilled analytics workforce
•
Training is in high demand!
Key Health Alliance—Stratis Health, Rural Health Resource Center, and The
College of St. Scholastica.
REACH is a project federally funded through the Office of the National Coordinator, Department of Health and Human Services.