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Encore Health R2V7

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Transcript of Encore Health R2V7

REPORTING
AND ANALYTICS
ASSISTANCE

FINDING
NEW INSIGHTS
IN YOUR DATA

MEASURING
QUALITY
ELECTRONICALLY

COLLABORATING
ACROSS THE
CONTINUUM

MATURING
POPULATION
HEALTH

BASICS
FOUNDATIONAL
COMPETITIVE
DIFFERENTIATING
TRANSFORMING
New Services, New Challenges
Self-service
EHR provided reports
Quality & safety reporting
Comparative effectiveness research

Predictive
Personalized
Clinical and business process optimization
Clinical and business reporting
Managing and learning from information
Fee-for-service
Fee-for-service
Health Analytics Team
Advances client’s analytics
Supports reporting outside of Epic
Transitions the organization to a more centralized, federated reporting approach
Determines strategies to be used for advanced analytics projects (population health, risk-based contracts, ACOs)
Epic Reporting & Analytics Team
Aligns organizational informational needs to Epic options
Serves as experts on what should be “native” in Epic vs. in another tool
Plans for/works towards advanced analytics in partnership with the Health Analytics Team
Meets immediate operational reporting needs
Reporting request processes
Data dictionary
Data profiling
EDW
New tools
New dashboards
Data Governance
Unified Health Analytics Organization
Data Reference
CoreGPS
Measure and Data Centric
Infrastructure
CoreACCESS
Identity Management Services
Analytics
CoreAUTHOR
Measure Development & Management
Standards
CoreVALUESET
Value Set Repository
CoreIQ
Dashboards
Access
Measure Definitions
Read Value Sets
Read Value Sets
Authenticate users & maintain passwords
Authenticate users & maintain passwords
Authenticate users & maintain passwords
Academic Medical Center & IDN
Measure
Description
Electronic
Abstracted
PN-6
SCIP-9
STK-3
VTE-1
VTE-3
VTE-6
Antibiotic Selection PN, Non-ICU Patients
Urinary Catheter Removed on POD 1 or POD 2 with Surgery Day Zero
Anticoag for Afib/Flutter
VTE Prophylaxis
Overlap Therapy
Preventable VTE (goal is 0)
47.4%
64.0%
66.1%
71.6%
35.6%
58.8%
100.0%
97.9%
94.2%
99.2%
100.0%
0.0%
Nationwide IDN
Leveraging Clinical Data to Improve Outcomes
Variation by Facility
% Not Using EB Order Sets
% Using EB Order Sets
Clinical Domain
METHODS CONTENT
SOFTWARE
Technology (high performance)
Statistical & Stochastic Models
Data
MDs, RNs, RPhs
Biostatisticians, Data scientists
EHR data experts
DBAs, Quintiles tool experts
Advanced Analytics
Multi-disciplinary Expertise and Proven Tools
Actionable Insights for Performance Improvement
Sources
Settings
Registry
Processing/ Warehousing
Epic
Allscripts
Financial Systems
Patient Portals
Community-
based care
Acute care
Ambulatory
surgery center
Registry 1
Registry 2
Registry 3
Registry 4
Post-acute care
Registry 5
Standards-based
EHR adapter
DIRECT
CCDA
SMART
FHIR
i2b2
HISP
NLP
Real World Evidence Hub of the Future
Supporting Clinical Care Optimization
Business Analytics Reporting Platform
Academic Medical Center & IDN
Incorporating Epic into the Analytics Vision
Quintiles and Encore Together: Helping Clients Mature Analytics to Deliver Better Care
Commercial
Generating real-world evidence

Observational research, registries,
real-world data, and QI programs, for monitoring benefit risk; demonstrating safety & effectiveness; and improving the quality of care delivery.


Encore Payer/Provider
Improving the quality & cost of care
Healthcare IT consulting, methodologies, tools, & strategies, including EHR systems and data analytics.


Maximizing commercial effectiveness & accelerating product launch.
Building connections with providers, patients, & biopharma

Engagement, education, branding and communications expertise, services, communities, and technologies.


Health Engagement & Communication
Real World Late Phase
Encore’s Approach to Data Management
Methodology Supported by Research and Tools
Workflow
Reporting
Adoption
Functionality/Certification
Content
Data
Risk Assessment Example– eCQMs
Improving the Accuracy of Measuring Quality Electronically
Quintiles’ Simulation Lab
Identify consumers who will benefit from population health information.
Identify metric inventory requirements to manage
at-risk contracts.

How can the client improve care across the continuum?
Inventory current applications that support population health.
Are the current applications used effectively and for their intended purpose?
What application redundancies and/or gaps exist in data requirements?
Are current care management processes effective and improving outcomes?
Identify the best practices that will drive standardization across the continuum of care and across the entire healthcare system.
Determine how client should link processes with IT enablement.
How does the metric inventory map to Medicare Shared Savings Program and ACO contracts?

What source systems are required to support population health information?
Connecting
Insights
Capabilities
and Vision
Better
Outcomes
Quintiles & Encore
<Client Name>
Superior
Delivery
Improve your probability
of success
Biopharma Product Development
QUINTILES
VISION
Our Customer Promise
Improve your probability
of success
Clinical Services
Differentiated offerings
New markets
Integrated
Healthcare Services

Commercial Services
Differentiated offerings
New markets
Excellence at global people, process & technology

Scientific, therapeutic & Rx experience
Quantitative
& analytical expertise
We bring people and knowledge together for a healthier world
Our Enterprise Vision
Teamwork | Leadership | Customer Focus | Integrity | Quality
We accelerate the change in
how
healthcare
is delivered…
with real-world
evidence
and scientific insight
to improve
patient

outcomes worldwide


by engaging

decision makers
Office of Population
Health Informatics
Five-state IDN
Creating Population Health Informatics Leveraging the Current State
Office of Population
Health Informatics
Five-state IDN
Creating Population Health Informatics
Functionality/Certification
Workflow
Reporting
Adoption
Content
Data
In partnership with Boehringer Ingelheim to build and deliver a service improvement program to improve ‘Door to Needle’ time for acute stroke patients in hospitals across 12 countries.

IMPROVING
OUTCOMES

Service Re-Design Team (IMA)
12 countries

20 FTEs

2 Managers

1 IPD
Remote Engagement Service Agents (IME)
2 Remote Service Agents

Platform Provision
Communications Plan (HE&C)
Service Improvement Registry (RWLP)
Comms strategy development

Congress and publication support
Provider and patient association registry

Patient Management Tool

Measurement Report and Benchmarking
Boehringer Ingelheim – ‘Stroke Angels’ IHS Project
4 Key Components
INTEGRATED HEALTHCARE SOLUTION
Boehringer Ingelheim – ‘Stroke Angels’ IHS Project
Improving “Door to Needle Time”

Saas MS SQL Server 2012
Premised
MS SQL Server 2008 & 2012
IBM Netezza
CoreANALYTICS
Analytics Engine
Thrombolytic Therapy
Critical
1
1.2
0.6
1.2
0
0.6
0
3.6
Is data consistent, reliable and redundant to support metrics? How is source data mapped to support the metrics?
Population Health Informatics
Baseline tools and capabilities

Precise Patient Registries

Patient-Provider Attribution

Precise Numerators in Patient Registries

Clinical and Cost Metrics

Basic Clinical Practice Guidelines

Risk Management Outreach

Acquiring External Data

Communication with Patients

Educating and Engaging Patients

Complex Clinical Practice Guidelines

Care Team Coordination

Tracking Specific Outcomes
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.
Evidence-based definitions of patients

Strategies and algorithms to assign patients

Methods to flag patients to exclude

Clinical effectiveness and total cost of care

Triage and protocols for single disease states

Stratified work queues for care teams/processes

Outside the core delivery organization model

Patient engagement strategies

Tailored to status and protocol

Manage comorbidities

Inter-clinician across care continuum

Patient-reported
Goal is to save European payers between €2 & 3.5 billion in the cost
of treating stroke patients
Improve the rate of thrombolysis in each hospital by around 10% per hospital targeting 200 hospitals per year
Measure Description
Risk Priority Code
Functionality
/ Certification
Workflow
Adoption
Content
Data
Reporting
Risk Priority Sequence
Total
Complex and Evolving
Foundational
Quality & safety reporting
Personalized medicine
Data mining (what is not known)
Text analytics
Population health management
Performance management

Data warehouse (enterprise view)
Dashboards/scorecards
Data marts
Metrics
Performance management

Out-of-the-box transaction reports
MS Office
Operational reporting
Deploying EHR & other enabling infrastructure
VISION
OUR
Integrated Healthcare Services
Five-year program
Full transcript