Benchmarking, Quality, and the Connected Community

Tom Liddell, Executive Director Michiana Health Information Network

Introduction
Todays 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
Move. Measure. Monitor. React.
Level 5: Self to Peer Comparative Analytics

Level 4: Aggregated Comparison Analytics

Level 3: Aggregated Analytics

Level 2: Single Event Analytics

Level 1: Data on the move

Level 1:
Leveraging data movement Move. Measure. Monitor. React.

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 Move. Measure. Monitor. React.
2. Single-event analytics = Measuring events that seem out of scope
Can be measured through: Results delivery Interface integration Printed report Charting

Level 2: Single Event Analytics

Level 1: Data on the Move

Levels 3 & 4:
Trending and internal comparisons Move. Measure. Monitor. React.
4. Aggregated Comparison Analytics Investigate inside the trends Utilize peer to peer comparisons with providers in your organization.

Level 4: Aggregated Comparison Analytics

Level 3: Aggregated Analytics

3. Aggregated Analytics Measure trends with your organization. Single-unit trending

Level 5:
Outside comparative analytics Move. Measure. Monitor. React.
Level 5: Self to Peer 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

1
3

2
5

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

Actionable Data:
Health Information Exchange Analytics
Physician and Clinical Staff Goals for HIE and Integration

1 3

2 5

Compression for all clinical information at the time of care

Comprehensive orders, referrals, results

Vendor management

Smart clinical workflow support

Project management

Actionable Data:
Health Information Exchange Analytics 1
3

2
5

What does that look like for a doctor?

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

HIE Product Matrix and Benefit

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

Example

Benefit Emergency Department, Hospitalist, Physician-EHR, Select Health, Community Physicians Hospital Medical Records, Cost Savings, Quality, Tool for Provider Practices, Simple Easy Access

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

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

Hospital Registration System

Radiation/Oncology System

6 1 Using the Engine ADT Results Reports

SUMMARY AT REGISTRATION

CCD Immunizations Allergies ProblemList Meds List

ISDH

5 Community Physicians EMR 3

National Connect
Physicians EMR

XYZ Group

Hospital, Administration, Over 500 SJRMC Employed or Partner Physicians, Patients Used by over 70 SJRMC Physicians, Comprehensive Region Data, MU platform for 1.5m in ARRA funding

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

Actionable Data:
Sepsis Rescue Agent

Actionable Data:
HealthcareND

1
5 3

Actionable Data:
HealthcareND

Actionable Data:
HealthcareND Personalized Medicine: Merging EHR and Genetic Networks

Disease Networks from EHR

Genetic factors

Actionable Data:
Benchmarking/ Peer to Peer Analytics Aggregated analytics for your hospital

1
4

2
5

Benchmarking

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 improve your service to your patients.

Getting to Utopia: Real Time Clinical Quality

Level 5: Self to Peer Comparative Analytics

Level 4: Aggregated Comparison Analytics Level 3: Aggregated Analytics Level 2: Single Event Analytics Level 1: Data on the move

Remember: Move. Measure. Monitor. React.

Thank you. Questions?

toliddell@mhin.com