Applying Analytics to Population Health Management April 15, 2015 Kori Krueger, MD, MBA / Marshfield Clinic Kate Konitzer, MMI / Marshfield Clinic Information Services DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
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Applying Analytics to Population Health Management
April 15, 2015
Kori Krueger, MD, MBA / Marshfield Clinic
Kate Konitzer, MMI / Marshfield Clinic Information Services
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
Kori Krueger, MD, MBA Has no real or apparent conflicts of interest to report.
Explain the Population Health Management lifecycle
Demonstrate the use of analytics applied to population health
Discuss concepts applied throughout the lifecycle
Analyze gaps for population health advancement
• Satisfaction from providers in better understanding their patient panels.
• Treatment is based on evidenced based medicine guidelines and measured to the guidelines.
• Electronic information is key to understand your patient populations and using the data to define new strategies.
• Prevention is assessed by improving compliance rates and encouraging screening tests for early detection. Managing patient outcomes prevents adverse events associated with the disease states.
• Savings are being demonstrated by improving quality, and lowering utilization by better managed care.
Value Steps
Marshfield Clinic Health System
• Formed 1916
• Physician led – 501(c)3
• 750 physicians in 86 specialties
• 6,450 employees
• 56 regional sites
• 375,000 unique patients/year
• 3.7 million patient encounters/year
• >$1 billion in annual revenue
• Security Health Plan 228,000 member HMO
• Division of Laboratory Medicine
• Education Foundation
• Research Foundation
• Family Health Center – FQHC (76,000 patients, 443,000 encounters/ year)
• Integrated Dental Clinics in underserved areas
• An Academic Campus of UW School of Medicine and Public Health
Attribution
Define Population
Identify Care Gaps
Stratify Risks
Engage Patients
Manage Care
Measure Outcomes
Feedback Loop
Define Population
HTN
Objective – Ability to identify any population cohort
Challenges – Extract information from your EHR – Terminologies/Codes
Implementation – Enterprise Data Warehouse – Structured data collection – Terminology groupers
Results – Reliable, longitudinal cohort
Gaps Strategy – QA of problem lists – Care plans attached to problem lists