Harnessing Data and Analytics for Population Health Panelists: • Jim Adams, The Advisory Board Company • Farzad Mostashari, MD, ScM, U.S. Department of Health and Human Services • Christopher Lloyd, MHMD Memorial Hermann Physician Network • Colin Ward, Greater Baltimore Health Alliance • Glenn Tobin, Ph.D., The Advisory Board Company Moderator: • Aneesh Chopra, The Advisory Board Company National Population Health Symposium
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Harnessing Data and Analytics for Population Health...Harnessing Data and Analytics for Population Health Panelists: • Jim Adams, The Advisory Board Company • Farzad Mostashari,
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Harnessing Data and Analytics
for Population Health
Panelists:
• Jim Adams, The Advisory Board Company
• Farzad Mostashari, MD, ScM, U.S. Department of Health
and Human Services
• Christopher Lloyd, MHMD Memorial Hermann Physician Network
Insights from the National Coordinator for Health IT
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Farzad Mostashari, MD, ScM National Coordinator for Health
Information Technology
U.S. Department of Health and
Human Services
Dr. Farzad Mostashari is the National Coordinator for
Health Information Technology at the U.S. Department of
Health and Human Services. To this role, Dr. Mostashari
brings a rich body of experience to continue leading the
nation in constructing a health care system that uses
information and technology to empower individuals,
and improve both the health and health care of Americans.
Dr. Mostashari first joined ONC as its deputy national
coordinator in July 2009. During his tenure in this position,
he developed a series of grant programs to promote
electronic health record adoption, furthered the
development of health information exchange, and helped
construct the workforce development program. His vision
has been instrumental in the formulation of the ONC’s
Health IT Strategic Plan, the creation of ONC’s Authorized
Testing and Certification Bodies, and will influence future
stages of Meaningful Use.
Sources and Uses of Data in an Accountable Care World
Christopher Lloyd Chief Executive Officer MHMD - Memorial Hermann Physician Network The National Population Health Symposium September 16, 2013
Health Reform Distilled
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QUALITY
COST
Needed to drive the Quality & Cost equation?
• Organizational Structure • Commitment to Evidence Based
Medicine • Dedication • Information • Partnership
The Fundamentals of Change – Accountable Care
• Everyone's role in care delivery must change • Data is paramount – and it exists • Industry payment must be altered with aligned incentives • Shared Accountability – patients too… • Outcomes!! • Clinical Integration of all parties is fundamental
MHMD Clinical Programs Committee Structure
MHMD Board of Directors
Clinical Programs Committee
H&V
Cardiology
CV Surgery
Neuro
Neurology
Neurosurgery
Woman/Child
Neonatal
OB/Gyn
Surgery
Anesthesia
Bariatrics
Orthopedics
ENT
Allergy
Medicine
Critical Care
Emergency
Ad hoc
Hospital Medicine
Post Acute
Oncology
Oncology
Contract
Imaging
Pathology
Primary Care
Adult PCP
Peds
Peer Review
Clinical Ethics & Palliative Care
Order Set Editorial Board
Informatics
Acute Surgery 4
The Necessary Interrelationship for Change
MHMD MHHS
The Functions of Population Management
• “New” data source for physicians and hospitals • Typically held by insurance companies • Indicates cost/quality opportunities
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Population Dashboard
ED Utilization
Inpatient Quality & Safety Metric Results
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50% increase
68% reduction
.5% reduction
12% reduction
13% reduction
5% increase
BASELINE Order Set
Usage e-Order Set
Usage Iatrogenic
Pneumothorax Events
PPE or DVT Events
Hospital Acquired Infections
Serious Safety Events
Order Set Results Excluding Top 5% Costs – Jan - June 2011
Overall Project Order Set No Order Set Total
Patients 1,579 1,617 3,196
Avg. Direct Costs 93% 107% 100%
LOS 4.1 4.3 4.2
Cost Variance with Order Set -15%
LOS Variance with Order Set -5%
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Order Set Results Excluding Top 5% Costs – Jan - June 2011