webinar: transforming care: how to modify provider behavior to improve clinical outcomes
Post on 29-Nov-2014
230 Views
Preview:
DESCRIPTION
TRANSCRIPT
Transforming Care: How to Modify Provider Behavior
to Improve Clinical Outcomes
September 2014
www.whitecloudanalytics.com/transforming-care
Featured Speakers
Geoffrey SwansonPresident, St. Luke's Health Partners & VP, Clinical IntegrationSt. Luke's Health Systemdoctor.gswanson@gmail.com
Keith BrownSenior PartnerWhiteCloud Analyticskeithb@whitecloudanalytics.com
Nobody…
Wakes up the in the morning…
…and says I am going to do a ‘mediocre’ job.
Meaningful
OpportunityGreat Team
Navigating a Chaotic Market
Value-Driven
Full Risk
Volume-Driven
Fee-for-Service Payment System
Quality, Cost, Efficiency
Margins & Volume
Bundled Payments
Shared Savings
Shared Risk Contracts
Today
Tomorrow
Del
iver
y Sy
stem
Increased Risk
Evolve Organizational Model
Increased Risk
You Can’t Improve What You Can’t Measure
• That I am a great care provider?• That I have a fully engaged team?• That my network/system is outperforming the
market?• Etc…
What barometer do you use?
How do you know?
What You Probably Have
• Point of care systems (EHR)
• Operations reports (static)
• Static Quality Reports (analyst produced)
• National Benchmarks (usually dated)
Are these the right tools?
What You Probably Don’t Have….
• A system that drives provider behavioral change– Personalization, Transparency– Socialization, Role-based analytics
• Integrated oversight tools (future webinar)– Summarizes clinical cost and quality goals– Management insight into your overall risk & organizational
strategy
Audience Poll Question
How important is it for your organization’s execution of strategic initiatives to influence provider behavior?
St. Luke’s Health System & St. Luke’s Health Partners
Who we are and where we’re going…
• Largest health system in Idaho• Approaching the market as a Clinically
Integrated Network (SLHP)• Geographic medical catchment area
– 1800 total active Physicians– $4 billion total medical expense– 800,000 people
• Moving from volume to value• Managing populations for a budget
Driving market differentiation.
Clinical Transformation
OrganicExperimentation
Opportunity Review & Plan
Oversight &Accountability
StakeholderAlignment
Success FactorsExec Leadership
Governance
Financial Management
IT/Data
Performance Management System
Two Distinct Organizational Models
?Top-Down Management
E PP
P
P
P
P
Autonomous and Self-Directed
Centrally-led ChangeTraditional performance management.
The way we used to do it: Centrally–led programs Multiple, monthly meetings PowerPoints and email
Top-Down Management
E
Provider-led ChangeEmpowering physicians as change agents.
PP
P
P
P
P
Autonomous and Self-Directed
Providers control 80+% of spend. Highly motivated Geographically dispersed Independent decision makers
Clinical Transformation Requires…
AndTop-Down Management
E PP
P
P
P
P
Autonomous and Self-Directed
Performance Management System
400+ healthcare metrics Includes benchmarked and risk adjusted metrics
Actionable Patient Registries Disease, high risk, etc..
Plug-and-play metrics
Automated Analytics
Role-Based and Actionable Information
Data Sources
IP EMR
Pharm
OP EMR
Claims
CAHPS
TBD
• Align providers• Establish common metrics• Distribute to teams• Set action plans
Clinical Transformation
OpportunityReview & Plan
Oversight &Accountability
StakeholderAlignment
Performance Management Process
OrganicExperimentation
Program AdministratorOrtho Medical Director
Surgeon
Anesthesiologist
Provider Alignment
Service Line/Unit Provider/Team
Scalability of Performance Metrics
System/Network Hospital/Region
Clinic/ Practice
Specialty/Department
Explain How Things Will Be Measured
Set Action Plans
Real Results of Self-Directed Change
• Personalized data experience
• Peer-to-peer collaboration
Clinical Transformation
Oversight &Accountability
StakeholderAlignment
PP
P
PP
P
OpportunityReview & Plan
OrganicExperimentation
Why is Viral Change Critical?
Harness the power of providers. Reduce analysis fatigue Foster unconstrained experimentation Create dialogue and best practice collaboration
PP
P
P
P
P
Autonomous and self-directed
Provider Engagement is Attainable if…
• Personalized• Transparent• Easy to use
PP
P
P
P
P
Autonomous and self-directed
My Practice, My Performance, My Patients
Provider Engagement is Attainable if…
• Personalized• Transparent• Easy to use
PP
P
P
P
P
Autonomous and self-directed
My Performance, My Peers
Provider Engagement is Attainable if…
• Personalized• Transparent• Easy to use
PP
P
P
P
P
Autonomous and self-directed
Readmissions by Service Line
Readmissions – Medicine Readmissions – Timeline
Automated Root Cause AnalysisGuided Navigation
Based on 5+ years of provider research.
Visualization
Compelling and intuitive displays of information surface patterns and spatial relationships.
Application Usage(Trailing 12 Months)
0
5,000
10,000
15,000
20,000
25,000
Pull Usage Trend – Directly by Provider Community
Modifying Behavior to Optimize Outcomes
Opportunities, Accountability & Populations
Oversight &Accountability
StakeholderAlignment
Performance Management System
Geoff Swansondoctor.gswanson@gmail.com
Keith Brownkeithb@whitecloudanalytics.com
OpportunityReview & Plan
OrganicExperimentation
Audience Poll Question
What is the most strategic or important objective of your organization for the next 2 to 3 years?• Develop risk-based reimbursement models• Quality and safety improvement• Optimize efficiency• Coordination of clinical care• Market Differentiation
Questions?
www.whitecloudanalytics.com/transforming-care
Geoffrey Swansondoctor.gswanson@gmail.com
Keith Brownkeithb@whitecloudanalytics.com
top related