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TRANSCRIPT
“Innovative Uses of Analytics to Improve Outpatient Primary
Care Delivery”
HIMSS Clinical & Business Intelligence
Community & HIMSS Innovation
Community
February 6, 2018
Welcome
Mike Berger, PE, CPHIMS
C&BI Community Co-Chair
Vice President, Population Health Informatics & Data
Science, Mount Sinai Health System
Arthur Panov, MPH, CPHIMS
C&BI Community Co-Chair
Healthcare and Life Sciences Architecture
IBM Watson Health
Shelley Price, MS, FHIMSS
C&BI Community Organizer
Director, Payer & Life Sciences
HIMSS | Arlington, VAJoanne Bartley, CAE
C&BI Community Organizer
Manager, Health Business Solutions
HIMSS | Chicago, IL
Ian E. Hoffberg
Applied Innovation Manager,
Healthcare Information Systems,
HIMSS | Arlington, VA
• Welcome
• HIMSS C&BI Community & HIMSS Innovation Community Updates /
Announcements
• Presentation & Discussion:
“Innovative Uses of Analytics to Improve Outpatient Primary Care
Delivery”
Danielle Oryn, DO, MPH, Chief Medical Informatics Officer, Petaluma
Health Center
Shaun Nelson, MPH, Senior Data Analyst, Petaluma Health Center
• Wrap-Up / Next Steps
Agenda
Updates / Announcements
• Education
• Exhibition
• Networking
The 3 Pillars of a HIMSS Global Conference
Preconference EducationMonday, March 5; 8:00am – 4:30pm PT
*Symposia attendees may participate in the Conference Plus Pass
and move free between other symposia *Additional fee required
Preconference EducationMonday, March 5; 8:00am – 4:30pm PT
*Symposia attendees may participate in the Conference Plus Pass
and move free between other symposia*Additional fee required
Preconference EducationMonday, March 5; 8:00am – 4:30pm PT
*Symposia attendees may participate in the Conference Plus Pass
and move free between other symposia *Additional fee required
General Education
* No additional fee required. Included with conference registration.
General Education
* No additional fee required. Included with conference registration.
Exhibition – Innovation Live!19,000 sq ft booth
• Highly immersive experiential area:
– Start-ups
– Accelerators/Incubators
– Mid-stage Companies
– Makerspace
– Developers Lab
– Matchmaking Areas
– Theatre Presentations
– Showcasing the winners of the Medical Summit
• Topics will focus on: Blockchain, Artificial Intelligence, Internet of
Things, Biomedical, etc.
Population Health Solutions Lab
C&BI Activities & Events – Networking
• C&BI and PopHealth Reception | Tuesday, March 6 | 6-7pm
– Solutions Lab | Casanova Meeting Room | 1st Floor
– Complimentary; by invite only
We would like to thank our supporter:
• Innovation Community - Interoperability Tour
Tuesday, March 6 | 1:00pm - 2:00pm | Free, guided tour
Hall G | 11955
• Sponsorship Opportunities - contact
HIMSS Innovation Activities
C&BI & Innovation Community PresentationGuest Speaker(s)
We will take
questions at the
end of the
presentation…
…Please type your
questions into the
Q&A box.
#PutData2Work | #Aim2Innovate | #PopHealthIT | #PrecisionHIT
18
Innovative uses of analytics to improve outpatient primary care
delivery
Danielle Oryn DO MPH, CMIO
Shaun Nelson MPH, Senior Data Analyst
Petaluma Health Center
Founded in 1996Became a Federally Qualified Health Center in 2000
Currently caring for 31,000 patients via 150,000 annual visits
Sites:Petaluma Health CenterRohnert Park Health CenterMary Isaak Center – Homeless Shelter San Antonio High School – School Based Health CenterCasa Grande High School - School Based Health CenterSanta Rosa Junior College Petaluma - School Based Health Center
Petaluma Health Center Services
Full spectrum family centered primary medical care for children and adultsAdult and pediatric dental careWomen’s health including pregnancy care and gynecology consultationIntegrated behavioral health and psychiatry consultationWellness services:
– Acupuncture– Chiropractic care – Integrative Medicine consultation– Nutrition– Shared medical visits– Community exercise programs
Specialty Care:– Ophthalmology and Optometry– Podiatry– Endocrinology– Rheumatology (telehealth)
Petaluma Health Center
Recognition– NCQA Patient Centered Medical Home
recognition, 2013 – present
– Joint Commission accreditation for Ambulatory Care with Primary Care Medical Home, 2015 -present
– HRSA Health Center Quality Leaders – 2016
– HRSA National Quality Leaders - 2016
– CDC Million Hearts Champion – 2015
– HIMSS Davies Award - 2017
Quality Improvement Components at PHC
Quality
Innovation
Informatics
Structure
Function
Culture
Population Health Structural Cornerstones1. Huddle
2. Recall
3. Time dedicated to management of chronic illness
4. Identifying populations for services to improve health– Hepatitis C treatment
– Behavioral Health and Addiction
– Nutrition
– Health education
– Case Management & Navigation
– Shared medical visits, wellness services
Data Mining
eClinicalworksEHR
Dentrix EDR
Relevant Data Warehouse
TableauEnd User Web Applications
Data Presentation
Grounded by QI Plan & PHC measures inventory
Data quality first and ongoing data validation
Data is available online to all care team members at all times
All data is un-blinded and specific to provider and or care team
Dashboards tailored to audience and function
Outline
• Diabetes– Care Gaps– Quality measures for population health team time– Health Educator report or wellness report specific to diabetes
• Hepatitis C– Care Gaps for screening and treatment– Quality measures for screening and treatment– Report to pull patients who qualify for treatment
• Integrated services reports– Integrated Behavioral Health – Case Management and Patient Navigation report – Care gaps for pediatric or OB dental integration
Hepatitis C Alerts
Hepatitis C Alerts
Hepatitis C Population Screening
Quantitative data and sustained improvement
Hepatitis C treatment in group model
• Up to 8 pts per session
• 1-2x/month
• RN education
• GI-FNP reviews cases with MA prior to visit
• Provider meets 1:1 with patient & MA
• Orders labs, imaging, screening if eligible/ ready for treatment
Pre- treatment
• 1-2x/month
• provider chart prep/review w/ HCV coordinator
• Education & RX in group setting
• Face to face time is conducted in front of entire group, unless 1:1 time needed
• Vaccines administered
• Lifestyle & global liver health reviewed
• Referred to CERES PROJECT for nutrition/ cooking
Initiating Treatment
•Up to 10 per group
•1-2 x/month
•Each cohort starts together regardless of stage of treatment
•Check in, group sharing, discussion of side effects
•Nutritionist, Cooking Demos, Ongoing holistic lifestyle education
•1:1 if necessary
•Labs ordered & reviewed
•Support, engagement, education
Treatment Maintenance
APRI/FIB4 Report
• Want to get involved?
Topic or Speaker ideas
Key Note Presenter
Blogger | Tweeting | Podcast
• Contact:
Shelley Price
Ian E. Hoffberg
Joanne Bartley
Wrap-Up / Next Steps
#PutData2Work | #Aim2Innovate | #PopHealthIT | #PrecisionHIT
Image by: http://www.mfwa.org/programmes/media-good-governance-and-development/get-involved/
Download past webinars, and to see
upcoming events visit us at:
www.himss.org/Innovation
www.himss.org/ClinBusIntelCommunity
Earn CAHIMS & CPHIMS credit!
HIMSS is pleased to offer webinar attendees up to one continuing
education (CE) hour for use in fulfilling the CE requirements of the
Certified Professional in Healthcare Information & Management Systems
(CPHIMS) and the Certified Associate in Healthcare Information &
Management Systems (CAHIMS) programs.
Visit the HIMSS Professional Development website for more information.
Wrap-Up / Next Steps
Wrap-Up / Next Steps
JOIN US!
HIMSS Innovation TweetChat | Feb 8 | 1:00 – 2:00pm ET
#PutData2Work | #Aim2Innovate | #PopHealthIT | #PrecisionHIT
Wrap-Up / Next Steps
JOIN US!
Next C&BI Community meeting: April 12, 2018
Using open data from CMS for analytics, and
embracing APIs and the FHIR protocol as a
way to enable interoperability across health
system
Speaker(s):
Aneesh Chopra, President, NavHealth
#PutData2Work | #Aim2innovate | #PopHealthIT | #PrecisionHIT
FY18 Leadership & Contact Information
#PutData2Work | #Aim2Innovate | #PopHealthIT | #PrecisionHIT
HIMSS C&BI Community Co-Chairs:
Mike Berger, PE, CPHIMS Vice President, Population Health Informatics & Data Science Mount Sinai Health [email protected]
Arthur Panov, MPH, CPHIMS Healthcare and Life Sciences ArchitectureIBM Watson [email protected]
HIMSS Community Organizers:
Shelley Price, MS, FHIMSS
Director, Payer and Life
Sciences
@SPriceHIMSS
Ian E. Hoffberg
Manager, Applied
Innovation
@hoffbergian
Joanne Bartley, CAE
Manager, Health
Business Solutions
Thank You, See You inLas Vegas!
Image by http://www.lvcva.com/