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1 Leveraging Network-Wide Opportunities to Manage Population Health Session 286, February 14, 2019 Richard T. Shirey, SVP and CIO, Hartford HealthCare Isabella Veillette, Application Manager, Hartford HealthCare

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Page 1: Leveraging Network-Wide Opportunities to Manage Population … · 2019-02-07 · Leveraging Network-Wide Opportunities to Manage Population Health Session 286, February 14, 2019 Richard

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Leveraging Network-Wide Opportunities to

Manage Population HealthSession 286, February 14, 2019

Richard T. Shirey, SVP and CIO, Hartford HealthCare

Isabella Veillette, Application Manager, Hartford HealthCare

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▪ Employees of Hartford HealthCare

▪ Hartford HealthCare is a client of Innovaccer

▪ Innovaccer has sole ownership and rights to their healthcare data platform

Conflict of Interest

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▪ About us

▪ Problem statement

▪ Our solution illustrated

▪ Key outcomes

▪ Insights and lessons learned

▪ Critical success factors

▪ Q&A

Agenda

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▪ Describe the importance of integrating physicians in a network spread across various geographies on multiple data systems

▪ Explain the importance of clinical data quality and its business impact

▪ Illustrate a framework for connecting ambulatory sites on different data systems and leveraging that connection to close gaps in care, report on quality performance, and improve overall outcomes

Learning Objectives

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▪ 6 hospitals

− 1,941 beds

− 80,536 inpatient transitions

− 381,630 ED visits

▪ Behavioral health network

▪ Home care network

▪ Rehabilitation network

▪ Senior care network

▪ Integrated Care Partners (ICP) clinically integrated network

▪ 128 clinics

▪ 14 surgical and diagnostic centers

▪ 27 imaging locations

▪ 126 cities and towns in service area

▪ 15,000+ lives touched daily

Hartford HealthCare Background

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▪ 1,800 providers throughout eastern, central, and northwestern Connecticut

− 300 primary care providers

− 1,100 specialty physicians

− 400 advanced practice clinicians▪ 30 community care managers who assist

primary care providers in managing complex and/or chronically ill patients

▪ 2 pharmacists who assist providers with complex medication challenges

▪ 11 primary care behavioral health clinicians embedded in 13 primary care locations

▪ 1,800 providers throughout eastern, central, and northwestern Connecticut

− 300 primary care providers

− 1,100 specialty physicians

− 400 advanced practice clinicians▪ 30 community care managers who assist

primary care providers in managing complex and/or chronically ill patients

▪ 2 pharmacists who assist providers with complex medication challenges

▪ 11 primary care behavioral health clinicians embedded in 13 primary care locations

▪ 6 hospitals

− 1,941 beds

− 80,536 inpatient transitions

− 381,630 ED visits

▪ Behavioral health network

▪ Home care network

▪ Rehabilitation network

▪ Senior care network

▪ Integrated Care Partners (ICP) clinically integrated network

▪ 128 clinics

▪ 14 surgical and diagnostic centers

▪ 27 imaging locations

▪ 126 cities and towns in service area

▪ 15,000+ lives touched daily

Hartford HealthCare Background

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Create Value

Quality Performance

Manage the Total Cost of Care

Growth of Attributed Lives & In-Network

Utilization

Manage Risk

Manage Alternative

Payment Models

Coordinate Care

Integrated Care Management

Clinical Data at Point of Care

Culture & Capabilities

Change Provider Decisions

ICP Strategic Priorities

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▪ Problem: Managing risk contracts and quality with limited clinical

information and no ability to measure or track performance on quality

measures across all ambulatory sites

− Members of our clinically integrated network (CIN) were utilizing 36

unique ambulatory EHRs across 102 practice locations

− Additionally, CIN members on the same EHR were utilizing different

versions with unique configurations for their practice

Barriers to Achieving Strategic Goals:Data from Multiple Sources

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Data Integration: The Need of the Hour

▪ Solution: Integrating clinical and claims data into a single database using

standard data formats for analysis in a centralized performance platform

− C-CDAs for clinical data

− Pre-adjudicated claims (837s) for claims data

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Normalized Database

CIN Members

ONC-certified EHRs

▪ Epic

▪ Athena

▪ NextGen

▪ Allscripts

▪ 30+ Others

Centralized performance

platform

Provider / OrganizationDashboards

Provider / OrganizationDashboards

ExtractExport Transmit

Illustrating the Solution:A Centralized Performance Platform

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Creating an Integrated Data Platform

Comprehensive data

platform with regular data

extraction and ingestion

from ambulatory practices

Obtaining and Constantly Improving

Quality Data

Top quality data to create

actionable insights for

care managers,

providers, and leadership

Pushing All Data into Epic to Create a Single

Source of Truth

Regular push into Epic’s

data warehouse and

utilization of Healthy

Planet tools to power

analytics and dashboards

A Three-Pronged Approach to Effective Population Health

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QAIngestion Delivery

Clinical and Financial Data

837 IntegrationFile Generation Healthy Planet

Quality Metrics

Analytics

Transforming Data into Insights

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Healthy Planet Dashboards

Healthy Planet Dashboards

Claims

Data

FTP

Patient Attribution

Provider Contract

Association

Genesis of an Intelligent Data Ecosystem

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Quality Data is the Foundation

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CPT Code Description Number of Missed/Blank Codes

97110 Physical Medicine & Rehabilitation 1958 times

90658 Influenza Vaccine 1931 times

97010 PT (Hot/Cold Packs) 1550 times

90670 Pneumococcal conjugates vaccine 490 times

ICD-10 Codes Description Number of Missed/Blank Codes

E 78.0 Hyper Cholestrolemia 778 times

E 78.1 Hypertriglyceridemia 358 times

F 41.9 Anxiety Order 278 times

E 78.5 Hyperlipidemia, Unspecified 147 times

LOIN-C Codes Description Number of Missed/Blank Codes

72514-3 Pain Severity Score 777 times

8480-6 Systolic Blood Pressure 754 times

8462-4 Diastolic Blood Pressure 754 times

Effectively Managing Data Gaps to Improve Quality Measure Performance

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Additional Use Case for Data: Tracking Referral Patterns and Trends

Centralized

performance

platform

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▪ 15 ambulatory EHRs across 34 ambulatory practices

integrated since October 2017

▪ Over 1,000,000 C-CDAs delivered since February 2018

▪ Over 90,000 837s delivered since 2017

▪ Data Quality Reports generated in Innovaccer’s InData

platform highlighting invalid codes and data gaps

▪ Achieved interoperability with Epic’s Healthy Planet

▪ Deployed population health dashboards to MSSP practices

through Healthy Planet Link

Key Outcomes

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▪ Differences between what practices reported and what their

data reflected in regards to quality measure performance

Preparing for transition from audits via manual

abstraction to electronic attestation

Creating a culture of defensible data

▪ Physician resistance as a barrier to data integration

Emphasizing the importance of data integration to

physician alliance

Shifting thinking from self-attestation to reporting as

part of a larger group to realize benefits

Insights and Lessons Learned

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▪ Leveraging information from all practices across the network

to identify key opportunities

▪ Integrating all existing systems so that all information is

readily available, ideally in an intuitive format in a single

location

▪ Getting every provider on same page regarding the outcomes

of their patient population

▪ Engaging care teams by providing them with real-time

insights on their patients

Critical Success Factors

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▪ Contact information

− Richard Shirey: [email protected]

− Isabella Veillette: [email protected]

▪ Organization information

− Hartford HealthCare: hartfordhealthcare.org

− Integrated Care Partners: integratedcarepartners.org

▪ Remember to complete the on-line session evaluation!

Questions?