value-based care is heredv.himsschapter.org/sites/himsschapter/files... · © 2017 encore, an emids...
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1© 2017 Encore, An emids Company. No unauthorized copying or distribution permitted.
Value-Based Care Is Here:Are You IT Ready?
Randy L. ThomasOctober 5, 2017
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Randy L. Thomas
• 30+ years experience in healthcare information technology
• Responsible for Encore’s data, analytics, and population health related services
Managing Director, Advisory Solutions
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Agenda
Health system VBC competencies
IT framework to support VBC
Key IT-enablement processes
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The Health System VBC Competencies
Develop Networks
Measure Performance
Improve
HIT
Manage Care
Contract • Recruit • Retain
Stratify • Assess • Coordinate
Quality • Cost • Outcomes • Best Practices
Standards • Workflow • Training • Communication
CEHRT • HIE • Portal • Analytics • QCDRs
Care Management
OP
ERA
TIO
NA
L B
UIL
DIN
G B
LOC
KS
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Supporting Care Coordination
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EHR vendor-agnostic capabilities
IT Framework to Support VBC
HIE
Patient Portal
One portal, multiple health systems and providers
Care Management
Stratifying, assessing, coordinating care
Data, Measurement & Analytics
Aggregating reliable data from multiple stakeholders
Other physicians
Affiliated physicians
Specialty providers
Post-acute
Sources
EHR
EHR
EHR
EHR
Payers
Reference Labs
Remote monitoring
Retail Rx
Retail Clinics
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7© 2017 Encore, An emids Company. No unauthorized copying or distribution permitted.
Other physicians
Affiliated physicians
Specialty providers
Post-acute
EHR
EHR
EHR
EHR
Payers
Reference Labs
Remote monitoring
Retail Rx
Retail Clinics
Data, Measurement, and Analytics
Display
ToolsData
Insights to drive improvement
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Care ManagementIT-enabling Complex Work Flows
Patient
Automated surveillance
Robust data model
Dynamic assessment
Best practice
workflows
Personalcareplans
Interdisciplinary care team
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Engaging PatientsOne Portal
Hospital Specialist
Primary Care
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Assessing Current StatePlanning for the Future
Care Management Analytics
EHR Interoperability
Enab
ling
Fou
nd
atio
nal
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Key Processes
Data Governance
Self-Service
Requests
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Data Governance Model
Executive Council
Workgroups
Multiple Groups:Subject or Application Focus
Multiple Groups:Subject or Application Focus
Tools Dev priorities Data stewards Data custodians
TECHNOLOGY DATA
AU
THO
RIT
Y
AW
AR
ENES
S
Liaison
Strategic Committee
Liaison
Liaison
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Data Governance in PracticeD
ata
Go
vern
ance
Dat
a P
roce
sse
s
Dat
a U
sage
Prioritizes data for at-risk contract metrics
Recommends priorities for
data remediation
Information architecture
Data profiling
Master data management
Appropriate use Analytics
Reporting
Measurement
ETL
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Centralized Request / Triage
Wo
rk a
ssig
ne
d
Finance
EHR
External
Claims
EHR
Other
Stan
dar
d T
oo
ls
Common Repository
Eval
uat
e /
Pri
ori
tize
Nursing
Dept. Directors/Mgrs
Physicians
Executives
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Tiered Self-Service
Reports “pushed” to user
Pre-defined reports
Dashboard access
Casual user
Reports with templates
Analytics with templates
All casual-user functionsMid-level user
Direct access to data using native version of reporting tool
Ad-hoc query development
All casual and mid-level user functions
Super user
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KEEP CALM
BECAUSE IT’S
JUST THE BEGINNING
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Thank You!