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Outcomes improvement: what you get when you mix good data with physician engagement

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The prescription for improving healthcare outcomes is pretty straightforward: improve quality by working with good data that’s based on patient perceptions of quality, as well as functional health outcomes. Then make that data accessible and actionable among your physicians and give them the leeway they need to reduce variation and, ultimately, improve outcomes. As simple as this may seem, it’s been complicated by an inefficient data infrastructure with non-standardized components (EHRs) and the inability to distribute analyses and visualizations where they are needed most (at the point of care). Dale Sanders explains these issues in detail and outlines solutions in this article published in the April 2015 edition of BMJ Outcomes.

Publié dans : Santé
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Outcomes improvement: what you get when you mix good data with physician engagement

  1. 1. Outcomes improvement: What you get when you mix good data with physician engagement
  2. 2. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Improving Outcomes It’s difficult work to improve the science, knowledge, and technology of healthcare, but steady progress has been made over the past several decades. Unfortunately, efforts to improve the value of healthcare for patients and generate outcomes improvements have lagged because this, too, is difficult work.
  3. 3. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Improving Outcomes Dale Sanders, Health Catalyst Senior VP of Strategy believes these challenges can be met. In his April 2015, BMJ Outcomes article, “The hard work of improving healthcare outcomes,” Dale shared a simple equation* used by consumers to judge the value of care they receive: From Michael Porter’s 2010 New England Journal of Medicine article entitled “What Is Value in Healthcare?”*
  4. 4. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Improving Outcomes Measuring the cost of healthcare is straightforward, but how do you measure the quality of healthcare? Value of healthcare = Quality of healthcare Cost of healthcare
  5. 5. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Improving Outcomes If we define quality as the patient’s perception of quality combined with the functional health outcome of that patient, then we must measure and collect data on the functional outcomes of care. This is where healthcare is coming up short. Functional outcomes extend well beyond a follow-up visit or two. They can extend months or years beyond an initial visit, procedure, or surgery.
  6. 6. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Improving Outcomes Functional outcomes must be defined, quantified, and measured over time and across the care continuum. These measurements are needed in order to generate credible, actionable data to be used in an outcomes and value improvement assessment.
  7. 7. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. How to Drive Outcomes Improvement Sanders argues further that EHRs need to be designed more like project management software with patient centric tasks generating patient improvements. Despite federal government incentives of $48 billion to implement meaningful EHRs, they aren’t ideal for patient specific outcomes monitoring and data visualization.
  8. 8. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. How to Drive Outcomes Improvement Two keys for overcoming this barrier to outcomes improve- ment are: 1. The data warehouse for extracting, organizing, and analyzing data 2. Distributing the resulting analyses in real time, so physicians and frontline caregivers can dispense customized care for each patient
  9. 9. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Physician Engagement Is Critical to Improvement A third key to improving outcomes is to successfully engage physicians in redesigning care. Physicians want to improve the health of every patient, yet they are often expected to do this without vital tools and information: • Appropriate insight into the functional outcomes their patients are achieving • An evidence-based, data-driven plan for optimizing outcomes • A data-rich environment that includes statistical predictions of outcomes based on treatment options
  10. 10. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Physician Engagement Is Critical to Improvement Give physicians appropriate data tools to be better informed about their patients, give them the autonomy they need to feel empowered, and they will determine how best to reduce variability and improve outcomes. Click here to read the full article on the BMJ Outcomes website, “The hard work of improving healthcare outcomes.”
  11. 11. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Overcoming Clinical Data Problems in Quality Improvement Projects Kathleen Merkley, Engagement Executive Ann Tinker, VP Customer Engagements 7 Tips for Increasing Physician Engagement Dr. Kevin Croston, Chief Medical Officer – North Memorial Healthcare Introducing the Accelerated Practices (AP) Program: An Innovative Way to Help Health Systems Accelerate and Sustain Outcomes Improvement Dr. Bryan Oshiro, Chief Medical Director – Dr. John Haughom, Senior Advisor Sherry Martin, VP Process Improvement The Clinical Integration Hierarchy: A Primer on the Backbone of Data-driven Quality and Cost Improvement Dr. Ed Corbett, Medical Officer How to Sustain Healthcare Quality Improvement in 3 Critical Steps Cherbon VanEtten, Director of Education Link to original article for a more in-depth discussion. Outcomes improvement: what you get when you mix good data with physician engagement
  12. 12. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. For more information:
  13. 13. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Paul Horstmeier brings 25 years of Fortune 500 and small business operations and general management experience to Health Catalyst. He co-founded HB Ventures and filled senior executive roles at HB Ventures portfolio companies. Within Hewlett-Packard, Mr. Horstmeier launched and grew three different businesses, including co-founding HP's commercial e-commerce business which later expanded to include the management of the data systems and infrastructure for marketing operations across the company. As Vice President of HP.com, he headed up a 700-person organization which was awarded nearly every industry award for quality and innovation during his tenure.

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