UnityPoint Health

Success Stories

Health Catalyst

Boosting Readiness and Change Competencies Key to Successfully Reducing Clinical Variation

Reducing unnecessary clinical variation is necessary in today’s healthcare market for both clinical and financial reasons. Two major drivers for this are the shift from fee-for-service to value-based reimbursement and the need for improving clinical outcomes such as reducing complications and readmissions.
Leaders for UnityPoint Health, a healthcare system serving Iowa, western Illinois, and southern Wisconsin, recognized the importance of reducing clinical variation, and the need to have strong physician champions and robust analytics to effectively support improvement efforts. However, it also realized that without understanding organizational strengths and weaknesses related to adopting change and improving outcomes, it would struggle to successfully implement initiatives that delivered the desired benefits and sustained improvements over time. By consistently integrating information from a readiness assessment, an opportunity analysis, and expert resources, UnityPoint Health was able to establish a prioritization and implementation approach to outcomes improvement that has produced the following results:

Variable costs were reduced by more than $1.75 million based on the deployment of interventions in sepsis alerts, order sets, and other clinical decision support tools.
Reductions in length of stay have allowed patients to return home earlier and spend more than 1,000 additional nights in their homes.
Millions of clicks have been reduced for clinicians based on deployment of new sepsis screening tools.
36 percent increase in sepsis screenings completed in the emergency department (ED).
Sepsis order set utilization in the ED has increased by more than 185 percent.

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Health Catalyst

Readiness Assessment Key to Sustainable Outcomes Improvement

Experiencing pockets of success is not enough to prosper during the transformation to value-based care. Leaders at UnityPoint Health, a healthcare system serving Iowa, western Illinois, and southern Wisconsin, determined that outcomes improvements needed to be sustained and spread easily across the organization to best utilize resources and serve its patients.
UnityPoint Health required an objective way to understand the strengths and weaknesses of the organization relative to outcomes improvement and its readiness for change. To this end, it chose the Health Catalyst® Outcomes Improvement Readiness Assessment (OIRA) Tool and professional services to administer it and identify the competency levels in the organization in the five areas known to influence an organization’s readiness for change. This resulted in:

Competency for improving outcomes measured at the organization, department and role level.
Recommendations made for increasing competency levels across the organization.
Clear direction and focus obtained from opportunity analysis.

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