Showing contents for:

Outcomes Improvement

Health Catalyst Recommends

Outcomes Improvement - Recently Added

Short on time? We've picked the best content for you to start with.

Improving Patient-Reported Outcomes

Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) have been used in healthcare since the 1970s. But the industry hasn’t had meaningful, consistent PROs and PROMs definitions until ICHOM developed one. ICHOM, a pioneer in outcomes measurement and improvement, demonstrates that healthcare organizations focused on improving patient outcomes that patients actually care about are the ones most likely to transform healthcare.
PROs and PROMs complement clinical indicators in understanding the quality of healthcare a team is delivering. For example, an improvement program for prostate cancer patients that only focuses on improving blood loss or length of stay in the hospital completely misses a patient’s biggest fears: will they need to wear pads for the rest of their life? Will their relationship with their partner be the same as it was?
By focusing on outcomes that matter most to patients, health systems will be more successful at improving outcomes. ICHOM describes five strategies for getting started with PROs and PROMs:
  1. Find the Believers (Identify Clinician Champions)
  2. Organize a Cross-Functional Team (with Appropriate Governance)
  3. Invest Time and Resources
  4. Celebrate Progress Along the Way
  5. Use Early Successes to Scale and Spread

Read More
My Folder

The Top Six Early Detection and Action Must-Haves for Improving Outcomes

Given the industry’s shift toward value-based, outcomes-based healthcare, organizations are working to improve outcomes. One of their top outcomes improvement priorities should be early detection and action, which can significantly improve clinical, financial, and patient experience outcomes. Through early detection and action, systems embrace a proactive approach to healthcare that aims to prevent illness; the earlier a condition is detected, the better the outcome. But, as with most things in healthcare, improving early detection is easier said than done. This executive report provides helpful, actionable guidance about overcoming common barriers (logistical, cultural, and technical) and improving early detection and action by integrating six must-haves:

  • Multidisciplinary teams
  • Analytics
  • Leadership-driven culture change
  • Creative customization
  • Proof-of-concept pilot projects
  • Health Catalyst tools (knowledge briefs, outcomes improvement packets and worksheets, and care process improvement maps).
The report features a Thibodaux Regional Medical Center sepsis success story that demonstrates how creative customization, when paired with evidence-based standardization, can improve early detection and action efforts, as well as clinical, financial, and patient outcomes.

Read More
My Folder

The Top Success Factors for Making the Switch to Outcomes-Based Healthcare

Transitioning to outcomes-based healthcare is an industry wide goal. While some health systems, such as Texas Children’s Hospital, are in the process of making the switch (and doing it successfully), many systems don’t even know where to begin. Despite the challenges of achieving outcomes-based healthcare, it is essential for surviving the transition from fee-for-service (FFS) to value-based care. Systems can overcome the top three challenges associated with making the switch (lack of analytics, lack of access to information, and inappropriate organizational structure) by focusing on the most important success factors:

  1. Analytics
  2. Multidisciplinary Teams
Armed with an enterprise data warehouse (EDW) to make data-driven decisions about the best outcomes improvement goals to pursue, and permanent multidisciplinary teams responsible for continuously improving care, systems can start making the switch to outcomes-based healthcare.

Read More
My Folder

7 Features of Highly Effective Outcomes Improvement Projects

There’s a formula for success when putting together outcomes improvement projects and organizing the teams that make them prosper. Too often, critically strategic projects launch without the proper planning, structure, and people in place to ensure viability and long-term sustainability. They never achieve the critical mass required to realize substantial improvements, or they do, but then the project fades away and the former state returns. The formula for enduring success follows seven simple steps:

  1. Take an Outcomes Versus Accountability Focus
  2. Define Your Goal and Aim Statements Early and Stick to Them
  3. Assign an Owner of the Analytics (Report or Application) Up Front
  4. Get End Users Involved In the Process
  5. Design to Make Doing the Right Thing Easy
  6. Don’t Underestimate the Power of 1:1 Training
  7. Get the Champion Involved

Read More
My Folder

The Top Seven Healthcare Outcome Measures and Three Measurement Essentials

Healthcare outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this article adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples. The top seven categories of outcome measures are:

  1. Mortality
  2. Readmissions
  3. Safety of care
  4. Effectiveness of care
  5. Patient experience
  6. Timeliness of care
  7. Efficient use of medical imaging
CMS used these seven outcome measures to calculate overall hospital quality and arrive at its 2018 hospital star ratings. This article also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement.

Read More
My Folder

6 Steps for Implementing Successful Performance Improvement Initiatives in Healthcare

A systematic approach to performance improvement initiative includes three components:  analytics, best practice, and adoption. Taking six steps will help an organization to effectively cover all three  components of success. Step 1: Integrate performance improvement into your strategic objectives. Step 2: Use analytics to unlock data and identity areas of opportunity. Step 3: Prioritize programs using a combination of analytics and an adoption system. Step 4: Define the performance improvement program’s permanent teams. Step 5: Use a best practice system to define program outcomes and define interventions. Step 6: Estimate the ROI.

Read More
My Folder

Five Deming Principles That Help Healthcare Process Improvement

Dr. John Haughom explains 5 key Deming processes that can be applied to healthcare process improvement. These include 1) quality improvement as the science of process management, 2) if you cannot measure it, you cannot improve it, 3) managed care means managing the processes of care (not managing physicians and nurses), 4) the importance of the right data in the right format at the right time in the right hands, and 5) engaging the “smart cogs” of healthcare.

Read More
My Folder

Why Most Analytic Applications Will Never Be Able to Significantly Improve Healthcare Outcomes

The availability of healthcare IT solutions can be overwhelming and all promise to solve an organization’s most pressing issues. While typical data and analytic applications are excellent at exposing opportunities for improvement that are impacting the bottom line, most are not effective at helping the organization determine what to do to address them and improve outcomes. However, a new approach to creating analytics applications is emerging. Analytics applications that incorporate best practices clinical content along with the best practices visualizations help everyone understand the problem and the solution. These applications also enable clinicians to better understand, adopt, roll out, and execute outcome improvement initiatives with healthcare systems. Health Catalyst has deliberately created a comprehensive, dynamic suite of applications that integrate clinical content and facilitate the orderly implementation of action plans.

Read More
My Folder

A Guide to Successful Outcomes Using Population Health Analytics

There seem to be a lot of definitions for population health management and population health analytics. But all these definitions share one thing: outcomes. The goal is to provide quality care outcomes with good patient experience outcomes at a low cost outcome. So, how can organizations systematically improve their outcomes? The answer lies in three key questions: What should be done to provide optimal care? How well are those best practices being followed? And how do those best practices move into everyday care for patients? Using a systematic approach to answering these three questions will lead organizations toward becoming an outcomes improvement machine.

Read More
My Folder

Quality Improvement in Healthcare: Where Is the Best Place to Start?

One of the biggest challenges providers face in their quality improvement efforts is knowing where to get started. In my experience, one of the best ways to overcome that “where do we begin?” factor is by using data from an enterprise data warehouse to look for high-cost areas where there are large variations in how health care is delivered. Variation found through the KPA is an indicator of opportunity. The more avoidable variation that is reflected in a particular care process, the more opportunity there is to reduce that variation and standardize the process. Suppose after performing a KPA you discover three areas of opportunity. How do you determine which one to pursue, especially if it’s your first journey into process improvement? The most obvious answer would seem to be the one with the largest potential ROI. That may not always be the best course to pursue, however. You will also want to take into consideration the readiness/openness to change in each of those areas.

Read More
My Folder

How to Drive ROI in Your Healthcare Improvement Projects

Hospitals and healthcare systems need a systematic approach and tools to demonstrate ROI from their healthcare improvement projects. Bobbi Brown, VP of Financial Engagement, shares a four-step process for demonstrating ROI: 1) define the project and business need, 2) begin to quantify ROI, 3) recruit, train and plan, and 4) evaluate costs, revenue and direct benefits. Download the Health Catalyst Clinical Improvement Financial and Executive Communications tools for estimating, calculating and communicating your ROI results.

Read More
My Folder

Outcomes Improvement - Additional Content

Spend time reading content for you

The Top Seven Healthcare Outcome Measures and Three Measurement Essentials

Healthcare outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this article adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples. The top seven categories of outcome measures are:

  1. Mortality
  2. Readmissions
  3. Safety of care
  4. Effectiveness of care
  5. Patient experience
  6. Timeliness of care
  7. Efficient use of medical imaging
CMS used these seven outcome measures to calculate overall hospital quality and arrive at its 2018 hospital star ratings. This article also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement.

Read More
My Folder

How UPMC and Health Catalyst Improve Outcomes Using Innovation in Activity-based Costing

UPMC and Health Catalyst created a great business partnership focused on sharing risks and rewards to innovate how activity-based costing (ABC) is done in healthcare. The partners relied on complementary intellectual property, complementary talent, and complementary risks and rewards to drive benefits that extend beyond either organization’s borders. Health Catalyst licensed UPMC’s activity-based costing software, which served as the foundation for the Health Catalyst CORUS suite. Together, the partners will continue to work for innovations in ABC to drive outcomes improvements in healthcare.

Read More
My Folder

Five Deming Principles That Help Healthcare Process Improvement

Dr. John Haughom explains 5 key Deming processes that can be applied to healthcare process improvement. These include 1) quality improvement as the science of process management, 2) if you cannot measure it, you cannot improve it, 3) managed care means managing the processes of care (not managing physicians and nurses), 4) the importance of the right data in the right format at the right time in the right hands, and 5) engaging the “smart cogs” of healthcare.

Read More
My Folder

Why Health Systems Must Use Data Science to Improve Outcomes

In today’s improvement-driven healthcare environment, organizations must ensure that improvement measures help them reach desired outcomes and focus on the opportunities with optimal ROI. With data science-based analysis, health systems leverage machine learning to determine if improvement measures align with specific outcomes and avoid the risk and cost of carrying out interventions that are unlikely to support their goals. There are four essential reasons that insights from data science help health systems implement and sustain improvement:

  1. Measures aligned with desired outcomes drive improvement.
  2. Improvement teams focus on processes they can impact.
  3. Outcome-specific interventions might impact other outcomes.
  4. Identifies opportunities with optimal ROI.

Read More
My Folder

Prioritizing Healthcare Projects to Optimize ROI

Healthcare organizations have long relied on traditional benchmarking to compare their performance to others and determine where they can do better; however, to identify the highest ROI improvement opportunities and understand how to take action, organizations need more comprehensive data. Next-generation opportunity analysis tools, such as Health Catalyst® Touchstone™, use machine learning to identify projects with the greatest need for improvement and the greatest potential ROI. Because Touchstone determines prioritization with data from across the continuum of care, users can drive improvement decisions with information appropriate to their patient population and the domains they’re addressing.

Read More
My Folder

Four Population Health Management Strategies that Help Organizations Improve Outcomes

Population health management (PHM) strategies help organizations achieve sustainable outcomes improvement by guiding transformation across the continuum of care, versus focusing improvement resources on limited populations and acute care. Because population health comprises the complete picture of individual and population health (health behaviors, clinical care social and economic factors, and the physical environment), health systems can use PHM strategies to ensure that improvement initiatives comprehensively impact healthcare delivery. Organizations can leverage four PHM strategies to achieve sustainable improvement:

  1. Data transformation
  2. Analytic transformation
  3. Payment transformation
  4. Care transformation

Read More
My Folder

Measuring the Value of Care Management: Five Tools to Show Impact

To earn legitimacy and resources within a healthcare organization, care management programs need objective, data-driven ways to demonstrate their success. The value of care management isn’t always obvious; while these programs may, in fact, be responsible for improvements in critical metrics, such as reducing readmissions, C-suite leaders need visibility into care management’s impact and processes to understand precisely how they’re improving care and lowering costs at their organizations. Five analytics-driven technologies give healthcare leaders a comprehensive understanding of care management performance:

  1. The Patient Stratification Application
  2. The Patient Intake Tool
  3. The Care Coordination Application
  4. The Care Companion Application
  5. The Care Team Insights Tool

Read More
My Folder

The Top 8 Skills Every Healthcare Process Improvement Leader Must Have

Healthcare process improvement leaders not only have to be a jack-of-all-trades, but they need to be a master, as well. This is one of the most important leadership roles in the healthcare system with responsibilities that can ultimately end up saving lives, improving the patient experience, improving caregiver job satisfaction, and reducing costs. Although there are many others, these eight skills are the most critical for the efficient, and ultimately, successful process improvement leader:

  1. Communication
  2. Trust Building
  3. Coaching
  4. Understanding Process Management
  5. Understanding Care Management Personnel
  6. Constructive Accountability and Constructive Conflict
  7. Resiliency and Persistency
  8. Seeing the Big Picture
Along with the right training, education, and sponsorship, it’s easy to see why this role blends many elements of art and science.

Read More
My Folder

Health Equity: Why it Matters and How to Achieve it

According to the Robert Wood Johnson Foundation, health equity is achieved when everyone can attain their full health potential and no one is disadvantaged from achieving this potential because of social position of any other socially defined circumstance. Without health equity, there are endless social, health, and economic consequences that negatively impact patients, communities, and organizations. The U.S. ranks last on measures of health equity compared to other industrialized countries. Healthcare contributes to this problem in many ways, including ignoring clinician biases toward certain populations and overlooking the importance of social determinants of health. Fortunately, there are effective, tested steps organizations can take to tackle their health inequities and disparities (e.g., incorporating nonmedical vital signs into their health assessment processes and partnering with community organizations to connect underserved populations with the services they need to be healthy). Some health systems, such as Allina Health, have achieved impressive results by making health equity a systemwide strategic priority.

Read More
My Folder

Sepsis Treatment: Target Five Key Areas to Improve Sepsis Outcomes

More people in the U.S. die from sepsis than from prostate cancer, breast cancer, and AIDS…combined. Although health systems continue working to improve outcomes for septic patients, there is tremendous room for improvement. Preparing health systems to most effectively tackle sepsis starts with an awareness of consensus definitions of sepsis and continues with following evidence-based recommendations from credible organizations, such as the Surviving Sepsis Campaign and the Sepsis Alliance. Distilling ever-evolving recommendations and best practices for sepsis is time intensive. This article facilitates healthcare’s distillation effort by highlighting the five key areas health systems can target to improve sepsis outcomes (based on evidence-based guidelines and Health Catalyst’s first-hand experience with healthcare partners):

  1. Early ED recognition
  2. Three-hour sepsis bundle compliance
  3. Six-hour sepsis bundle compliance
  4. In-house recognition of sepsis
  5. Sepsis readmissions: prioritize risk stratification

Read More
My Folder

Combatting the Opioid Epidemic with Next-Generation Risk Assessment Tools

The opioid-related death rate in the U.S. has quadrupled since 1999, making more effective ways to predict opioid misuse a healthcare priority. A new generation of machine learning-enabled risk assessment tools promises to deliver broader and more relevant insight into a patient’s risk. With more comprehensive insight (including comorbidities, other substance abuse, the amount of medication prescribed, and the duration of opioid use), clinicians can make informed decisions when prescribing opioids and reduce the risk that patients will misuse, abuse, or overuse the pain killers. Clinicians will also be able to identify which patients might benefit from alternatives to opioid pain management (non-pharmacologic, multi-modal therapies, or care management programs).

Read More
My Folder

Medical Libraries: An Essential Resource in Outcomes Improvement

In healthcare outcomes improvement work, where best-practice insight and evidence-based knowledge are critical, medical libraries are an essential resource. Medical libraries are more valuable than ever in today’s digital world, in which information is readily available, but accessing accurate, focused evidence requires specialized skill and means. Organizations aiming to improve quality and move successfully toward value-based care need both data from the enterprise data warehouse (EDW) and evidence from the medical library. While data identifies opportunities for improvement, evidence furnished by the medical library shows whether proposed solutions are viable. Together, both knowledge bases drive pragmatic, sustainable improvement.

Read More
My Folder

Patient Registries Turn Knowledge into Outcomes Improvements

In today’s data-rich healthcare environment, patient registries put knowledge in front of the people who will use it to improve outcomes and population health. Non-IT professionals (e.g., clinicians and researchers) often don’t have direct, timely access to operational and clinical data. As a result, organizations miss out on important improvement opportunities and data-driven point-of-care decisions. Knowledge too often remains siloed in the enterprise data warehouse (EDW) or among specialized groups. Patient registries remove these barriers. It allows clinicians and researchers to make informed choices and frees up data analysts to focus on their priority areas.

Read More
My Folder

The Healthcare Outcomes Improvement Engine: The Best Way to Ensure Sustainable, Scalable Change

How do healthcare organizations create a systemwide focus on outcomes improvement? They build a healthcare outcomes improvement engine—a mechanism designed to drive successful and sustainable change. Creating this outcomes improvement engine requires four critical components:

  1. Engaging executives around outcomes improvement.
  2. Prioritizing opportunities most likely to succeed.
  3. Adequately staffing initiatives.
  4. Communicating success early and often.
Once up and running, multidisciplinary engagement and standardized improvement processes fuel the outcomes improvement engine in its mission to produce sustainable, scalable improvement.

Read More
My Folder

Reducing Unwanted Variation in Healthcare Clears the Way for Outcomes Improvement

According to statistician W. Edwards Deming, “Uncontrolled variation is the enemy of quality.” The statement is particularly true of outcomes improvement in healthcare, where variation threatens quality across processes and outcomes. To improve outcomes, health systems must recognize where and how inconsistency impacts their outcomes and reduce unwanted variation. There are three key steps to reducing unwanted variation:

  1. Remove obstacles to success on a communitywide level.
  2. Maintain open lines of communication and share lessons learned.
  3. Decrease the magnitude of variation.

Read More
My Folder

How to Create Change Agents Who Will Sustain those Hard-earned Healthcare Improvements

Establishing a healthcare improvement initiative is just the first step toward transformation. The real work of improvement lies in sustaining it, which is why qualified change agent are essential to meaningful progress. Change agents are trained to lead organizations in:

  • Case for change
  • Data management
  • Change management concepts
  • Cost Benefit Analysis
  • Integration
Health Catalyst’s Accelerated Practices Program gives change agents adaptive leadership training to guide systemwide change within their organizations. They are prepared to meet technical adaptive challenges while keeping teams engaged and productive, and, importantly, to use data analysis to improve quality, cost, and patient satisfaction outcomes.

Read More
My Folder