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Using Analytics to Improve Clinical Coding

Responsible for coding approximately 380,000 episodes annually, clinical coders at Guy’s and St Thomas’ NHS Foundation Trust review documentation across several systems. The overwhelming amount of data, burdensome manual review processes, and limited coding resources made reviewing all data unfeasible. To address its coding challenges, Guy’s and St Thomas’ leveraged its data platform to combine and standardise data across disparate source systems. The organization now has access to data and technology that can be used to augment coders’ work, automating data gathering to better identify patients whose diagnostic coding could be improved.

Featured Outcomes

  • 800 patients with missing obesity diagnosis code identified in just one month, representing a value of £1.5M ($1.9M) annually.
  • 250 patients with AKI and/or CKD identified in just one month, representing a value of £100K ($130K) annually.
  • 50 patients with vitamin D deficiency identified in just one week, representing a value of £100K ($130K) annually.

Improving Population Health: Rapid Identification of Patients at Highest Risk of COVID-19

agilon health immediately understood the sizeable risk COVID-19 presented its members. The organization leveraged data and analytics to quickly develop a COVID-19 mortality risk model. agilon health distributed the risk data to its market partners for outreach, improving the ability of its partners to intervene to improve individual and population health.

Featured Outcomes

  • Deployed a COVID-19 risk model in just a few days, assigning risk scores to 125,000 members.
  • Within weeks, teams in each market connected with more than 50 percent of the patients at highest risk for COVID-19.
  • At one partner location, telehealth now comprises nearly 70 percent of visits. The partner went from zero telehealth visits in the first 11 weeks of 2020, to more than 2,200 telehealth visits in weeks 12 and 13.

Data and Analytics Helps Deliver Safe Care During the Pandemic

Renown Health was prepared to safely provide care to patients with COVID-19. As the pandemic emerged, the organization used data in its EMR to monitor COVID-19 activity, but quickly identified that it needed more robust disease surveillance and reporting. By leveraging the Health Catalyst® Data Operating System (DOS™) platform and Rapid Response Analytics Solution, Renown Health expanded its COVID-19 data beyond the data in the EMR. It now has the integrated data and analytics required to plan and manage a comprehensive COVID-19 response effectively.

Featured Outcomes

  • Within three weeks, developed multiple analytics solutions to meet varied organizational needs.
  • Integrated data and analytics, and COVID-19 specific metrics for more than 200 patients with COVID-19.
  • Hundreds of hours of manual data collection avoided.

Integrated Data and Analytics Critical for COVID-19 Response and Recovery Planning

Allina Health needed integrated data and analytics to manage its organizational response and recovery to COVID-19. The organization had a substantial amount of actionable information in its EMR, but some data like supply and equipment were not available. Allina Health leveraged the Health Catalyst® Data Operating System (DOS™) platform and Instant Data Entry Application to capture and visualize the data required to respond to COVID-19 effectively.

Featured Outcomes

  • Visualization of all critical data elements required for effective incident command—in the EMR and the incident command dashboards.
  • Data consistency across all visualizations.
  • Several hundred hours of burdensome manual data collection and review eliminated.

Prioritizing Outreach for Care Coordination Amid the COVID-19 Pandemic

OneCare Vermont sought to identify which of its patients were at the highest risk of serious illness or mortality from COVID-19 and which of its patients with chronic healthcare problems needed care for medical issues other than COVID-19. Leveraging its data platform, OneCare Vermont enabled rapid identification of at-risk patients. Providers and care teams use the risk-stratification care coordination tool to proactively conduct patient outreach, including telephone calls and telemedicine virtual visits, ensuring patients receive needed social support and medical care during the pandemic.

Featured Outcomes

  • Just three weeks after the governor of Vermont declared a state of emergency, released a COVID-19 care coordination tool, applying the risk criteria to approximately 190K patients.
  • More than 500 cumulative sessions logged in the application across OneCare Vermont’s network.
  • Indicators of social complexity were included in the tool.
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