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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.

Integrated Data Platform Improves the Effectiveness of State-wide COVID-19 Surveillance

The Ohio Health Information Partnership (OHIP) was using its technology to share individual COVID-19 test results to providers at the bedside. The State Department of Health approached OHIP with a request to aid the state by providing a more comprehensive data set for COVID-19. Using the Health Catalyst® Data Operating System (DOS™) platform, OHIP has improved the effectiveness of public health reporting and COVID-19 surveillance.

Featured Outcomes

  • In just two weeks, implemented a COVID-19 reporting solution, enabling robust state-wide surveillance for public health purposes.
  • Dramatic reduction in the time required to implement robust public health reporting.
  • Integrated COVID-19 surveillance data and analytics for more than 150 hospitals and two large diagnostic companies.
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