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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.

LOS Improvement Efforts Saves $24M Annually

At MultiCare Health System (MultiCare), inconsistent application of improvement methods, differing competencies, misaligned projects, and inefficient performance data collection were impeding the organization’s ability to improve, leaving quality and operational metrics below expectations. Using a data platform and a robust suite of analytics applications, MultiCare has integrated analytics support into its improvement teams, reducing hospital length of stay (LOS), and achieving significant cost savings.

Featured Outcomes

  • $24M in savings with a 0.6-day reduction in LOS across the health system.

Analytics Driven Improvement Efforts Reduces Surgical Supply Costs by $3.2M

Banner Health identified considerable variation in surgical supply use across its facilities. The health system desired a collaborative, data-driven strategy that would allow it to maintain high-quality outcomes while simultaneously decreasing costs across all procedures systemwide. To standardize supply use, Banner Health implemented an analytics application to help identify high-volume, high-cost surgical procedures that varied across the system. It then built standardized surgical preference cards for the high-volume procedures.

Featured Outcomes

  • $3.2M reduction in surgical supply costs for laparoscopic appendectomy, laparoscopic cholecystectomy, robotic assisted hysterectomy, and total hip and knee replacements, in just 15 months.

Population Health Strategies Improve Diabetes Management

Thibodaux Regional Health System recognized its patients with Type 2 diabetes had hemoglobin A1C (HbA1c) levels that exceeded the evidence-based guidelines for blood glucose control and sought to improve the health of this patient population. Using a data platform and a consistent improvement methodology, Thibodaux Regional learned more about the challenges to diabetes self-management in its population. The organization was then able to improve its outreach and support for patients with diabetes.

Featured Outcomes

  • 19.1 percent relative reduction of HbA1c for patients with diabetes in the first year of the organization’s improvement efforts.
  • 14.5 percent relative reduction of HbA1c for patients with diabetes in the second year of its improvement efforts.

Engaging Providers to Transform Blood Transfusion Practices

Thibodaux Regional Health System sought to transform its blood transfusion practices. Aware that blood transfusions were often over-used, Thibodaux Regional’s leadership prioritized engaging providers to decrease unnecessary transfusions, reduce potential risks to patients, and improve costs of care. The organization leveraged data and analytics to better understand opportunities for improvement.

Featured Outcomes

  • $104K reduction in costs, the result of a 28.6 percent relative reduction in red blood cell transfusion.
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