Quality

eBooks

Health Catalyst

2021 MIPS Quality Measures List

The MIPS Quality category is worth 40% of your final MIPS score in the 2021 performance year. Selecting the best MIPS quality measures for your group is key to your success in the Quality category. To select the best measures, you need to identify, comprehend, and wrestle with the differences between MIPS quality measures. Download this list of MIPS 2021 quality measures to identify the different measures (rows) and all the differences in those measures (columns). Then, consider how those differences compliment or collide with differences in your medical group.

Health Catalyst

AI-Powered Benchmarking Transforms Data into Insight, Improving Organizational Effectiveness

Healthcare organizations have a vast amount of data available. Data need to be converted into better decisions regarding organizational focus, resource allocation, and setting and driving toward appropriate targets to optimize performance. Beyond significant data integration and transformation, optimal leadership decisions require a broad perspective and cutting-edge analytics.
Previously, INTEGRIS Health had high volumes of data but lacked the insight it wanted to drive performance. By leveraging a robust analytics platform, INTEGRIS Health now has more comprehensive and better-integrated data coupled with the cutting-edge analytics it needs to make critical leadership decisions and drive daily performance.

Health Catalyst Editors

Healthcare Price Transparency: Understanding the Cost-Pricing Relationship (White Paper)

Healthcare consumers are demanding the same level of price transparency for medical care they have in other transactions—particularly as healthcare moves away from a fee-for-service model and patients are responsible for larger portions of their medical bills. Meanwhile, as of January 2021, federal regulation requires health systems to make their service charges publicly available. The healthcare industry, however, hasn’t historically succeeded with consumer-grade price transparency. Organizations must now figure out how to bridge the gap between their costs and patient charges. Doing so requires comprehensive understanding of all the costs behind a service and consumer-friendly explanation of how these expenses translate into prices.

Daniel Orenstein, JD
Stephen Grossbart, PhD

2021 Healthcare Trends: What Leaders Need to Know from COVID-19 to New Administration Policies (White Paper)

While much of the healthcare industry was eager to put 2020 behind it, the new year brings its own challenges, concerns, and promises. Trends in the three main categories of new Biden administration policy, care delivery, and healthcare technology will shape 2021, with key issues including the long-term effects of COVID-19, future emergency preparedness, and the outlook for the Affordable Care Act (ACA). Healthcare leaders can prepare for this pivotal year by understanding critical areas to watch within these categories and how events, activities, and political appointments will affect the healthcare ecosystem.

Jason Jones, PhD

Expanding AI in Healthcare: Introducing the New Healthcare.AI™ by Health Catalyst

The New Healthcare.AI offering from Health Catalyst is a transformational suite of products and expert services that address the wider array of critical business issues. Healthcare.AI dramatically broadens the use and uses cases for effective AI within your organization. Join Jason Jones, Chief Analytics and Data Science Officer, as he shares tools and approaches to serve a growing breadth of stakeholders needing faster turnaround and smaller margins for error.
What You’ll Learn

How to expand the use cases where AI is applied.
How to integrate AI into everyday workflow and decisions.
How to increase your success rate in AI adoption.

Health Catalyst Editors

Healthcare Price Transparency: Understanding the Cost-Pricing Relationship

Healthcare consumers are demanding the same level of price transparency for medical care they have in other transactions—particularly as healthcare moves away from a fee-for-service model and patients are responsible for larger portions of their medical bills. Meanwhile, as of January 2021, federal regulation requires health systems to make their service charges publicly available. The healthcare industry, however, hasn’t historically succeeded with consumer-grade price transparency. Organizations must now figure out how to bridge the gap between their costs and patient charges. Doing so requires comprehensive understanding of all the costs behind a service and consumer-friendly explanation of how these expenses translate into prices.

Kevin Scharnhorst

The Healthcare Cybersecurity Framework: A Top Defense Against Data Breaches and Attacks (White Paper)

Between 2017 and 2020, more than 93 percent of healthcare organizations experienced a data breach. While digital technology and connectivity is increasingly critical in meeting operational and clinical challenges, such as COVID-19, more integration also enables increased exposure to cyberattacks that can impact care delivery, safety, and privacy.
In response to healthcare’s significant and growing cybersecurity threats, vendor organizations and their health system partners need a security framework. A defensible protocol holds vendors accountable to routine audits and compliance measures at a regular cadence, ensuring both parties keep cybersecurity programs active and optimized.

Health Catalyst Editors

Improving Sepsis Care: Three Paths to Better Outcomes

Sepsis affects at least 1.7 million U.S. adults per year, making it a pivotal improvement opportunity for healthcare organizations. The condition, however, has proven problematic for health systems. Common challenges including differentiating between sepsis and a patient’s acute illness and data access. In response, organizations must have comprehensive, timely data and advanced analytics capabilities to understand sepsis within their populations and monitor care programs. These tools can help organizations identify sepsis, intervene early, save lives, and sustain improvements over time.

Health Catalyst Editors

The Right Way to Build Predictive Models for the Most Vulnerable Patient Populations

Predictive artificial intelligence (AI) models can help health systems manage population health initiatives by identifying the organization’s most vulnerable patient populations. With these patients identified, organizations can perform outreach and interventions to maximize the quality of patient care and further enhance the AI model’s effectiveness.
The most successful models leverage a mix of technology, data, and human intervention. However, assembling the appropriate resources can be challenging. Barriers include multiple technology solutions that don’t share information, hundreds of possible, often disparate, data points, and the need to appropriately allocate resources and plan the correct interventions. When it comes to predictive AI for population health, simple models may harness the most predictive power, which allows for more informed risk stratification and identifies opportunities for patient engagement.

Health Catalyst

Transforming Care Saves Millions and Improves Patient Outcomes

Thibodaux Regional Health System wanted to further improve the level of physician engagement required for successful healthcare transformation, prompting the organization to launch a targeted initiative. Guided by insights delivered through its data platform and analytics, the newly formed steering team analyzes past performance and determines which care processes require the focus of the care transformation team. Thibodaux Regional’s care transformation initiative has effectively engaged stakeholders to achieve patient-centered excellence. In only three years, the organization has achieved significant results.

Health Catalyst Editors

Five Steps for Better Patient Access to Healthcare

While patient access challenges have been ongoing in healthcare, COVID-19 further stressed access infrastructure. Stay-at-home orders, temporary halts on in-person primary visits, transportation challenges, and more resulted in deferred or missed care. Meanwhile, pandemic-era workarounds, such as a shift to virtual care, have pushed a more digitized patient experience. As healthcare consumers and providers increasingly relying on touchless and asynchronous processes, health systems are discovering opportunities to improve patient access and the overall experience.
With the following five steps in a patient access improvement framework, organizations can scale and sustain innovations and lessons learned during the pandemic:

Create a patient access task force.
Assess barriers to patient access.
Turn access barriers into opportunities.
Implement an improved patient access plan.
Scale and sustain better patient access.

Health Catalyst

Smartsourcing Clinical Data Abstraction Improves Quality, Reduces Costs, and Optimizes Team Member Engagement

Health Catalyst smartsourced two of its clients’ clinical chart abstraction efforts to significantly reduce costs, improve value, and optimize team member engagement. Banner Health and Community Health Network (CHNw) were collectively spending more than $10 million annually to manually abstract clinical measures for submission to CMS, NSQIP, tumor registries, and more than a dozen cardiovascular registries. The smartsourced relationship, leveraging the Health Catalyst® Data Operating System™ platform and a robust suite of analytics applications and improvement services has reduced costs, enhanced data quality, and improved the team member experience for these organizations.

Health Catalyst

Analytics and Provider Operations Support Generates Nearly $2M in Shared Savings

Acuitas Health was challenged to identify opportunities for shared savings, reducing cost while also improving quality outcomes. Using Acuitas Health’s advanced analytics, providers and payers can now connect, communicate, and share insights that enable the organizations to identify opportunities to decrease costs for all partners, and increase outcomes that yield benefits in several areas, including quality improvement, claims optimization, and risk adjustment.

Health Catalyst Editors

Three Strategies to Deliver Patient-Centered Care in the Next Normal

Juggling financial demands, uncertain healthcare legislation, and COVID-19 can distract healthcare leaders from the most important aspect of care—patients. Delivering patient-centered care in this volatile market can be challenging, especially when traditional healthcare methods (e.g., in-person visits) are on hold. These sudden disruptions to routine care have highlighted the importance of keeping patients at the center of care, whether care delivery is in-person or virtual. Health systems can manage competing priorities, adjust to pandemic-induced changes, and deliver patient-centered care by focusing on three strategies:

Improve the patient experience.
Implement the Meaningful Measures Initiative.
Transition in-person visits to virtual.

Health Catalyst

Using Analytics to Automate Heart Failure Data Aggregation

For each heart failure admission, registered nurses at Guy’s and St Thomas’ NHS Foundation Trust collected data from five different sources, and then filled out a 10-page form for each patient. Information from the forms was then manually entered into the National Institute for Cardiovascular Outcomes Research (NICOR) web portal. This manual process for data collection and reporting was not only time-consuming and resource-intensive—but was also highly susceptible to error. To address these challenges, the organization leveraged the Health Catalyst® Data Operating System (DOS™) to integrate the data from the five source systems and extract data for nearly all of the elements required for heart failure readmissions—streamlining the NICOR submission process and improving data quality and accuracy.

Daniel Orenstein, JD
Stephen Grossbart, PhD

2021 Healthcare Trends: What Leaders Need to Know from COVID-19 to New Administration Policies

While much of the healthcare industry was eager to put 2020 behind it, the new year brings its own challenges, concerns, and promises. Trends in the three main categories of new Biden administration policy, care delivery, and healthcare technology will shape 2021, with key issues including the long-term effects of COVID-19, future emergency preparedness, and the outlook for the Affordable Care Act (ACA). Healthcare leaders can prepare for this pivotal year by understanding critical areas to watch within these categories and how events, activities, and political appointments will affect the healthcare ecosystem.

Health Catalyst

Analytics Enables Value-Based Care Transformation

UC San Diego Health sought to transform its organization, expanding beyond fee-for-service, transitioning to value-based care, and improving the health of its patient population—forming its Medicare Shared Savings Program (MSSP) ACO. It realized it needed a better understanding of its organizational strengths, opportunities for improvement, and needed actionable, timely data that would enable it to improve outcomes, reduce waste, and succeed in value-based care. The organization leveraged an analytics platform to give insight into performance and improvement opportunities, educating and engaging ACO providers.

Health Catalyst

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.

Health Catalyst

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.

Health Catalyst

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.

Kevin Scharnhorst

The Healthcare Cybersecurity Framework: A Top Defense Against Data Breaches and Attacks

Between 2017 and 2020, more than 93 percent of healthcare organizations experienced a data breach. While digital technology and connectivity is increasingly critical in meeting operational and clinical challenges, such as COVID-19, more integration also enables increased exposure to cyberattacks that can impact care delivery, safety, and privacy.
In response to healthcare’s significant and growing cybersecurity threats, vendor organizations and their health system partners need a security framework. A defensible protocol holds vendors accountable to routine audits and compliance measures at a regular cadence, ensuring both parties keep cybersecurity programs active and optimized.