Success Stories

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AI-Enabled Care Management Reduces Healthcare Spending by $32.2M

September 29, 2021
Featured Outcomes
  • $32.2M decrease in healthcare spending.

Analytics Facilitate $1M Grant Award to Improve Access to Behavioral Health Crisis Stabilization

August 19, 2021
Featured Outcomes
  • $1M grant awarded for renovation to create a behavioral health crisis stabilization unit.

Analytics Enables Identification of Opportunities to Improve Value and Accountable Care Organization Performance

July 22, 2021
Featured Outcomes
  • $100K in manual labor costs avoided, the result of eliminating multiple iterations and meetings to obtain the necessary data and analyses.
  • >$10M in cost and utilization opportunity identified.
  • >90 percent improvement in analytics efficiency. Analyses that previously required months to complete are now completed in minutes.

Innovative Care Management Program Avoids Nearly $16M in Costs and Transforms Lives of Super-Utilizers

June 30, 2021
Featured Outcomes
  • $16M in costs avoided, the result of a:
    • 68.5 percent relative reduction in the number of days patients spent hospitalized.
    • 22.8 percent relative reduction in length of stay.
    • 43.8 percent relative reduction in readmission rate.
    • 700 fewer ambulance transports, freeing up ambulances for medical emergencies.
    • 1,425 fewer ED visits, improving ED capacity for patients in need of emergency care.

Predictive Analytics and Care Management Reduces COVID-19 Hospitalization Rates Avoiding Nearly $2M in Costs

June 17, 2021
Featured Outcomes
  • $1.8M in cost savings, achieved by avoiding 61 hospital admissions and seven intensive care unit admissions.

Population Health Analytics Enables Improved Quality Increasing Revenue by Nearly $1M

January 28, 2020
Featured Outcomes
  • Nearly $1M in revenue from the Medicare Shared Savings Program over two years.
  • 11 different quality measures improved in just one year.
  • $320K in savings, the result of eliminating third-party quality reporting software.

40,000 Covered Lives: Improving Performance on ACO MSSP Metrics

August 11, 2016
Featured Outcomes

The visibility and transparency of near real-time, online performance data coupled with focused process improvement has resulted in subsequent improvement in all 33 of the ACO metrics, especially in the percentage of patients receiving the appropriate preventive screenings. Specifically, improvements have included:

  • 9.6 percent increase in compliance over all reported ACO metrics, with 23,000 more patients receiving recommended treatment or screenings.
  • 98.9 percent of eligible patients received screenings for clinical depression and follow up.
  • 40 percent increase in number of patients receiving any cancer screening; 46 percent improvement in the number of patients receiving colorectal cancer screening.
  • 456 percent increase in the number of patients getting fall risk screening.

Developing a Multilevel Approach to Improving Population Health

August 18, 2016
Featured Outcomes

Recognizing the complex web of personal, institutional, and societal factors that influence an individual’s heart health, HONU leaders implemented a multilevel population health strategy. Key aspects of this strategy included:

  • Gathering data to assess cardiovascular health.
  • Harnessing the power of community, social support, media messages, and direct-to-resident communications.
  • Creating an environment where it’s easier to find, identify, and select healthier foods. Making it easier to be physically active by increasing physical activity classes and formal events in the community, and by changing the environment to make walking and biking more accessible, safe, and convenient.
  • Offering additional support to the highest risk individuals in the community through a one-on-one professional health coaching program to promote healthier lifestyle choices and taking preventive medications as appropriate.

Service Lines and Activity-Based Costing Reveal True Cost of Care for UPMC

September 1, 2016
Featured Outcomes

Notable, measurable results of UPMC’s service lines and activity-based costing methodology to date include:

  • $42 million of cost reduction opportunities (approximately 2 percent of targeted service line cost)
  • $5.0 million in realized supplies savings
  • Transparency toward identification of contribution margin variation for specific procedures
  • Up to 97 percent improvement in time to access information

Data-Driven Approach to Improving Cardiovascular Care and Operations Leads to $75M in Improvements

October 18, 2016
Featured Outcomes
  • Supply chain improvements:Vendor negotiations to achieve volume pricing and product consolidation for the total CV supply spend across the health system, which is particularly advantageous for high-cost items
  • Efforts focused on overutilization (laboratory testing and blood) and decreasing LOS have resulted in significant savings:62 percent reduction in troponins ordered over third order after 24 hours.
  • 96 percent reduction in CK-MB orders.
  • 886 fewer units of blood given annually to CV surgery patients.
  • 400-day reduction in LOS for HF patients.
  • 114 ICU days avoided for low-risk STEMI and TAVR patients.
  • Improvements focused on reducing clinical variation and supporting best practices resulted in notable improvements:41 percent increase in use of A-fib protocol.
  • 511 more high-risk PCI patients received closure devices to prevent bleeding risks.
  • 481 additional patients received HF care coordination.
  • Improvements in accurately capturing the acuity of patients enabled more thorough coding and billing

How an IDS Standardized Care for Women While Increasing Market Share

June 16, 2016
Featured Outcomes
  • Reduction in NTSV C-section rate
  • Increase in market share and deliveries
  • Improvements in care delivery
  • Improvements in operational efficiency

A Care Model to Support the Needs of Medically Complex Patients

May 12, 2016
Featured Outcomes
  • 30 percent reduction in hospitalizations
  • 66 percent reduction in hospitalization days
  • 79 percent reduction in 30-day readmissions days
  • Significantly improved access to care through nurse care coordinators
  • Saved $4.5 million over a one-year period