Benchmarking and Data Analytics

From Obstacle to Opportunity
Tracking, Measuring & Improving
Outcomes During Your CareRecord
Transition
Melanie Wilson, PhD
Director, Benchmarking & Analytics
Paul M. Duck
Vice President, Business Development
Realities of the Massive Shifts
1. The changes within healthcare reform are
profound, permanent and necessary for
systemic change!
2. These changes are not going away!
3. If you think you can do what you’ve always
done, think about this…
Benchmarking
Data Analytics
CARERECORDTM: A platform providing a
framework for EMR, billing, scheduling,
and clinical workflows
CAREMANAGERTM: Coordinating
care to ensure healthcare access,
coordination, affordability and
outcomes
CAREPATHWAYSTM: The use
of data to drive optimal
outcomes and operational
efficiencies
PLEXUSTM: On demand services,
technology and delivery providing
predictable results as needed,
when needed
CARECONNECTTM: Beyond
interoperability, focused on
integration, a messaging bus
ensuring an open and free flowing
network
CAREPOINTETM: TMPerson-centric solutions to
CAREPOINTE : Person-centric solutions to
enable and empower the consumer,
enable and empower the consumer, providing a
providing a seamless integrated connection
seamless integrated connection in the pursuit of
in the pursuit of recovery, health and
recovery, health and wellness
wellness.
TM:: Providing
CAREPOV
VIEWTM
Providing specific
specific
needs to extend capabilities,
connect disparate communities and
optimize user experiences
®
CareRecordTM
TM
®
TM
CarePointe
Behavioral Sciences
• myEvolv
• myAvatar
• TIER
•
•
•
•
Public Health
• Insight
•
•
•
•
•
•
•
myHealthPointe
myHealthPointe.kiosk
myLifeMatters
SurveyandAssessment
Private Practice
• Helper
CarePOV
CareViewTM
CareConnectTM
PrimaryCare
RxConnect
MobileConnect
myLearningPointe
NetsmartU
GL/AP/HR/Payroll
POV (mobility)
Methadone
•
•
•
•
•
®
OrderConnect
LabConnect
HIEConnect
ReferralConnect
ConsumerConnect
®
CareManager
®
TM
• CareManager
Community
Improve
Outcomes
EHR &
Meaningful
Use
Primary
Care
Integration
Information
Exchange
Clinical
Decision
Support
Population &
Community
Health
Management
Medication
Management
Benchmarking
Data Analytics
Reduce Cost
Business
Efficiencies
Business
Efficiencies
Hosting &
SaaS
Revenue
Cycle
Management
Managed
Services
Technology
Partners
Delivering Accountable Care
Care
Care Coordination
Coordina on
Clinical Innova
on
Clinical
Innovation
TM
•
Solution Delivery
• Foundation
• Advanced
• Consulting Services
•
•
•
Cloud and SaaS
Hosted Services and Solutions
On Premise Technology
•
•
Revenue
Cycle
© 2013
NetsmartManagement
Technologies
Assessment and Readiness
Services
•
•
•
•
•
•
•
•
ClaimsConnect
Community
MSO
ClaimsConnect
HealthHome
MSO
ACO
HealthHome
IDD
ACO
VRS
IDD
ProviderConnect
VRS
ProviderConnect
®
CarePathwaysTM
•
•
•
•
Benchmarking
Enlighten
Assessments
Clinical Tools
DATA
Endless Cycle
How can I find everyone with a
diagnosis of schizophrenia?
USE ndw3nfdb;
SELECT DISTINCT
c.SourceClient_ID
FROM
dbo.Client c
INNER JOIN dbo.ClientDiagnosis cd
ON c.Client_ID = cd.Client_ID
INNER JOIN dbo.DiagnosisType dt
ON cd.DIAG_Type_ID = dt.DIAG_Type_ID
AND UPPER(dt.DIAG_DESC) LIKE '%SCHIZOPHRENIA%'
ORDER BY 1;
How can I find everyone with a
diagnosis of schizophrenia?
USE ndw3nfdb;
SELECT DISTINCT
c.SourceClient_ID
, mt.MED_Type
FROM
dbo.Client c
INNER JOIN dbo.ClientDiagnosis cd
ON c.Client_ID = cd.Client_ID
AND (cd.EndDate IS NULL
OR cd.EndDate <= GETDATE())
INNER JOIN dbo.DiagnosisType dt
ON cd.DIAG_Type_ID = dt.DIAG_Type_ID
AND UPPER(dt.DIAG_DESC) LIKE '%SCHIZOPHRENIA%'
INNER JOIN dbo.Service s
ON s.Client_ID = c.Client_ID
AND s.ServiceDate >= DATEADD(d, -30, GETDATE())
INNER JOIN dbo.ServiceStatus ss
ON ss.ServiceStatus_ID = s.ServiceStatus_ID
AND ss.ServiceStatus = 'KEPT'
LEFT OUTER JOIN dbo.ClientMedication cm
ON c.Client_ID = cm.Client_ID
AND (cm.EndDate IS NULL
OR cm.EndDate < GETDATE())
LEFT OUTER JOIN dbo.MedicationType mt
ON mt.MED_Type_ID = cm.MED_Type_ID
ORDER BY 1, 2;
How can I find everyone with a
diagnosis of schizophrenia?
USE ndw3nfdb;
SELECT DISTINCT
c.SourceClient_ID
, mt.MED_Type
, (SELECT TOP 1 l.LOC_Name
FROM dbo.Service s
INNER JOIN dbo.ServiceStatus ss
ON s.ServiceStatus_ID = ss.ServiceStatus_ID
AND ss.ServiceStatus = 'KEPT'
INNER JOIN dbo.Location l
ON l.LOC_ID = s.LOC_ID
WHERE s.Client_ID = c.Client_ID
ORDER BY s.ServiceDate DESC) AS LOC_Name
FROM
dbo.Client c
INNER JOIN dbo.ClientDiagnosis cd
ON c.Client_ID = cd.Client_ID
AND (cd.EndDate IS NULL
OR cd.EndDate <= GETDATE())
INNER JOIN dbo.DiagnosisType dt
ON cd.DIAG_Type_ID = dt.DIAG_Type_ID
AND UPPER(dt.DIAG_DESC) LIKE '%SCHIZOPHRENIA%'
INNER JOIN dbo.Service s
ON s.Client_ID = c.Client_ID
AND s.ServiceDate >= DATEADD(d, -30, GETDATE())
INNER JOIN dbo.ServiceStatus ss
ON ss.ServiceStatus_ID = s.ServiceStatus_ID
AND ss.ServiceStatus = 'KEPT'
LEFT OUTER JOIN dbo.ClientMedication cm
ON c.Client_ID = cm.Client_ID
AND (cm.EndDate IS NULL
OR cm.EndDate < GETDATE())
LEFT OUTER JOIN dbo.MedicationType mt
ON mt.MED_Type_ID = cm.MED_Type_ID
ORDER BY 1, 2;
1. What is benchmarking and data analytics
2. Answer the key question – why is
benchmarking and analytics important
3. Discuss the opportunity for transformational
change within your organization
4. Provide a brief contextual demonstration of
benchmarking and data analytics
5. Challenge you to think differently
WHAT IS BENCHMARKING
& DATA ANALYTICS?
Benchmarking and Data Analytics
• Both benchmarking and data analytics will
be important in this era of Accountable
Care
• What is the difference between
benchmarking and data analytics?
– Benchmarking
– Descriptive Data Analytics
– Predictive Data Analytics
Benchmarking
• Involves comparisons
among organizations
and/or individuals
• The focus is on the
differences
BETWEEN
organizations and/or
individuals
Benchmarking
Descriptive Data Analytics
• Drilling down into one’s
own organizational data
• Better understand
performance
• Discover subtle trends
• Conduct “what-if”
scenarios
• The focus is typically
WITHIN an organization
Predictive Data Analytics
• “Big Data”
• Complex algorithms that drive
real world evidence to the user
at the point of action
• Can be clinical, operational or
financial predictive information
Data  Information  Knowledge  Wisdom
How Benchmarking and Analytics
Work Together
Benchmarking
How do we
compare
regionally &
nationally?
ID AREAS OF FOCUS
AND/OR
IMPROVEMENT
Data Analytics
What is the cause of
performance
clinically,
operationally &
financially?
DRILL DOWN INTO
AREAS OF FOCUS
AND/OR
IMPROVEMENT
ORGANIZATIONALLY
Why Benchmarking & Data
Analytics are critical to your
organization’s success…
Where do we go from here?
• Envision where you need to go (make a plan)
Harness the Power of Data to
Drive Performance
• User-defined KPI Dashboards
–
–
–
–
–
Organization-wide access
Views/KPIs specific to the user
Real-time assessment of progress
Raise awareness of the need for corrections
Empower staff to take action
CareGuidance Alerts
Creating Knowledge Flow
Netsmart Clinical Model
Internal Data Source
(PBE)
External Data Source
(EBT)
Golden
Pre-Intake
Intake
Thread
Service
Plan
ProgNotes
Outcomes
Mobile/Telemedicine
Consumer Input
Portals/PHRs
Social Networking
Create & Edit Problem List
Link Problem Set & Treatment Plan
Integrate EBT Content into Treatment Plan
State of the Art…
Every treatment we know of only answers
the question:
What works best for most?
We want to answer the question
What works best for this client?
Dashboard
•Alerts
•Missed Medication Refills
•Missed Appointments
•Arrests
Important points to ensure
success
• Cross-organizational buy-in is key!
– Shared ID of key metrics
– Staff understand and desire change/improvement
– Staff understand unique ability to contribute to
progress
• Ensure the quality of the metrics
– Value-based for all staff
– Valid & reliable measures
– Data integrity checks & trainings
Important points to ensure success
• Benchmark & Analyze
–
–
–
–
Know how you compare
Drill down
Apply best practices
Meaningful reports
• Educate & Integrate
–
–
–
–
Engage end users
Create a data-driven culture
Feedback in real-time
Integrate data with workflow (e.g., problem list,
treatment plan, clinical decision support)
Important points to ensure success
• Don’t Merely Survive, Thrive & Make a Difference
– Illustrate your organization’s value to your community
– Improve Clients’ quality of life
– Create wisdom: Use your data to define practice-based
evidence
– Inform payors
– Educate policy makers
BIG
The
Question
Is your organization
ready for the rate of
change in healthcare?
Does your organization
have access to the
RIGHT INFORMATION?
Are you in the jet?
…or on the runway?
www.facebook.com/netsmart
www.twitter.com/netsmarttech
www.twitter.com/causeconnected
www.youtube.com/user/netsmarttech
Paul M. Duck
[email protected]
www.twitter.com/paulduck
(813) 305-3200
Melanie Wilson, PhD
[email protected]
(913) 696-2140
www.ntst.com or www.EveryDayMatters.com

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