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http://www.modernhealthcare.com/article/20140828/SPONSORED/308289923/ Webinar: Transforming Care: How to Modify Provider Behavior to Improve Clinical Outcomes About the Webinar Changing the healthcare delivery model is critical: Providers must assume both clinical and financial responsibility for defined populations while simultaneously improving the quality and efficiency of care they provide. Join us to learn how St. Luke's Health System has utilized behavioral analytics and other performance management technologies to engage providers and care teams in clinical transformation initiatives and inspire meaningful change that optimizes patient outcomes. During this webinar, attendees will: - Learn how to align stakeholders in clinical transformation - Discover how to engage providers and inspire individual and systematic change - Identify methods to foster shared accountability and peer collaboration
Citation preview
Transforming Care: How to Modify Provider Behavior
to Improve Clinical Outcomes
September 2014
www.whitecloudanalytics.com/transforming-care
Featured Speakers
Geoffrey SwansonPresident, St. Luke's Health Partners & VP, Clinical IntegrationSt. Luke's Health [email protected]
Keith BrownSenior PartnerWhiteCloud [email protected]
Nobody…
Wakes up the in the morning…
…and says I am going to do a ‘mediocre’ job.
Meaningful
OpportunityGreat Team
Navigating a Chaotic Market
Value-Driven
Full Risk
Volume-Driven
Fee-for-Service Payment System
Quality, Cost, Efficiency
Margins & Volume
Bundled Payments
Shared Savings
Shared Risk Contracts
Today
Tomorrow
Del
iver
y Sy
stem
Increased Risk
Evolve Organizational Model
Increased Risk
You Can’t Improve What You Can’t Measure
• That I am a great care provider?• That I have a fully engaged team?• That my network/system is outperforming the
market?• Etc…
What barometer do you use?
How do you know?
What You Probably Have
• Point of care systems (EHR)
• Operations reports (static)
• Static Quality Reports (analyst produced)
• National Benchmarks (usually dated)
Are these the right tools?
What You Probably Don’t Have….
• A system that drives provider behavioral change– Personalization, Transparency– Socialization, Role-based analytics
• Integrated oversight tools (future webinar)– Summarizes clinical cost and quality goals– Management insight into your overall risk & organizational
strategy
Audience Poll Question
How important is it for your organization’s execution of strategic initiatives to influence provider behavior?
St. Luke’s Health System & St. Luke’s Health Partners
Who we are and where we’re going…
• Largest health system in Idaho• Approaching the market as a Clinically
Integrated Network (SLHP)• Geographic medical catchment area
– 1800 total active Physicians– $4 billion total medical expense– 800,000 people
• Moving from volume to value• Managing populations for a budget
Driving market differentiation.
Clinical Transformation
OrganicExperimentation
Opportunity Review & Plan
Oversight &Accountability
StakeholderAlignment
Success FactorsExec Leadership
Governance
Financial Management
IT/Data
Performance Management System
Two Distinct Organizational Models
?Top-Down Management
E PP
P
P
P
P
Autonomous and Self-Directed
Centrally-led ChangeTraditional performance management.
The way we used to do it: Centrally–led programs Multiple, monthly meetings PowerPoints and email
Top-Down Management
E
Provider-led ChangeEmpowering physicians as change agents.
PP
P
P
P
P
Autonomous and Self-Directed
Providers control 80+% of spend. Highly motivated Geographically dispersed Independent decision makers
Clinical Transformation Requires…
AndTop-Down Management
E PP
P
P
P
P
Autonomous and Self-Directed
Performance Management System
400+ healthcare metrics Includes benchmarked and risk adjusted metrics
Actionable Patient Registries Disease, high risk, etc..
Plug-and-play metrics
Automated Analytics
Role-Based and Actionable Information
Data Sources
IP EMR
Pharm
OP EMR
Claims
CAHPS
TBD
• Align providers• Establish common metrics• Distribute to teams• Set action plans
Clinical Transformation
OpportunityReview & Plan
Oversight &Accountability
StakeholderAlignment
Performance Management Process
OrganicExperimentation
Program AdministratorOrtho Medical Director
Surgeon
Anesthesiologist
Provider Alignment
Service Line/Unit Provider/Team
Scalability of Performance Metrics
System/Network Hospital/Region
Clinic/ Practice
Specialty/Department
Explain How Things Will Be Measured
Set Action Plans
Real Results of Self-Directed Change
• Personalized data experience
• Peer-to-peer collaboration
Clinical Transformation
Oversight &Accountability
StakeholderAlignment
PP
P
PP
P
OpportunityReview & Plan
OrganicExperimentation
Why is Viral Change Critical?
Harness the power of providers. Reduce analysis fatigue Foster unconstrained experimentation Create dialogue and best practice collaboration
PP
P
P
P
P
Autonomous and self-directed
Provider Engagement is Attainable if…
• Personalized• Transparent• Easy to use
PP
P
P
P
P
Autonomous and self-directed
My Practice, My Performance, My Patients
Provider Engagement is Attainable if…
• Personalized• Transparent• Easy to use
PP
P
P
P
P
Autonomous and self-directed
My Performance, My Peers
Provider Engagement is Attainable if…
• Personalized• Transparent• Easy to use
PP
P
P
P
P
Autonomous and self-directed
Readmissions by Service Line
Readmissions – Medicine Readmissions – Timeline
Automated Root Cause AnalysisGuided Navigation
Based on 5+ years of provider research.
Visualization
Compelling and intuitive displays of information surface patterns and spatial relationships.
Application Usage(Trailing 12 Months)
0
5,000
10,000
15,000
20,000
25,000
Pull Usage Trend – Directly by Provider Community
Modifying Behavior to Optimize Outcomes
Opportunities, Accountability & Populations
Oversight &Accountability
StakeholderAlignment
Performance Management System
Geoff [email protected]
Keith [email protected]
OpportunityReview & Plan
OrganicExperimentation
Audience Poll Question
What is the most strategic or important objective of your organization for the next 2 to 3 years?• Develop risk-based reimbursement models• Quality and safety improvement• Optimize efficiency• Coordination of clinical care• Market Differentiation
Questions?
www.whitecloudanalytics.com/transforming-care
Geoffrey [email protected]
Keith [email protected]
