New Jersey-based Osler Well being is a clinically built-in community of physicians who work collaboratively to ship high quality look after 86,000 lives in value-based contracts. The community reworked into an accountable care group from an impartial doctor affiliation in 2017. It has a panel of 350,000 sufferers with greater than 200 suppliers and greater than 40 completely different follow places.
Osler Well being was dealing with a set of adverse challenges. One was knowledge integration – for a seamless knowledge alternate, the ACO was trying to join 14 disparate digital well being file techniques with 17 completely different variations and 27 disconnected follow websites. One other was establishing interoperability amongst platforms – to allow real-time well being knowledge alternate, knowledge wanted to be ingested for a panel of 350,000 lives.
A 3rd problem was remodeling uncooked knowledge into actionable insights – to know utilization and improve reporting on high quality measures, plentiful uncooked knowledge needed to be processed for producing actionable worth.
To beat these challenges, Osler Well being deployed an integration platform referred to as InData from vendor Innovaccer.
There are a selection of integration platforms in the marketplace at this time. Distributors embrace Constructed.io, Celigo, Flowgear, Scribe Software program and Workato.
MEETING THE CHALLENGE
“As one of many first accountable care organizations to make use of subtle analytics, our problem was harvesting scientific knowledge from EHR techniques from the start,” mentioned James Doulgeris, CEO of Osler Well being. “A personal/tutorial partnership pioneered pulling scientific knowledge from disparate EHRs and different related sources was not ample, so, we evaluated eleven of the highest business suppliers of the time. None supplied any significant enchancment till Innovaccer approached us.”
Doulgeris, who will probably be talking October 22 on the HIMSS Large Information and Healthcare Analytics Discussion board in Boston, mentioned he was impressed by Innnovaccer’s background in knowledge seize and normalizing and populating analytics techniques. He defined that Osler Well being took a calculated threat on the time and has by no means regarded again.
“At present we’ve got deployed Innovaccer’s healthcare knowledge platform, InData, throughout 27 of our follow websites,” he mentioned. “The transitional course of took about three months. With affected person knowledge distributed throughout the community, the quantity of knowledge out there to us delivers correct and dependable analytics, a foundational think about making us one of many prime performers in business and Medicare accountable care.”
InData was in a position to join with 14 completely different manufacturers of EHRs and their completely different variations utilizing its pre-built connectors and configurations. Utilizing interfaces to extract knowledge, InData arrange extract/rework/load pipelines to allow knowledge transformation and mapping in a safe and compliant method.
“The visible pipelines gave us, as customers, appreciable flexibility, and management over the information transformation course of,” he defined. “The whole affected person knowledge was mapped to a regular schema to take care of uniformity throughout completely different codecs and was run via InData’s enterprise grasp affected person index module to verify there have been no duplicate information or invalid values.”
As soon as the affected person knowledge was cleansed and standardized, the expertise helped Osler Well being retailer it in a longitudinal type the place workers might see all the main points related to a affected person – their main care doctor, their go to historical past, diagnoses, episodes, and extra – in a single place.
“This enables us to equip, allow and empower our doctor companions to sustainably carry out at superior ranges to their friends, setting us on a trajectory to full threat in 2020.”
James Doulgeris, Osler Well being
The aforementioned second problem was establishing interoperability amongst platforms.
“The info we wanted was distributed throughout a number of avenues and greater than that, a lot of the knowledge we acquired was not acquired in time,” Doulgeris mentioned. “We wanted to boost how info was being accessed and leveraged in actual time.”
Utilizing the combination platform, Osler Well being was in a position to set up knowledge alternate mechanisms which can be sturdy, safe and incorporate updates in close to actual time, he mentioned.
“Because the platform is supply and format agnostic, InData was in a position to normalize these disparate knowledge sources and put it collectively in a standardized format,” he defined. “Most vital, we might export and share crucial knowledge and insights everywhere in the community by way of a safe knowledge alternate. InData helps vital trade requirements and protocols which simplify how knowledge is exchanged.”
As for Osler’s third problem, remodeling uncooked knowledge into actionable insights, Doulgeris famous that “unhealthy, incomplete or spotty knowledge generates deceptive evaluation. The important thing step for any group entering into data-driven care is having built-in and standardized knowledge. With InData, we had been in a position to obtain that near-perfect high quality of built-in knowledge to energy analytics on our Optum platform.”
It’s mission-critical for Osler Well being to have error-free knowledge, he defined. The combination platform conducts greater than 65 knowledge high quality checks to make sure its integrity earlier than and after transformation and checks for invalid values, null values and weeds out duplicate information. The expertise does the heavy lifting to course of knowledge, put it collectively in longitudinal information and make it analytics-ready, he added.
Osler Well being has achieved enhanced high quality reporting on all business payer and MSSP contracts at Degree three, leading to enhanced and across-the-board shared financial savings for the supplier group, Doulgeris reported.
“InData is crucial to establish gaps, each in care and knowledge, for 5 completely different value-based agreements and associated packages, every with a unique set of high quality measures over 86,000 attributed sufferers,” he defined. “What was once a mad, fourth-quarter, all-hands-on-deck rush to validate that tracked sufferers acquired required diagnostics or visits has develop into an uneventful reporting requirement as a result of we will handle the method all year long with the platform.”
And Osler Well being has the best high quality reporting knowledge for shared financial savings program within the state of New Jersey, Doulgeris added.
“We obtain de-identified high quality rankings from our payer companions every year, which is vital for a number of causes,” he mentioned. “Major amongst them is that it is necessary for us to be an asset to our sufferers and to our payer companions. Property are supported. Second, there’s a direct hyperlink between high quality and price of care, notably in bettering well being standing amongst our inhabitants – actual inhabitants well being – which is crucial to sustained success in value-based care.”
At present, Osler Well being’s mannequin is totally data-powered.
“This enables us to equip, allow and empower our doctor companions to sustainably carry out at superior ranges to their friends, setting us on a trajectory to full threat in 2020,” mentioned Doulgeris.
ADVICE FOR OTHERS
“Those that acknowledge analytics as a software have taken the primary key step to utilizing it to succeed in their targets,” Doulgeris mentioned. “The subsequent step is to discover ways to use it to remodel knowledge into consumable, actionable info that’s appropriate with workflows. Lastly, understanding that the analytics instruments you employ to create actionable info are solely pretty much as good as the information they’re constructed upon is the important thing to success.”
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