Shared Governance and Analytics Framework Improves Quality Session 154, March 7, 2018 Kate Mundell, MBA, PMP MultiCare Connected Care Amber Theel, BSN, MBA, CPHQ, CPHRM MultiCare Health System 1
Conflict of Interest Kate Mundell, PMP, MBA Amber Theel, BSN, MBA, CPHQ, CPHRM Has no real or apparent conflicts of interest to report. 2
Agenda 1. Why 2. What 3. How Environmental Context Key Elements Use Cases & Results 3
Learning Objectives Summarize how data analytics can drive successful population health initiatives List three ways a healthcare system can improve governance to achieve outcomes improvements Explain how a healthcare system can sustain improvements in the face of competing demands 4
Environmental Context 5
eco system (ee koh sis tuh m) n. any system or network of interconnecting and interacting parts 6
CORPORATE COLLABORATORS CONSUMER POPULATIONS CONSTITUENTS 7 COLLEAGUES
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Value = Q u a l i t y x S e r v i c e C o s t 9
Key Elements 10
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MultiCare Connected Care (MCC), an accountable care organization committed to creating a high-value network of health care providers and services that are connected to and coordinate with one another to transform the way care is delivered to improve 12
POLL QUESTION #1 Why is it important to become a data-driven healthcare organization today? a) A data-driven approach improves quality and patient experiences b) A data-driven approach drives outcomes improvements c) A data-driven approach helps healthcare systems maximize advancements in research and clinical practice d) All of the above 13
Clinical Collaboratives Physician-led QI Program Reduce Clinical Variation & Standardize Care Improve And Sustain Clinical Outcomes Improve Patient Experience Reduce Costs The Collaboratives have created broad engagement with providers and staff in data and performance improvement. This has created the need for a Governance process to help to evaluate and prioritize the ongoing work. 14
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Clinical Integration Connecting the dots Operationalization Hardwiring 16
Shared Governance Model Stewardship Alignment Prioritization 17
Information Driven Insight Enterprise-wide approach Data Center of Excellence Who s your End User How do you ensure continuity? 18
QUESTION #2 How does a healthcare system create a successful governance framework in its organization? a) Engage stakeholders across the organization b) Establish a shared understanding of specific needs, capabilities and readiness c) Create alignment across the organization through a standard improvement methodology, like Lean/6 Sigma d) All of the above 19
Use Cases & Results 20
USE CASE #1 COPD Reduction in readmission rate Patients with COPD assessed for readmission risk 14% 95% 89% 82% PCP notification of patient discharge Increase in COPD order set utilization 21
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1. Filters to select population of interest. 2. NOREADMITS bundle element success rate 3. System performance performance by accountable department. 4. Detailed reports patient level detail. 23
USE CASE #2 PERFECT HYST The Women's Collaborative work of the "Perfect Hysterectomy" was aimed at improving the patient pathway of an elective non-oncology based outpatient hospital procedure. Decrease cancellations Reduce denials Transition to more minimally invasive procedures Reduce length of stay 24
USE CASE #2 The Perfect Hysterectomy Margin for Elective Ambulatory Hysterectomies Improvement in Number of Patient Returns within 6 Weeks 5% 20% 33% 3% Decrease in Cancellation Rate Average LOS for Elective Cases Decreased by 3% 25
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Average Length of Stay in Hours 27
What s Next? 28
The Journey Continues... Get Better at transparency into data at all levels and points of care. Focused attention on appropriate clinical variation. (Sepsis!) Stewardship of resources and optimize prioritization efforts to best align with system and population needs. 29
Questions Kate Mundell, MBA, PMP mkmundell@multicare.org Amber Theel, BSN, MBA, CPHQ, CPHRM amber.theel@multicare.org Appreciate your feedback when completing the online session evaluation 30