OhioHealth Healthcare Informatics and Data Analytics Dr. Mrunal Shah, MD – System VP of Healthcare Informatics, OhioHealth Neeraj Bhat (‘13) – Administrative Fellow, OhioHealth Information Services 6/25/2014 Presented To: Trinity HCAD Class of 2015 1 Introduction to OhioHealth 2 • Faith-based, not-for-profit system • Organizational Mission: “To improve the health of those we serve.” • Serving central Ohio since 1891 Organizational Highlights • • • • • • 3 17,000 associates 2,400 on-staff physicians 10+ hospitals 145 ambulatory locations 1.9 million outpatient visits 94,000 admissions Current OhioHealth Analytics: A real story! Valence Mortality DSS Pay for Performance Star OB Paper Report NCQA Patient Satisfaction Diabetes Heart Demographic Athena Midas GE Centricity Core Measures Infection Control Diabetes PQRS measures Becky is responsible for creating the OPG Scorecard as well as providing numerous reports for OhioHealth Physicians and Management For this, she gathers data from many systems She stores the data in an Access database so she can re-identify the patients and massage the data for reporting She gets the demographic information from Athena She gets mortality report from DSS/EPSI system and OB paper report from McKesson Star She gets Pay for Performance (Health4) data from MGO’s Valence product in excel files She downloads data from NCQA website for physicians participating in Diabetes and Heart/Stroke programs She downloads Patient satisfaction data from Press Ganey website 5 Current OhioHealth Analytics Valence Mortality DSS NCQA Star Pay for Performance OB Paper Report Patient Satisfaction Diabetes PQRS ACC STS Stroke Heart Demographic Athena Midas GE Centricity Core Measures Infection Control Diabetes PQRS measures X X X X EPSI Cost Acct. Horizon OPG Scorecard Paper reports Lab Pharmacy Paper report Endoscopy Neuro Metrics Reports She also needs Endoscopy data which she gets from Provation system in a paper report She needs Neuro infection control data (for spine metrics) which also comes in the form of paper reports She downloads reports from STS and ACC websites for Stroke and Heart metrics She would like to generate metrics for orthopedic care including total cost for procedures such as knee/hip surgery For that she would like access to integrated information from cost, EMR, Lab and pharmacy systems but does not She manipulates this all manually in spreadsheets to generate the reports and scorecard She would like to create the scorecard monthly but It is so time consuming that she does this only once a quarter 6 How do we move from this state ToBecky this state! Valence Star Pay for Performance Mortality DSS GE Centricity Diabetes PQRS measures Midas Core Measures Infection Control Athena Provation X X X X McKesson Patient Satisfactio n ORSIS HSM Paper report Endoscopy EDW Neuro Metrics CHF STS Diabetes PQRS Paper reports OhioHealth Analytics Portal Demographic EPSI Cost Acct. OB Paper Report NCQA Stroke Heart OPG Scorecard STS CHF NCQA Reports PQRS 7 Hundreds of Hours in Manual reporting! Workforce management Core Measures Service Lines Productivity Report Business Planning OPG Scorecard Reports & Dashboards Access Manual Qlikview Printer Integrate On Demand Excel Attachment Data Custodian Data Custodian Data Custodian ODBC Extracts Midas 8 EPSI ORB Lab Athena Embedded In Email Data Custodian Native Query Tool ODBC Email Link GE Centricity Crystal Data Custodian ODBC Download Data Custodian Data Custodian Data Custodian Native Query Tool Native Query Tool Table Views Extracts Peoplesoft McKesson STAR FTP Care Manager Med Manager Valence Enterprise Analytics Audiences Data Visualization and Analytics Normalized Data Storage Data Integration (standardization, normalization, transformation) Data Sources 9 Executive Steering Committee Membership: Representation from OhioHealth Strategic Areas • • • • • • • • • • • 10 Sr. VP - CIO Sr. VP/CMO Sr. VP - Finance Sr. VP – Chief Strategy Officer Executive Steering Committee Sr. VP – Managed Care Sr. VP – Shared Services VP – Quality/Safety Data Governance Committee VP – Strategy Sr. VP – Chief HR Officer President - OPG VP, IS - Dr. Mrunal Shah Project Prioritization Subcommittee Ad Hoc Task/Work Groups Data Governance Committee Membership: Representation from OhioHealth Strategic Areas • • • • • • • • • • • 11 Informatics - Dr. Mrunal Shah Clinical Effectiveness Quality Service Excellence Executive Steering Committee Financial Decision Support Physician Quality Revenue Cycle/HIM Data Governance Committee Strategic Information Resources Process Excellence Case Management/Utilization Population Health Management Project Prioritization Subcommittee Ad Hoc Task/Work Groups Functional Components of Population Health Management Source: Explorys Educational Material 12 Readmission Dashboard 13 EXPLORE 14 HYPERTENSION REGISTRY 15 OhioHealth Explorys Core Program Team Role Executive Sponsor Steering Committee Program Lead Team Member Mrunal Shah, MD, System VP, Healthcare Informatics Explorys Steering Committee (subset of DGC+SMEs) Neeraj Bhat Administrative Fellow, Information Services Responsibilities a. Comprehensive program oversight and guidance b. Executive program assessment and decision making c. Objectives and strategic direction a. Strategic direction b. Govern decision making as needed a. b. c. d. e. f. a. Clinical Lead Dr. Greg Sawchyn Senior Director, Clinical Guidance Council b. c. a. Tobi Zappe, System Director, Technology Technical Lead Services, Healthcare Informatics Jeff Coleman, Architect 16 b. c. d. Lead day-to-day aspects of the program Manage the program scope Monitor and track the program work plan Track and resolve implementation issues Communicate status to Executive Sponsor, Steering Committee and other stakeholders Identify SMEs and resources as needed Lead and make decisions regarding clinical aspects of the implementation, including measure and registry selection, rollout, and workflow integration Lead and provide resources for UAT process Identify SMEs and resources as needed Lead and make decisions regarding the infrastructure, data sourcing and technical aspects of the solution Ensure installation of HDGs, VPN Setup and access to source systems Review and approve Integration mapping Identify SMEs and resources as needed OhioHealth Explorys Core Program Team Role Executive Sponsor Steering Committee Program Lead Team Member Mrunal Shah, MD, System VP, Healthcare Informatics Explorys Steering Committee (subset of DGC+SMEs) Neeraj Bhat Administrative Fellow, Information Services Responsibilities a. Comprehensive program oversight and guidance b. Executive program assessment and decision making c. Objectives and strategic direction a. Strategic direction b. Govern decision making as needed a. b. c. d. e. f. a. Clinical Lead Dr. Greg Sawchyn Senior Director, Clinical Guidance Council b. c. a. Tobi Zappe, System Director, Technology Technical Lead Services, Healthcare Informatics Jeff Coleman, Architect 17 b. c. d. Lead day-to-day aspects of the program Manage the program scope Monitor and track the program work plan Track and resolve implementation issues Communicate status to Executive Sponsor, Steering Committee and other stakeholders Identify SMEs and resources as needed Lead and make decisions regarding clinical aspects of the implementation, including measure and registry selection, rollout, and workflow integration Lead and provide resources for UAT process Identify SMEs and resources as needed Lead and make decisions regarding the infrastructure, data sourcing and technical aspects of the solution Ensure installation of HDGs, VPN Setup and access to source systems Review and approve Integration mapping Identify SMEs and resources as needed Questions? “Information is the oil of the 21st century and analytics is the combustion engine.” -Peter Sondergaard – Senior Vice President, Gartner 18 Follow-Up/Contact Neeraj Bhat Administrative Fellow, Information Services OhioHealth neerajbhat2007@gmail.com (469) 667-1217 19