The escalating importance and availability of health care analytics deliver providers a means to successfully transition to the new Quality Payment Program (QPP) models. Providers are expected to manage diverse data sets, to face increased competition, to answer growing regulatory complexity and to deliver value-based care to their patients.
How can providers harness this new opportunity? Robust data and analytics. Meaningful analytics hold the power to transform patient care, reveal new sources of value and differentiate competitors.
Physicians and hospitals are undergoing a major transformation in how they are paid and how they are expected to deliver care. As payment models evolve, margins shrink, budgets tighten, and health care data analytics opens a door. Financial, operational, clinical, and other data impact the goals of improving care, providing access, and controlling cost.
James Walton, DO, MBA, FACP and President and CEO of Genesis Physicians Group, Dallas, reminds physicians that health care organizations need to utilize resources and produce value quickly.
In a webinar focused on MACRA, he said, “Number 1, doctors and practice managers need to get ready to use data and move into the data-driven atmosphere. We can expect this trend around data collection and utilization to increase. And Number 2, the pressure is on health care and is going to continue to increase—patients are expecting more service while living longer with more chronic conditions, just as payors and regulators are increasing expectations on documenting quality and efficiency across the care continuum.”
Business intelligence and analytics such as those generated by Health
Paradigm detect information patterns and present unseen alternatives. Analytics-driven acumen helps providers identify and treat at-risk populations, proactively engage patients sooner, understand the performance of health interventions on health outcomes, and improve costs.
Meaningful analytics includes using data for quality reporting, population health management, risk management, clinical effectiveness, cost and more—analyzing the entire patient history across all points of care. Georgia physicians can access powerful performance data through Health
Paradigm, a new MAG-endorsed, physician-led health information network. Analytics tools of the past often failed to provide effective integration of all a patient’s data. Today, organizations with a data analytics strategy built upon participation in a successful HIE will be well positioned to meet the new MACRA and QPP requirements.
Web-based dashboard visualization tools offer more than just an increase in data comprehension; dashboards reveal data trends and patterns, making the information more accessible and actionable.
Can You Meet the New Reporting Requirements?
Paradigm analytics dashboards can ease the transition to QPP reporting by providing physicians access to patients’ aggregated data from the HIE presented through meaningful analysis.
Analytics Reports Include: Quality Metrics analysis of preventive care procedures commonly required and approved for reporting programs; And High Risk patient analysis for those considered most at risk for poor health outcomes, high resource utilization and in need of care coordination. Six additional trend analysis dashboards are available for Readmissions, Disease Registries, Population Health, Behavioral Health, Patient Attribution and Utilization.