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Background
Our client was a not-for-profit, community health system located in Dubai. Our client is a progressive integrated delivery system, committed to providing the best care for its communities through continuous performance improvement. “There was a lot of discussions around build or buy, but in the short-run, it was most Efficient for us to leverage Ms office solution With the rate of change, we could not wait for perfection in developing our own and it would have been costly.” Nancy Charles, Vice President, Chief Quality Officer
Problem Statement
• The team was spending more and more time on where the data was from as opposed to leveraging data quickly to make decisions. It was a painful process with 10 different people in 10 different departments creating reports.
• OUR CLIENT was in need of a unified data warehouse solution and began a “build vs. buy” discussion. First, they explored how long it would take to invest in their own data warehouse versus outsourcing. OUR CLIENT determined that they could not wait for perfection internally to build their own, given the rate of change in the industry and the time it would take to create, test, and implement. Additionally, they decided it was most beneficial to diversify investments rather than putting all apples in one basket to create their own system. OUR CLIENT also felt there was a risk to building and continuing to sustain their own internal warehouse, and required a depth of resources.
Issues and Challenges
• Three years ago, the Performance Improvement Group at OUR CLIENT was struggling with putting together quality reports using its own internal data warehouse. The data system lacked sophistication both in reporting and in the interface to accomplish system goals.
• OUR CLIENT team needed to find drivers of readmissions, as well as quickly identify other areas of opportunity and improve system throughput issues.
• At the time, the underutilized data system was leveraged mostly for a small set of indicators and by only a set group of individuals. Additionally, OUR CLIENT used state data from a third-party vendor to gather clinical data, as well as ad-hoc tools.
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Solution
OUR CLIENT engaged Office solution to reduce their excess days as well as to assist with other performance improvement initiatives. Office Solution® was used during assessment and implementation to quantify benefit opportunity and was also leveraged as their unified data management and analytics platform, as well as the monthly monitoring system.
• Office Solution® was first implemented with OUR CLIENT senior management where each department learned how to use the tool for their respective areas. From there, different stakeholders and departmental teams were organized into groups to understand Office Solution®’s functionality, reports, and uses. This set everyone on the same level to move forward with consistent, monthly meetings where everyone was viewing the same data and insights across the system.
• Office Solution® served as a single source of truth for all data and analyses, fostering drill-down capabilities at any moment for different data ranges that were impossible, in the past
• From an analyst perspective, Ms Office Solution® enabled an understanding of all drivers, including good and bad outcomes. The team was able to easily identify trends and interpret data with information displayed graphically for a variety of audiences.
• Data became easily adaptable with fast turnaround times to ensure information was shared with audiences while experiences were fresh in people’s minds.
• In one click, leadership was able to create reports and share reliable data while fostering meaningful conversations.
Outcomes and Results by Using Office Solution®
• Implemented an annualized recurring benefit of $2.4M.
• Reduced excess days and denials. Office Solution® is used for ongoing monitoring of excess days and the financial impact of improvements.
• Measured and improved throughput, LOS by patient type, service line, and DRG.
• Created an understanding of how much performance improvement is due to clinical, medical management, operations and documentation.
• Implemented committees to drive performance, including senior leadership, medical necessity, readmissions, research analyst group, and utilization review committee and Ms Office Solution® development team.
• Created an alignment of metrics and scorecards with work teams and committees, leading to meaningful meetings and minimized disputes or speculations about data and drivers.
Aligned leadership every month to understand performance and impact on organization.
• Implemented ongoing sustained improvement in Observation LOS, leveraging monthly Office Solution® reports.
• Leveraged Office Solution® reports being outcomes-focused for an enhanced Utilization Review Committee.
• Created monthly nursing unit-based scorecards for KPI monitoring of select metrics for performance improvement.
• Drilled down by provider to assess the impact on various metrics, including overall patient days, case mix index and CDI.
• Segmented by a hospitalist, drilling down to process owners to implement and create change within each hospitalist’s own domain of control. Focused responsibility and empowered process owners.
• Leveraged Office Solution® in the strategic planning process.
Visit- https://innovationalofficesolution.com
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