HIMSS Webinar Recap: Organization-wide process and performance transformation yields significant results for Oregon Health and Science University

MedeAnalytics and Oregon Health and Science University (OHSU) co-hosted a HIMSS Learn webinar exploring the power of data to measurably improve case mix index, CC/MCC capture rates and physician engagement. In fact, OHSU successfully leveraged self-service analytics and reporting to:

  • Increase CMI by 21%
  • Grow average rate of return (ARR) 159% per CDI specialist per month
  • Achieve dramatic improvements in CC/MCC capture rates.

To open the webinar, healthcare expert and VP of Go-to-Market Strategy at MedeAnalytics, Andy Dé, explored various challenges and opportunities for growth that healthcare providers are encountering in the (almost) post-pandemic state of our nation. (Read more of his perspective and advice in part two of his four-part series on the future of digital health.)

The webinar spotlight then turned to OHSU’s Angela Alday, MD, Medical Director for Coding and Documentation Integrity, and Jennifer Grubb, RN, JD, Assistant Director of Clinical Documentation, Inpatient Coding and HCC Teams. Together, they detailed the transformation that took place at OHSU through a partnership with MedeAnalytics.

OHSU was looking for a reliable, self-service data and analytics solution to improve CMI and CC/MCC capture, as well as support the CDI team. MedeAnalytics offered the flexible, individual-specific reporting and powerful, user-friendly cohort comparison charts and benchmarking analytics OHSU needed. Together, the two organizations navigated four phases of process and performance improvement:

  1. Established strong project leadership and governance structure
  2. Built multitalented, interdepartmental project team
  3. Assessed gaps in data and CDI processes and patient medical records
  4. Implemented best practices, including:
    • Expanding CDI team to add a medical director, manager and nurse specialists for Medicare population
    • Training CDI teams to adopt self-service analytics technology and share meaningful results out to executives
    • Identifying documentation improvement opportunities to capture additional revenue
    • Reporting physician-level performance to stimulate involvement in ongoing education
    • Incorporating physician advisors and champions to drive clinician engagement in performance enhancement initiatives

This organization-wide process transformation yielded significant results for OHSU, even exceeding their set goals:

Goal: Improve CMI by 15%

Result: Improved CMI by 21%

Goal: Increase average rate of return per CDI specialist by 100%

Result: Increase average rate of return per CDI specialist by 159%

Goal: Grow CC/MCC capture rates by 5%

Result: Grew CC/MCC capture rates by over 5%

Hear directly from OHSU on their analytics journey by watching the HIMSS webinar.

Editorial Team

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

Get our take on industry trends

Do’s and do nots of clinician engagement

July 19, 2023

Engaging clinicians in organizational initiatives can be challenging. They are already balancing a plethora of priorities pulling them in different…

Read on...

What you need to know before approaching clinicians about quality improvement

July 14, 2023

Before attempting to engage clinicians in quality improvement initiatives, you need to know how you’re going to answer two of…

Read on...

How big data, AI and automation are transforming patient access

June 27, 2023

The healthcare industry celebrates Patient Access week once a year in April, recognizing hardworking staff and significant advancements in this…

Read on...

You can’t spell value-based care without clinicians

June 20, 2023

In advance of her panel participation at the 2023 RISE Qualipalooza, we sat down with Vice President of Product Consulting…

Read on...