Success Story: Hoag Memorial Presbyterian Hospital engages physicians in continuous performance improvement initiatives

Hoag Impact

Physicians are constantly balancing numerous priorities and being pulled in various directions. Though performance growth and clinical documentation improvement are highly beneficial for patients in the long run, it’s difficult to engage already-stressed clinicians in initiatives that don’t demonstrate immediate impact.  With MedeAnalytics robust data and analytics platforms, Hoag Memorial was able to establish a culture of continuous performance improvement.

The Challenge:  

Hoag Memorial Presbyterian Hospital is a short-term acute care facility with 518 inpatient beds and 1,700 affiliated physicians. The organization was struggling to build physician engagement in their performance improvement initiatives as it lacked the reports, peer comparisons and benchmarks needed to make meaningful change.

The Solution:

Our data and analytics capabilities allowed Hoag Memorial to benchmark physician performance and enhance documentation practices via comprehensive dashboards and comparative scorecards. Specifically, the organization gained the ability to:

  • Perform analyses based on clinical bundles, DRG groups, hospital peer and cohort benchmarks, and physician stratification
  • Drill down into scorecard data and causal analysis key to performance improvement
  • Leverage actionable insights to educate physicians and help them focus on gaps in care and documentation

Measurable Impact:  

As Hoag Memorial cultivated a culture of continuous documentation improvement and excellent clinical program performance, it was able to accomplish significant results:

  • Achieved $1M+ in improvement opportunity from one physician by drilling down into one DRG
  • Identified and implemented a service line (elective procedure) unique to the organization

Leveraging data driven insights from our CDI initiative helped us engage and educate our physicians, foster healthy competition, and enable higher productivity and performance.”

– Michele Morton, Director of Hospital HIM Services

Hear directly from Hoag on their analytics journey by watching the HFMA webinar below.

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.

Leave a Comment





Get our take on industry trends

Discover how Accountable Care Organizations can thrive amidst healthcare challenges.

Helping Accountable Care Organizations Navigate the Perfect Storm

December 6, 2024

In the ever-evolving landscape of healthcare, Accountable Care Organizations (ACOs) find themselves at the epicenter of a transformative era. Recently,…

Read on...
Medicare Rule Changes 2026: What Healthcare Organizations Need to Know

Navigating the Medicare Landscape: Implications of the Latest Rule Changes for Healthcare Organizations

December 6, 2024

The Centers for Medicare & Medicaid Services (CMS) has recently unveiled significant proposed changes to Medicare Advantage (MA), Medicare Prescription…

Read on...

Introduction to social risk: What healthcare leaders need to understand

September 27, 2024

‘Social determinants of health’ has been a common phrase for decades now, but the term social risk is much less…

Read on...

AI is your new crystal ball: How predictive analytics can reduce denials

September 23, 2024

The idea of having a crystal ball to better understand what claims will be denied is an awesome concept. But one we can’t rely on. Thankfully, we have predictive analytics to take the place of a crystal ball.

Read on...