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.
Get our take on industry trends
Why It’s Time for Healthcare to Move Toward AI Reporting
Business intelligence (BI) was a dramatic and significant step forward in healthcare industry reporting and a natural transition to artificial intelligence (AI) enabled real-time insights.
Read on...Why Healthcare Should “Double-Down” on Exploring AI-powered BI for Reporting
Many areas in healthcare rely not only on the collection of data but, importantly, the ability to decipher and act upon it. In that intersection, reporting was born.
Read on...Why Health Plans and Employers Need Stop Loss Reporting
Due to rising healthcare costs and the Affordable Care Act removing the ban on capitated benefits coverage, numerous employers with self-insured health plans often purchase stop loss coverage. This coverage is not medical insurance; but rather, it’s a financial and risk management tool that protects the employer from excessive claims.
Read on...Bridge the Payer/Provider Data Gap
Every patient has a plethora of data associated with their health record, which can include decades of enrollments, claims, accounts and charges. Much of this data is not housed within the same institutional, facility or provider database…
Read on...