Three Systems are Key for Improving Outcomes
Do any of these challenges sound familiar?
“My analysts spend way too much time collecting data and not enough time interpreting and understanding the data”
“We have all kinds of dashboards, but they are not helping me improve care. We are not looking at the relevant data”
“We seem to be able to improve care in specific areas, but it isn’t sustainable. As soon as we move to the next project the last improvement begins to degrade”
Successful performance improvement at Health Catalyst clients is based on using a balance approach of the Three Systems model shown below.
Many people in and out of the Health IT world believe that if you build it, they will come. This may happen in the movies, but following the principle of pragmatic innovation we know that “Every system is perfectly designed to get the results it gets.” – Dr. Paul Batalden
You must change the system to get better results, where do we begin? As a Health IT company and it a market that is focused on “products” let’s begin with the easy to understand Analytics System.
Analytics – How are we doing?
The analytics system, based on our Late Binding™ Data Warehouse can quickly help provide direction, with data-driven prioritization of current care process costs. Combining data from traditionally separate system siloes including clinical data from one or more EMR systems, financial data from billing, costing, general ledger and other financial systems, with patient experience and satisfaction data, enables an organization to understand where the greatest opportunities (yes plural) for improvement exist and just how big the impact of improvement could be.
Acquiring and integrating data from multiple HIT systems is a strength of the Catalyst Analytics Platform. The Health Catalyst Late Binding™ Data Warehouse supports multiple types of HIT systems (source data) and multiple HIT suppliers within each type of HIT system. One of those sources is the EMR system, or systems. Health Catalyst has successfully integrated data from Allscripts, Cerner, Epic, Cerner, McKesson, Meditech and NextGen to name a few.
Integration of this data by the Late Binding™ Data Warehouse enables analysts to spend less time finding and integrating data and more time understanding and analyzing that data while making the data timelier and quickly available to a larger number of people than ever before. Studies have shown that accurate and timely data is a key to performance improvement.
Best Practices - What should we be doing?
The Health Catalyst knowledge and content enables patient registry definitions, to be combined with data visualization applications, outcome goals & aim statements, improvement maps and other assets such as best practices processes and order sets to create an Improvement focused set of Analytic Applications.
Care Process Improvement Map
Outcomes Improvement Packet
Knowledge Development Process & Roadmap
Adoption – How do we transform?
Performance improvement requires more than an enterprise data warehouse and a set of analytic applications. Peter Drucker has been attributed with saying “Culture eats strategy for breakfast”.
Bill Aulet, a senior lecturer at the MIT Sloan School of Management, modified this quote to say “Culture eats strategy for breakfast, technology for lunch, products for dinner and then everything else”. This is a common and real problem, especially in health IT projects where the culture is based on craftsmanship (art and experience) versus a system of production. This is the number one reason that many data warehouse / business intelligence projects fail.
Performance improvement requires experts who understand the process of using data to create change and cultural transformation. There must be top down commitment and bottom up responsibility to change and/or redesign a particular operational or care process and to sustain the improvement over time.
The Health Catalyst team brings a unique combination of performance improvement techniques based on learning at Intermountain Health, Allina and others combined with our own client experiences. Our improvement services can range from supporting an established improvement team at a client, to embedding our team inside your organization, to an entirely outsourced service.