Post on 12-Jul-2015
transcript
Improving Healthcare Through
Data and Analytics
Katherina Holzhauser
Assistant Vice President
IS Strategy, Innovation, & Commercialization
Intermountain Healthcare
Page 2
PICC line
My Risk of Deep Vein Thrombosis (DVT) and Death
Page 3
Source:
www.vein-central.com
Intermountain Healthcare - An Integrated Health System
Intermountain Healthcare
1975
SelectHealth
1983
Medical Group
1994
Page 4
“Become a model system”
Page 5
How We Described Ourselves in 1975
Page 6
Time Magazine December 1, 2008
Positive Model
Page 7
“Perhaps it is time to stop talking about the French Model, or the Canadian Model or the German Model, and start talking about the Utah Model.”
Dennis Cortese, MD
Emeritus President and CEO
Mayo Clinic
Page 8
Mission: “Helping people live the healthiest lives possible”
VISION Our Vision
Be a model health system by providing extraordinary care and superior service at an affordable cost.
Page 10
We deliver outstanding clinical care in a consistent, coordinated way—always improving through
evidence-based practice.
Clinical Excellence
Data Analytics Journey at Intermountain
Page 12
Collect
Share
Research
Test
Change
Monitor
Leverage People and Systems to Collect Data
2006: Dr. Scott Evans lead team investigating Deep Venous Thrombosis (DVT) associated with Peripherally Inserted Central Catheters (PICCs)
Manual and electronic data collection • Notify PICC team daily - PICC associate DVTs (email)
• Check every patient daily for active PICC or one removed within 5 days
• Use “keyword” driven Natural Language Processing on vascular reports to identify a DVT in the same or ascending vein as the PICC
Page 13
Collect
Share
Research
Test
Change
Monitor
Coded Data Charted by PICC Team
Page 14
Collect
Share
Research
Test
Change
Monitor
Rate & Cost of DVTs in PICC Patients at Intermountain
PICC DVT Rate = 2.8%
Average difference in LOS = 3.5 days
Average difference in cost = $19,993
Page 15
Collect
Share
Research
Test
Change
Monitor
Previous Risk Factor Studies = Conflicting Results
Page 16
Collect
Share
Research
Test
Change
Monitor
??
Age
BMI Bed rest
Test Hypotheses
Page 17
Collect
Share
Research
Test
Change
Monitor
ANTI_COAG_MEDS
Event
Pro
babili
ty
0.0
10.0
20.0
30.0
5
N Y
**
BED_REST
Event
Pro
babili
ty
0.0
05
0.0
10
0.0
20
N Y
**
0 50 100 150
0.0
20.0
50.2
00.5
0
LENGTH_OF_STAY
Event
Pro
babili
ty
0.0
20.0
50.2
00.5
0 ***
0 10 20 30 40 50 60
0.0
20.0
50.1
00.2
00.5
0
PICC_DURATION_DAYS
Event
Pro
babili
ty
0.0
20.0
50.1
00.2
00.5
0
**
PICC_SIZE
Event
Pro
babili
ty
5e-0
42e-0
31e-0
25e-0
2
1.SL 2.DL 3.TL
***
PRESSORS_MEDS
Event
Pro
babili
ty
0.0
20.0
40.0
60.1
0
N Y
*
PREV_DVT
Event
Pro
babili
ty
0.0
05
0.0
20
0.0
50
N Y
***
SURGERY
Event
Pro
babili
ty
0.0
20.0
30.0
40.0
6
N Y
*
--- 95% Conf Int
*** (p<0.001)
** (p<0.01)
* (p<0.05)
PICC Size
French size = outside diameter of the PICC
Lumen = number of separate lines within the PICC
Page 18
Collect
Share
Research
Test
Change
Monitor
Rate of DVT by PICC Size
Page 19
Collect
Share
Research
Test
Change
Monitor
Data Drives Behavior Change - # of PICCs Inserted
Page 20
Collect
Share
Research
Test
Change
Monitor
Extend the Change – Work Beyond Boundaries
Intermountain Confidential - Page 21
Collect
Share
Research
Test
Change
Monitor
Key Learnings
You can only manage what you can measure Measuring allows clinical teams to perform root cause analyses Partnering with industry can accelerate improved outcomes
Page 22
Collect
Share
Research
Test
Change
Monitor
Extend the Mission through Industry Collaboration and Research
Page 23
Take the Journey with Us to Improve Healthcare!
Page 24
Collect
Share
Research
Test
Change
Monitor
Page 25
Contact info: Katherina.Holzhauser@imail.org
Intermountain Healthcare is a Utah-based
nonprofit system of 22 hospitals, 185
clinics, a medical group with some 1,300
employed physicians, a health plans division
called SelectHealth, and other health services.
Intermountain is widely recognized as a
leader in transforming health care through
high quality and sustainable costs.
For more information about Intermountain,
visit www.intermountainhealthcare.org.