Clinical Analytics

Key 2017–18 Accomplishments

In less than a year, the Clinical Analytics Subcommittee has achieved a few important accomplishments:

  • Established an enterprise-wide scope, strategy and governance of the Population Health analytics function. The subcommittee has been central to developing a lens through which we can view the full picture of Population Health and Clinical Integration.
  • Established a comprehensive and enterprise-wide approach to how patients are attributed to primary care physicians in our various tools, enhancing the accuracy and usefulness of our reporting and analyses
  • Created a PMPM Dashboard with established targets for both quality and value-based care goals at enterprise/regional and local levels
  • Established a standard reporting tool-set using data available in the athena Sandbox, including monthly reporting and distribution of the following reports:
    • Annual Wellness Visits
    • Attributed Members
    • Disease-State Registry
      • Coronary Artery Disease (CAD)
      • Congestive Heart Failure (CHF)
      • Chronic Obstructive Pulmonary Disease (COPD)
      • Diabetes
      • Hypertension
    • High-Cost Members ($50K or more in the last 12 months)
    • High-Risk Members
    • Inpatient Frequent Utilization
    • ED Frequent Utilization
    • MSSP Quality Measure Tracking
    • Part B Drug Utilization – Macular Degeneration
    • Part B Drug Utilization – Osteoarthritis
    • Part B Drug Utilization – Osteoporosis
    • Inpatient Admissions for CHF
    • Inpatient Admissions for COPD
    • Bi-Weekly MSSP Tracking Report: tracks care coordination activities
    • Weekly CCE Dashboard: provides counts of each CCE enrollment statuses by market
    • Care Coordination Activity Detail: individual PCP report includes patients enrolled in care coordination and detailed activity for each patient