Monthly Archives: September 2014

Quality Improvement: Going Beyond Retrospective Reporting With Population Health Management

Post by Kendra Lindly

Senior Product Manager, Caradigm

Often, quality efforts in healthcare are focused too much on retrospective reporting of measures, and not on improvement of those measures. It’s important to understand the past, but that alone does not drive improved patient outcomes. To drive measureable improvement, you need to identify the root cause of care gaps and apply the intelligence within clinician workflows to close those gaps. 

As a result of the rise in population health management, solutions have emerged to help healthcare organizations take this next step.  For example, a clinical analyst can quickly drill down in a specific ACO 33 measure to determine the root cause of non-compliance, then guide actions of clinicians to remedy that gap. Advanced population health solutions can track gaps and surface areas of non-compliance within the workflow of the EMR while the physician is still in the presence of a patient.  This enables a physician to address gaps before the patient leaves. Care managers can have a task list automatically generated for them that prioritizes their daily activities. These are just a few of the many practical ways that new solutions are innovating quality improvement efforts.

 Check out this infographic to learn more about the impact of poor quality on patients, healthcare providers and the economy—and how it can be remedied. You can also download our whitepaper entitled ‘Quality Improvement in the Advent of Population Health Management’ by completing this form.

Webinar Tuesday: Identity and Access Management at HCA – Taking Control in the Era of Population Health

Post by Christine Boyle

Chief Marketing Officer and Senior Vice President, Caradigm

When you have the operational scale of Healthcare Corporation of America (HCA), identity and access management (IAM) is a massive undertaking. Recognized as a security innovator by CSO Magazine, HCA is continuing to set the bar high by improving security and access to protected health information across 160+ hospitals, 1000 hospital affiliates, and 100,000+ users. While the primary goals of IAM are security and compliance, it is an area with broader business value. IAM enables security leaders to partner with clinical leaders to drive efficiencies in how clinicians consume patient data, which impacts patient safety and the overall quality of care.

If you’d like to hear how HCA approaches IAM, it’s not too late to register for our webinar today at 1 PM ET. The always entertaining Bobby Stokes, AVP Enterprise Systems at HCA, will be discussing how HCA is taking control of its data to manage security and compliance risk while improving clinician access. You can register here.

Innovations in Population Health Management – a discussion at iHT2

Post by Michael Simpson

Chief Executive Officer, Caradigm

I had the pleasure of participating on a population health panel at an IHT2 conference held recently in Seattle.

As you’d expect, moderator Mark Hagland, Editor-in-Chief of Healthcare Informatics, drew on a variety of perspectives – primary care, public health, IT – from a variety of healthcare providers and vendors – to discuss what’s happening in population health management today and where we’re headed.

Some of the key Population Health points covered were:

  • Moving from episodic, single-patient care to managing the health of populations represents a seismic shift that will require many years and tremendous patience to achieve, despite widespread industry commitment and focus. It’s going to take many years, for example, for physicians to change their way of thinking from operating as individual problem solvers to serving as members of a broader care team. They’ll need evidence that team-based care works.
  • The ongoing debate about the pros and cons of electronic medical records underscores the need to significantly streamline clinician workflows and deliver IT solutions that work in a practical way. While a paper-based system might not measure up in terms of data quality, it’s a highly efficient way of capturing information. We need to find a way to maintain that level of efficiency with technology while improving data capture and quality.
  • Success in population health requires looking holistically at the lives of patients and populations – factoring in their social, economic and physical environments, not just clinical data. Time spent between a patient and a doctor in a clinic or hospital is extremely limited. The vast majority of what impacts a patient’s health happens elsewhere. We need to put the patient at the center, engage the patient in his/her care through creative approaches and incentives like games or competitions, and establish a comprehensive community health record, not just a personal health record or EMR. We need to make that community health record easily accessible by the entire care team, including the pharmacist, the behavioral health specialist, the care manager, the primary care provider, and equally important, the patient.
  • To make progress in population health management, healthcare organizations need to start small, focus on making an impact in a discrete area, and expand on that success. For example, a provider in Canada began their population health efforts by focusing on HIV-positive individuals. They set up one central resource to identify all treatment associated with HIV patients, connected databases, and proactively tracked when patients were diagnosed, how quickly they were linked to care, when they were put on Antiretroviral Drugs, etc., and helped them with housing needs.  Their approach can serve as an effective blueprint for managing the health of other populations.
  • Success in population health begins with collecting the right data and performing analytics to identify not just those patients that are costing your organization the most time and money today but those patients of highest risk of costing your organization the most next year. Once that risk has been identified, the extended care team can work together to address those patients’ needs proactively and keep them out of the high risk, high-cost category. Those analytics capabilities exist today.
  • Last but not least, while we’re all concerned about identifying and addressing gaps in care to achieve the highest level of quality possible, we also need to focus on revenue. If an organization can identify revenue opportunities, it can invest more in care optimization going forward. “Without income there are no outcomes.”

iHT2 Michael Simpson on Panel

New Automated Tool Builds IAM Application Connectors

Post by Jim Campbell

Vice President of Identity and Access Management, Caradigm

It’s always nice when a product can align with industry trends. But our latest offering for customers and partners is actually the product of the confluence of two ongoing healthcare trends, which are inherently at odds:

On one hand, to succeed in population health, large integrated delivery networks, academic medical centers, government facilities and community hospitals need control of their data, including the ability to minimize the risk of unauthorized access to patient data.

On the other, the ability to share data across the healthcare community is fundamental to the success of integrated, accountable care and improving population health. In this environment, health systems and hospitals need to quickly provide access to applications while ensuring compliance with data privacy and security requirements.

But until recently, building connectors into clinical applications often meant having thinly stretched IT staff write code or investing in expensive technical resources.

That’s the significance I see in Caradigm® Bridge Studio, which squarely addresses both requirements, providing a level of agility in identity management that healthcare organizations haven’t enjoyed before.

The availability of Bridge Studio marks the industry’s only point-and-click wizard for building identity management connectors into clinical and business applications. Part of our Identity and Access Management (IAM) suite of products, Bridge Studio works in conjunction with Caradigm Provisioning software, allowing our customers to build identity management connectors into their clinical and business applications without the need to write code or invest in technical resources. With this new capability, healthcare organizations can rapidly expand automated provisioning to a wider set of clinical and business applications – helping them meet the challenging objective of making the right patient data available at the right time to the right people.

To ensure that Bridge Studio meets real-world needs, it was developed based on input and technical previews by our IAM customers, including Saint Luke’s Health System of Kansas City.

2014 Caradigm Customer Summit Day 3: Demonstrating Progress with Population Health Management

Post by Christine Boyle

Chief Marketing Officer and Senior Vice President, Caradigm

On the final day of the 2014 Caradigm Customer Summit (see Day 1 and Day 2 recaps), we heard  customer speakers say that it’s critical to show progress quickly on your way to the strategic goal of population health management. First, Virtua Healthcare shared how they used Identity and Access Management to improve clinician access to data. In one specific workflow, they reduced the number of clicks needed from 60 to 13, which will have enormous impact given how many times every day that workflow is repeated. Provisioning of new users that used to take days can now be done in hours. These measureable results have driven higher clinician satisfaction scores and built momentum for additional projects that will continue to improve security, HIPAA compliance and patient safety.

We also had a great panel of providers share thoughts and recommendations from their experiences with population health. Everyone agreed that prioritization is challenging, but essential because no one has unlimited resources. You need to show quick wins to your leadership team as you progress to an overall vision. Data consolidation is often a logical starting point and viewed as a major win by leadership because of the known complexity around that. After that, the data can start to have an impact and you can choose between specific initiatives that fit your needs such as streamlining CMS quality improvement reporting, automating care management workflows, risk stratifying your patients, lowering readmissions, etc.

The transformation to population health management is not easy, but the promise of rewards is great. The good news is that you will be able to celebrate many smaller successes on the iterative journey to population health. Dr. Edelstein, CMO of Elsevier Clinical Solutions said on the first day of CCS that he entered healthcare to deliver quality. That’s what population health management and our industry is ultimately about, which is a vision worth striving for together.

It’s been a gratifying three days at CCS 2014. I thank our customers, guest speakers, and partners who traveled great distances to collaborate around population health here in Seattle. I look forward to celebrating the new success stories and learnings at the Caradigm Customer Summit one year from now.


“Innovations in Population Health Management” Panelists

2014 Caradigm Customer Summit Day 2: There Are Many Paths to Population Health

Post by Christine Boyle

Chief Marketing Officer and Senior Vice President, Caradigm

On Day 1 of the Caradigm Customer Summit (CCS), we heard about the journey to Population Health Management, and the collaboration that’s needed.

On Day 2, we explored in greater depth the variety of paths that healthcare delivery organizations can take to begin that journey. Population Health is not one size fits all. You need to tailor your strategy to your organization’s particular goals and areas of strength.

We heard presenters at the summit describe different paths to Population Health Management:

  • A clinically integrated network, Rush Health, talked about how they formed their Population Health strategy in response to their rapidly expanding network and organizational belief in differentiating on quality.
  • An integrated delivery network (IDN) with a high throughput care management team needs to get more efficient in order to improve quality and manage an even larger case volume in the future.
  • A multi-state organization, Healthcare Corporation of America, talked about the challenge of protecting immense amounts of data that needs to move frequently and yet still be easy to access for a growing network of clinicians.
  • An organization taking on risk for a population for the first time needs safeguards for overutilization.

These organizations share similar initiatives on their paths to Population Health. For instance, they have valuable data from a lot of different sources, but are looking for ways to get that data back into the EMR to help physicians at the point-of-care. In addition, many are considering a patient portal for Meaningful Use attestation, and are interested in new strategies that can actually work to modify patient behavior in a patient-centric model. Yesterday, we also heard about other specific initiatives such as data aggregation, readmissions management, predictive analytics, and quality improvement measures.

It’s no longer a question of whether you need a Population Health strategy, but rather which Population Health strategy will give your organization the best chance for success. The journey will vary from those who want to “dip their toe” into the population health waters to those who take a bigger plunge. Regardless, Caradigm has apps that can help your strategy succeed, show progress quickly and expand over time.

Day 2 of CCS was fantastic. Thank you to our fabulous roster of Day 2 guest speakers:

  • Hospital Corporation of America – Bobby Stokes, AVP Identity Management and Development Services
  • Rush Health – Theresa Burkhart, VP Data Management & Business Intelligence
  • Rush Health – Cynthia Jones, RN, MSN, MBA – Performance Improvement Nurse
  • Beacon Partners – Wendy Vincent, National Practice Director, Strategic Advisory Group
  • Elsevier Clinical Solutions – Dr. Peter Edelstein CMO
Bobby S

Bobby Stokes, AVP Identity Management and Development Services at Hospital Corporation of America

2014 Caradigm Customer Summit Day 1: Population Health Collaboration

Post by Christine Boyle

Chief Marketing Officer and Senior Vice President, Caradigm

Day 1 of the Caradigm Customer Summit is in the books and the message of the day was that population health management is about collaboration. Working together is critical for anyone looking to succeed in population health and transform healthcare. With 75 of the country’s leading healthcare delivery organizations in attendance, representing the care of 50 million patients, it was a remarkable group to collaborate with as presentations organically turned into discussions. Here are some highlights from the day.

Caradigm – Michael Simpson CEO Opening Keynote

“We’re on a journey together.”

Michael set the tone for the day and the summit by recognizing that population health is about collaboration. Healthcare organizations need to collaborate internally, with patients and with strategic technology partners. Population health technology partners need to collaborate not only with customers, but with other technology vendors in order to provide a complete, best-of-breed solution.

Billings Clinic – Chris Stevens CIO and Dr. Karen Cabell Associate Chief of Quality

“We picked Caradigm as a strategic partner, and that means something to us.” – Chris Stevens

It was great to hear the confidence in a collaboration partner from Billings Clinic, a recognized innovator in clinical quality, ranked number one in patient safety by Consumer Reports. Chris Stevens said that their organization found legacy systems like EMRs to be functionally immature for population health management. They could not provide a single source of truth and the data was constantly questioned.  Dr. Cabell talked about how the Caradigm Quality Improvement application is helping get “actionable and manageable” data in front of employees so that they can focus on quality, drill down to identify opportunities for improvement and lead process improvement initiatives.

Geisinger Health Plans – Janet Tomcavage RN, MSN – SVP and Chief, Value-Based Care Strategic Initiatives

“If you’re the best performing, patients will come. Let’s see who can deliver.”

Janet spoke about Caradigm Care Management, an application that Geisinger helped shape in partnership with Caradigm. The app gives them the opportunity to infuse different types of data across the care continuum to fuel a care plan. Janet said care managers can’t help but appreciate how the app helps them deliver better care to patients faster and with less effort on their part. The app has been rolled out to Geisinger’s entire 160 person case management team.

Elsevier Clinical Solutions – Dr. Peter Edelstein CMO

“I entered healthcare because I wanted to provide quality.”

Dr. Edelstein said physicians need more than just data collection. Data collection by itself is not going to improve the quality of care. Physicians are open to partners who can guide them to drive better care. At the end of the day, better healthcare should cost less.

The agenda also featured Caradigm’s talented product managers going deeper into specific population health apps such as Risk Management, Quality Improvement, Readmissions Management and Identity and Access Management, as well as laying out the roadmap into the future. Day 2 will feature even more apps, and we will be exploring each of these in the coming weeks on the blog.

The evening event was held at the Olympic Sculpture Park on the Seattle waterfront. With a lovely sunset and a view of Puget Sound as the backdrop, a good time was had by all.

A giant thank you to our phenomenal guest speakers. We’ll see you back here tomorrow for a recap of Day 2!


Evening Event at Olympic Sculpture Park

2014 Caradigm Customer Summit Opens

Post by Christine Boyle

Chief Marketing Officer and Senior Vice President, Caradigm

We are absolutely thrilled to kick off the 3rd annual Caradigm Customer Summit today in beautiful, sunny Seattle. Over one hundred leaders from the top healthcare delivery organizations in the country are gathering to discuss and share ideas on the biggest ideas in healthcare: Population Health and Identity and Access Management. Given the amount of change and risk that healthcare organizations face today, we hope the Summit will help attendees chart the best path forward based on peer experiences and best practices.

Population Health in particular will be top of mind as a new and dynamic force helping healthcare transform from fee-for-service to value-based care. We are proud to have customers sharing their experiences about their journey through population health and discussing the applications they are using today. To cap off each evening, we’ll be hosting special events taking place on the picturesque Seattle waterfront.

Stay tuned over the next few days as we post daily recaps from the Summit.

Senior Vice President of Sales Steve Shihadeh with some happy attendees