Monthly Archives: November 2018

Nov 29

Patient Centric

11/29/18 | Empowering Wellness

Portal Advancements

Since November 2014, the patient/provider portal has had more than 18 million page views, with 7 million views this past year alone. In the last year, patients and providers messaged each other more than 650,000 times (a year-over-year increase of 225%) and patients self-scheduled appointments more than 22,000 times (a 120% increase over last year.)

Enrollment in the portal continues to climb with more than 103,000 portal accounts, a year-over-year increase of 22%, representing 41% of MU Health Care’s patient population.

The innovation teams at Tiger Institute continue to develop new ways to improve the patient experience and to improve communication between patients and their providers.

 

Empowering Patients

Our implementation of HealtheRegistries not only aligns with payor priorities and other quality initiatives, it also empowers patients to manage their own health with their provider.

The Health Scorecard, available through the patient app, shows how the patient is doing on various measures and when additional screenings are due to maintain or improve health status through one or more of the following registries:

  • Three Wellness Registries (Adult, Senior, Pediatric)
  • Six Chronic Disease Registries (Diabetes, Heart Failure, Chronic Obstructive Pulmonary Disease, Hypertension, Ischemic Vascular Disease/Coronary Artery Disease, and Asthma)
  • One Acute Condition Registry (Ambulatory Urgent Care)

In total, we support 32 measures, including these additions from the past year:

  • Screening for Osteoporosis for Women (Senior Wellness)
  • HPV Vaccination (Pediatric Wellness, Adult Wellness)
  • Shingles Vaccination (Senior Wellness)

Enabling Self-Reporting

Patients can now enter their blood pressure readings taken outside a clinical setting into their MU Health app. Not only can it help them track their own numbers, but it also feeds data into the EHR so that their providers can see how they are doing outside visits.

This gives patients and providers an easy way to determine the effect of medication and ensure the patient has the best options to control hypertension.

Nov 15

Integrated System

11/15/18 | Connecting Missouri

Regional and Statewide Relationships

MU Health Care and Tiger Institute have been working with health care providers throughout Missouri to extend both technology and services. In doing so, we are establishing the foundation for value-based care, which will result in improved health of populations, reduced costs of care for individuals and communities, and an enhanced experience and outcomes for Missourians.

Care Partner Connections

Tiger Institute Health Alliance Health Information Exchange

We continue to expand our membership in Tiger Institute Health Alliance Health Information Exchange (TIHA HIE). Recent additions include health care providers in Columbia, Fayette, Macon, and Sedalia, Missouri. The HIE now boasts more than 803,000 unique patients and over the last year usage increased by an additional 71% after last year’s 193% jump in usage.

The national eHealth Exchange standard provides a way for HIEs to connect to health organizations and other HIEs. Our eHealth Exchange connections include:

  • SSM Health (Missouri)
  • Veterans Administration (nationwide)
  • DaVita Dialysis (nationwide)
  • Missouri Health Connect (MHC) (Missouri-based HIE)

The MHC connection makes the Tiger Institute Health Alliance the first and only Missouri HIE to be connected to all HIEs in the state, driving unparalleled value for our members.

Additionally, the Tiger Institute Health Alliance helped MU Health Care become one of the first Cerner clients to connect to the CommonWell Health Alliance, a national health information exchange network. This connection lays the foundation to obtain clinical information on patients directly from their providers throughout the United States and supplements the robust data already available in our HIE.

MPact Clinically Integrated Network

Mercy, Mosaic Life Care, MU Health Care, and others, consisting of more than 3,000 physicians and 48 hospitals, work together through this multi-state, regional network to improve quality, access, and care. The network members create value-based contracts for improved care and operational efficiencies. We are aggregating data from Health Network of Missouri into HealtheIntent to enable members to report MPact quality metrics.

Health Network of Missouri

MU Health Care is a member of the Health Network of Missouri, LLC (HNM), a collaborative comprised of more than 1,000 hospital beds, nearly 11,000 employees, and approximately 1,200 employed and affiliated physicians who care for patients in central, northeast, and southeast Missouri.

Major HNM initiatives include:

  • Improve patient health outcomes
  • Share data and best practices
  • Improve access to care
  • Coordinate patient care among various providers through a clinically integrated network
  • Lower health care costs
  • Create efficiencies to benefit patients and HNM communities

Members of HNM include:

  • MU Health Care
  • Bothwell Regional Health Center, Sedalia
  • Capital Region Medical Center, Jefferson City
  • Hannibal Regional Healthcare System, Hannibal
  • Lake Regional Health System, Osage Beach
  • Saint Francis Healthcare System, Cape Girardeau

HNM also brought on its first affiliate, Compass Health, a behavioral health system based in Clinton with sites across the state, and the organization has plans to add more. Affiliate members can participate in membership benefits, but they do not have board representation.

Through HNM, each hospital or health system improves its ability to serve the health care needs of its own community and preserves its independence. The health systems work together to share best practices in business, clinical, and operations.

Cerner supports HNM members by providing technology infrastructure at a price that eliminates tech as a barrier to adoption. In return, Cerner receives reimbursement when value is achieved through the partnership. As HNM members take on risk for delivering value, so does Cerner.

 

Tiger Institute has extended Cerner’s HealtheIntent population health management platform at MU Health Care to one HNM member organization to coordinate and manage care for residents of rural Missouri communities. Two additional members will be added by the end of the year, with other members coming on board in 2019.

This shared IT infrastructure aggregates clinical and billing data from various EHR systems (Cerner, Epic, Meditech, eClinicalWorks and Allscripts) as well as payor/claims data from third party administrators, in near real-time and normalizes the data. With this common platform, we:

  • Track performance on identified quality and cost metrics
  • Identify and manage opportunities for improvement across the network
  • Manage chronic conditions and wellness goals
  • Risk stratify and manage high-cost patients across the care continuum

To govern the partnership, we created a Value Partnership Committee (VPC) with representation from each HNM member and Cerner to evaluate value opportunities, identify strategies and resources needed to improve performance, and measure outcomes. The first value charter approved by the VPC is the extension of MU’s virtual pharmacy program (ViPRx) to Capital Region Medical Center, with the intent to extend to other HNM sites in the future. (See related story on page 19).

Direct Employer Contracting

Cerner is developing plans to supply services to support MU’s Direct-to-Employer initiative. These services include but are not limited to analytics, wellness, care management, utilization management, third party administrator, benefits administration, telehealth, health navigation, and health coaching. This initiative is targeted to begin in Boone and Cole counties but will grow as MU’s Custom Network grows, across HNM members and other Missouri communities.

Nov 5

Growing Together

11/5/18 | Connecting Missouri

The mission of the Tiger Institute is to transform the health and care of Missourians. Value-based care models have encouraged regional partnerships among health care organizations working to achieve population health management and operational economies of scale. To support hospital business sustainability and growth objectives, we need scalable, advanced technology and care innovation.

We aim to have one integrated EHR to support the flow of health information between organizations to create a more seamless patient experience.

Capital Region Medical Center Joins Tiger Institute

In March 2018, Capital Region Medical Center agreed to have one integrated and efficient EHR to support seamless care across both its organization and MU Health Care. Combining the strengths of an academic health center with those of a community hospital, this agreement will lay the foundation for future shared services and clinical pathways between CRMC and MU Health Care. With Cerner and Tiger Institute’s experience and presence throughout the region, CRMC will be better prepared to face the ever-changing health care landscape.

MU Health Care will extend its Cerner Millennium platform to CRMC, with plans moving forward to implement an integrated EHR and revenue cycle management solutions to support improved health outcomes and optimized revenue functions at CRMC.

As an affiliate of MU Health Care since 1997, the extension to CRMC will further the health system’s well-established collaboration with Cerner through Tiger Institute.

CRMC’s affiliation with MU Health Care is an important strategy to help us provide higher quality care to the communities we serve together,” said Gaspare Calvaruso, president, Capital Region Medical Center. “We are excited to be able to leverage that affiliation to also work with Cerner. Our strategic vision of constantly evaluating and adapting to the changing health care landscape aligns with Cerner, and we are confident they will support us in improving care now and into the future.

“With our close relationship with MU Health Care through the Tiger Institute, this extension to CRMC will continue Cerner’s support of the health and well-being of people across the state of Missouri,” said Joanne Burns, senior vice president and chief strategy officer, Cerner. “This new relationship furthers our ongoing effort to use Cerner’s technology and IT services to meet the needs of patients statewide, as well as improve the health care experience for clinicians and those people receiving care.”

Other Affiliates

Tiger Institute also supports growth through other local relationships in the region. Columbia Surgical Associates was the first practice to become a wholly owned subsidiary in 2014, and in October 2016, Columbia Family Medical Group joined MU Health Care as well.

This past year we brought Fulton Family Medical and Columbia Ear, Nose & Throat into the fold. These practices retain high autonomy while adopting our EHR and taking advantage of the services and infrastructure of MU Health Care and Tiger Institute.

Tiger Institute looks forward to collaborating with other provider groups and health care organizations in mid-Missouri so others can benefit from a shared EHR. As recently as Aug. 15, 2018, MU Health Care signed a non-binding letter of intent to acquire St. Mary’s Hospital in Jefferson City. In particular, we at Tiger Institute will contribute to the due diligence necessary to fully understand the technology environment and transition options at St. Mary’s.

Driving Growth From Within

As relationships with other organizations across Missouri continue to grow, so too does MU Health Care. With a goal to grow the cardiovascular service, MU looked to the Tiger Institute to provide data and data analysis to help drive strategic business decisions.