VIP Quality2018-10-15T20:53:59+00:00

Project Description

Start Improving Quality Today

Breeze through Reporting Tomorrow

The Clinigence Value Improvement Platform® (VIP) Quality Package leverages clinical data from multiple sources (mostly, EHR systems) to empower your organizational change initiatives on the road to value-based healthcare. You may want to take a moment to familiarize yourself with the Clinigence Organizational Change Framework before reading this page. This simple and practical framework consists of three steps:

See

Visualize the Need for Change

Move

Make Changes

Finish

Follow Through

See Improvement Opportunities

Clinigence leverages real-time clinical (EHR) data to allow you to see how your organization is performing as compared to relevant benchmarks. You can use this information to see what areas offer the best opportunity to improve your organization's quality score.

For example, under the Medicare Shared Savings Program (MSSP), you must reach the 90th percentile among all MSSP ACOs nationwide to receive all points for any measure (green bars on the chart). If you are under the 30th percentile, you get no points (red bars on the chart). Between the two, you get partial points for the measure.

In the sample ACO report, you can see that this organization's best opportunities for improvement are in the areas of breast and colorectal screening.

Manage Variance to Move

Variation in performance often makes for a powerful tool in driving organizational performance improvement. Visualizing the differences in outcomes among peers can push underperformers to see the need to improve and begin to move. Recognizing top performers is always a motivator for them to finish the good work they've been doing. Perhaps most importantly, creating a collaborative environment enables everybody to learn from one another's experience and adopt best practices that have been proven to lead to better outcomes.

This report shows how different primary care practices in the same ACO featured above are doing on breast cancer screening - an area for improvement for the organization as a whole. The variance in performance - from 88% at the top to 18% at the bottom - may seem shocking at first. And yet, such variance is common. Leverage it to help providers at the bottom to see the need to move. Leverage it to recognize providers at the top to help them finish. 

Track Progress to Finish

Once you've set a goal and got the organization moving towards it, you must continuously track performance to ensure progress. Organizational change does not happen overnight. Progress is hardly ever consistent over time. By tracking performance as closely as possible to real-time you can tell when progress is slowed down or even derailed. A quick analysis of root causes and early intervention to adjust course as needed provide the best bet for making it to the finish line, i.e. achieving your goal.

See the Need to Improve

Clinigence leverages real-time clinical (EHR) data to allow you to see how your practice is performing as compared to its peers. You can use this information to visualize to your staff why you need to improve quality in specific areas.

For example, your practice may be underperforming in terms of Fall Risk Screening (see chart). Seeing that your practice is ranked #18 out of 20 practices in the ACO provides the motivation to improve. You can also use the same visual to make your staff see why they need to improve. 

Manage Variance to Move

Variation in performance often makes for a powerful tool in driving practice performance improvement. Visualizing the differences in outcomes among peers can push underperformers to see the need to improve and begin to move. Recognizing top performers is always a motivator for them to finish the good work they've been doing. Perhaps most importantly, creating a collaborative environment enables everybody to learn from one another's experience and adopt best practices that have been proven to lead to better outcomes.

This report shows how different primary care providers in the same practice featured above are doing on fall risk screening - an area for improvement for the practice as a whole. The variance in performance - from 78% at the top to 46% at the bottom - may seem shocking at first. And yet, such variance is common. Leverage it to help providers at the bottom to see the need to move. Leverage it to recognize providers at the top to help them finish. 

Track Progress to Finish

Once you've set a goal and got the practice moving towards it, you must continuously track performance to ensure progress. Practice change does not happen overnight. Progress is hardly ever consistent over time. By tracking performance at both the practice and individual provider level as closely as possible to real-time you can tell when progress is slowed down or even derailed. A quick analysis of root causes and early intervention to adjust course as needed provide the best bet for making it to the finish line, i.e. achieving your goal.

The trending report shows how the practice featured above has improved its fall risk screening rate over the first 10 months of 2018. Note how the worst performing provider in the trending report improves over the first 6 months of the year to become the best performer. Note also that this remarkable improvement is marked by short periods of decline. It is only through continuous tracking that you can ensure reaching the finish line. 

See Which Patients to Contact First

Clinigence aggregates clinical data across all providers, EHR systems, and care settings to allow you to see the full picture of each patient. You can choose which patients to contact based on their recent ED visits, chronic conditions, care gaps, and more. You can also prioritize your caseload based on the acuity or urgency of your patients' needs.

For example, you can see which patients had the most ED visits over the past 12 months, sort them on based on the number of care gaps and quickly see whether they are due for a wellness visit, who their primary care provider (PCP) is and when they last visited. 

Use Data to Move Patients

As you contact a patient you need to see a snapshot of her current status and needs. Clinigence shows you the patient's most current vitals, chronic conditions, immunizations/screenings (as per CDC guidelines), and any care gaps relative to applicable clinical guidelines and quality measures. You can use this information to engage the patient and get her to move towards better compliance with her care plan.

To see a listing of gaps in care, click on the number of gaps on the patient snapshot screenshot.

Patient Gaps in Care
Gaps in Care

Gaps in Care

List of Gaps in Care

Record Activities to Finish

In order to track the patient's progress, you must take notes of your interaction with her. Clinigence enables you to keep track of different types of care management activities, such as patient education, outreach, medication review, etc. Your organization can also define its own custom care activity types. Each activity is logged as part of the patient record. You can add free notes and record the time spent. The latter may be especially useful for activities covered under Medicare's Chronic Care Management (CCM) or similar billable services.

See What Your Patients Need Today

You have a busy schedule. You want to spend as much of it as possible seeing patients. You don't have time to think about quality. You don't need another dashboard. We know that because we have heard it again and again from clinicians just like you.

Start your day with the Clinigence VIP Huddle Report™ that summarizes gaps in care for each of the patients you are scheduled to see today. Front office staff can address many gaps upon patient check-in to save you time.

Share Data with Your Patient to Move

Clinigence aggregates clinical data across all providers, EHR systems, and care settings to allow you to quickly see what you need to do for the patient you are seeing in order to improve quality. With the Clinigence VIP at the Point of Care™, you can see patient gaps in care right within your EHR workflow. Once you open a patient chart on your EHR, you will see a popup listing the patient's gaps in care right there in front of you. You can also share this information with your patient to engage them in closing gaps.

Track Your Performance to Finish

If you address gaps in care routinely as part your daily workflow you will see your quality performance improve over time. You may still want to look at your quality scorecard periodically (e.g. monthly) to ensure that your process is working and adjust it as needed.