3 pillars of chronic disease plan built on one foundation

W#5in5_Blog_Bannerhether building a home or a business strategy, you need a solid foundation.

For Missouri-based Mercy Clinic-East, the bedrock of its initiative to better manage hypertension and diabetes is information technology. Data and analytics support the three pillars of its “Quality Up, Cost Down” model: provider engagement, patient engagement and care coordination.

Provider engagement
Front-line physician support is critical for success.

To achieve that support, Mercy focused on reliable data. Leadership worked to provide consistent, transparent reporting on measures that matter clinically.

Data is used to create monthly progress reports and gauge quality goals.

Mercy also developed an infrastructure that automates some of the time-consuming aspects of data management like aggregation, normalization and validation.

Patient engagement
Mercy uses analytics to support the second pillar of its population health strategy — patient engagement.

It has created registries using electronic health records (EHRs) and administrative and socioeconomic data.

Data drives everything from EHR-generated health report cards for patients to automated phone calls that help with patient outreach.

Care coordination
Mercy uses its analytics platform to find patients with gaps in care or whose chronic disease is not controlled. Mercy then brings them into their clinics and matches them with care coordination staff to get them the services they need.

Read about how Mercy Clinic-East uses analytics to help patients take responsibility for their own health in the #5in5 episode: Promoting changes in patient behavior with analytics.

To learn more about Mercy’s population health initiative and the results its achieved, read the article “Quality Up, Cost Down” Model at Mercy Clinic.

About the Author:

AlReti-Alejandroejandro Reti, MD, MBA
Chief Medical Officer, Optum Analytics

With responsibility for the Office of the CMO, Alejandro is accountable for the clinical integrity and relevance of Optum Analytics’ provider solutions and contributes to thought leadership and clinical product innovation for the organization. Alejandro came to Optum from Premier, where he served as Vice President, Population Health Products with general management responsibility for Premier’s organically developed population health suite. Prior to Premier, Alejandro served as Senior Vice President, Clinical Informatics at Verisk Health, where he led development of a provider analytics solution that achieved top 4 in market share nationally. Previously, Alejandro held positions of increasing responsibility at Avalere Health and The Advisory Board Company. Alejandro received a bachelor’s degree in Psychology from Amherst College, magna cum laude and his MD and MBA degrees from Yale University.

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