Navigating the Terrain: A Guide to Appropriate Care
A Clearer View: Improved Clinical Documentation
Wayfinding: Actionable Data
Climbing Partners: Engaging and Supporting Providers
Reaching the Summit: A Vision of the Future
David Gillis Design
Wayfinding: Actionable Data
In 2018, the ACO went live with a population health management system called Arcadia. A sophisticated data analysis tool, Arcadia gives the ACO unprecedented data analysis capability that will integrate both claims and clinical data. Currently, Arcadia draws on seven separate claims data sources to identify new opportunities to improve population health outcomes across the ACO.
“Practices need actionable, reliable data to solve population health management challenges. Over the last year, in close partnership with practices, we’ve been able to leverage Arcadia to meet that need,” says Jennifer Moore, the ACO’s Chief Operating Officer.
Arcadia in action:
Maine Medical Partners (MMP) was dedicating valuable staff time to tracking down results from breast cancer screenings conducted outside the MaineHealth system. The process was highly manual, involving chart reviews, calls to individual patients and multiple requests for results to disparate screening sites. Working together with MMP, ACO analysts used Arcadia’s data to identify each breast cancer screening not already captured in MMP’s electronic medical record. MMP Population Health staff used a report of these screenings, organized by screening site, to simplify follow-up efforts. This eliminated the need for chart reviews and patient calls and enabled a single request to each facility for results associated with multiple patients. The report proved so successful that the ACO now works with MMP Analytics to provide these lists to most ACO regions, covering many common screenings and tests.
During 2018, quality leaders at LincolnHealth began work to reduce emergency department (ED) visits of patients with chronic obstructive pulmonary disease (COPD) and ED and inpatient visits for congestive heart failure (CHF). They used Arcadia to search for any preventable conditions that were causing frequent ED visits for this population. Arcadia helped them to aggregate claims data from multiple sources to reveal that pneumonia was an unexpectedly high driver of such visits. The LincolnHealth quality team investigated clinical records and discovered that lack of pneumococcal and influenza vaccination was common among the affected patients. They launched a campaign to vaccinate COPD and CHF patients and experienced a reduction in their ED and Inpatient visits.
“The ACO’s Arcadia tool provided data that challenged our assumptions about what was driving COPD and CHF patients’ emergency department usage,” says Cindy Coyne, Director of Quality, Patient Safety and Patient Advocacy at LincolnHealth. “The data had the power to uncover an important trend that we were able to address, improving the lives of our patients.”