How we get the job done...
Case Study: HIE Expansion - Provider Survey
Although many Iowa hospitals and clinics are already connected to IHIN, there was a need to expand efforts to connect providers from all care settings. Goals: improved quality and continuity of care, reduced costs and improved experience for patients and providers.
Discovery - Sum-IT conducted an environmental scan, consisting of customized surveys of Iowa health providers to explore readiness to participate in the Iowa Health Information Network (IHIN). The team explored information technology capabilities and scope of electronic exchange of health information for five types of providers
Work with experts - collaborated with IHIN team to understand the HIE strategic goals and developed customized, setting-specific surveys to obtain the information needed to expand HIE participation. Interviewed stakeholders to identify key types of information exchanged and regulatory/payer reporting requirements.
Identify opportunities - for expanding HIE participation to: Home Health Agencies, Long-term Care, Hospice, Rural Health Clinics and Assisted Living Programs
There are many opportunities to expand provider participation in the HIE. Link to final report.
Case Study: Risk Profiling
Segment the patient population into high, medium and low risk groups so appropriate interventions for each group can be implemented.
Data Discovery - analyze claims data to understand characteristics of the patient population
Work with experts - develop model to define risk groups
Identify opportunities - for improving care management and management of chronic conditions
Starting model to use in risk profiling for reimbursement contracts and care management
Case Study: Population Health Management
Gaps in use of clinical care guidelines and fragmented processes for medication reconciliation as patients transition between hospital and outpatient services
Data Discovery - analyze effectiveness of medication management programs
Work with experts - understand discharge planning and how to involve the pharmacist as an integral part of the care team and how they can impact medication therapy through pharmacy programs
Identify opportunities- for improving care coordination, transitions of care, cost reduction and patient experience
Improved effectiveness of medication management programs