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Ehealth Success Story LUMEDXApollo Case Study
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More than 10 years of experience in cardiology data management systems ... accurately respond with an accurate per member/per month (PM/PM) for capitation ... – PowerPoint PPT presentation
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Title: Ehealth Success Story LUMEDXApollo Case Study
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Presentation Summary
- LUMEDX Overview
- Inova Heart Center Background
- Business Problem
- LUMEDX Solution
- Approach
- Results
- Summary
- QA
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LUMEDX Overview
- More than 10 years of experience in cardiology
data management systems - More than 280 medical centers worldwide
- Client base reflects one-third of the top 40
cardiovascular centers in the U.S. - Massachusetts General Hospital
- New England Medical Center
- Baylor University Medical Center
- Stanford University Hospital
- Washington Hospital
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LUMEDX Overview Continued
- Depth and breadth of Apollo Advance?
- A modular suite of clinical-data repository
products focused on cardiovascular medical
specialties and subspecialties - Serves cardiology and cardio thoracic surgery
through traditional client-server models,
Web-based models, and ASP solutions - Offers physicians and administrators desktop
access - Rich longitudinal patient data
- Aggregated clinical and cost outcomes
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LUMEDX Overview Continued
- Offers 47 modules (from cardiovascular surgery to
inventory) - Supports 17 interfaces
- Offers national and state registry compliance
- STS and ACC national data registries
- New Jersey and Washington state registries
- Anthem registry (covering Midwestern U.S.)
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LUMEDX Strategic Relationships
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Inova Heart Center Background
- Part of Inova Fairfax hospital and Inova Health
System - In 1999, rated Inova Fairfax Hospital among the
nations best in 5 specialties - Cardiology/cardiac surgery
- Neurology and neurosurgery
- Respiratory disorders (pulmonology)
- Digestive tract (gastroenterology)
- Urology
- One of 25 heart programs in the US, providing
heart services for both adults and children
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Inova Heart Center Background
- 656-bed regional medical center and teaching
hospital, serving the Washington, D.C.,
metropolitan area - Affiliations with medical schools
- Georgetown University
- George Washington University
- Medical College of Virginia
- and the Medical College of Virginia
- Affiliations with nursing schools
- George Mason University
- Marymount University
- Northern Virginia Community College
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Business Problem
- Disparate cardiology information systems
- Large managed care patient population
- Volume of data from disparate cardiac legacy
systems - Nearly 7,000 catheterization procedures and 2,000
cardiac surgeries per year - Inefficient or lack of outcomes and cost
reporting - Unable to connect cardiac and cost data to SPSS
via ODBC - Unable to collect quality indicators for Clinical
Value Compass
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Business Problem Continued
- Managed care organization RFP and contract
negotiations - Unable to provide patient level data for outcomes
or aggregate patient information - Unable to gain contracts and potential revenue
without valuable patient outcomes information for
MCO contracts - National Cardiovascular Database RegistryTM needs
- American College of Cardiology
- Society of Thoracic Surgeons
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LUMEDX Solution
- Apollo32 implementation
- Cardiology data integration
- Clinical data repository reporting capabilities
- National Registry participation
- Apollo32 components installed
- SQL Server 7.0
- Catheterization Module
- Surgery Module
- HL7-ADT Interface to HIS
- Q-Cath QCX Interface
- TCP/IP Receive Client
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Approach
- Integrating cardiology data at Inova Heart Center
- Providing open architecture, integrating with
desktop Office? products - Providing ODBC--a common language--for Windows
applications to access databases on a network - Applying intermediate databases for complex
queries and pivot tables, connected with other
statistical databases
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Approach Continued
- Integrating cardiology data at Inova Heart Center
continued - Allowing easy connection with statistical
software (SPSS and SAS) without exporting or
converting data - Providing comprehensive and complete record as
soon as patient exits the cath lab
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Apollo32 Cardiology Integration
hospital information system ADT, Lab, Pharmacy
patient reports
EnConcert
clinical outcomes
Tracemaster
existing interfaces
- Quinton Qcath
- Marquette MUSE
- Seimens Cathcor
- Zymed Holter
cost outcomes
Example Apollo32 Configuration
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Approach Continued
- Creating reporting capabilities with Apollo32
- Scalable repository large volume of transactions
- Ease-of-use has enabled clinical practice
specialists to run reports or queries whenever
they wish - Apollo database to write queries and spreadsheet
pivot tables - Generating comprehensive and accurate
clinical-outcomes reports - Running physician profiles that are compared with
predetermined benchmark
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Approach Continued
- Clinical pathways reporting for monitoring and
continuous process improvement - Clinical pathways program for catheterization and
cardiac surgery - The goal is to provide quality patient care,
improve efficiency and cost effectiveness - Analyze and monitor existing pathways
- Determine why patients fall-off some pathways
- Understand factors that may affect compliance by
patient or physician - Understand why patients are able to sustain a
particular pathway
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Approach Continued
- Outcomes management reporting for Clinical Value
Compass - Collects and allows the monitoring of performance
with cost and clinical outcomes metrics on a
monthly, quarterly, and annual basis - Measures the value of care for similar patient
populations, analyze the internal delivery
process, and determine if these changes lead to
better outcomes and lower costs - Uses Apollo reporting to collect quality
indicators
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Inova Apollo32 Connectivity
Clinical Value Compass
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Approach Continued
- Physician profiling and benchmarking
- Using SPSS Error Bar graphs and reports to modify
physician practice patterns - Generating coded physician profiles that define
performance levels for each physician - Compares physicians with those of their
individual colleagues or surgical group - Profiles compared to predetermined, in-house
benchmarks
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Inova Physician Profiling Report
Tails Represent 95 Confidence Interval
Each Box Represents the Individual Physician or
Group Performance
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Approach Continued
- MCO RFP and contract negotiations
- Quantify the cost data to accurately respond with
an accurate per member/per month (PM/PM) for
capitation - Leverage opportunities to preserve income through
better management of services delivered - Link the cost of care to their practice patterns,
thus better understanding how to manage care
efficiently
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Approach Continued
- National registries solution
- Apollo registry modules for ACC and STS, allowing
Inova to participate in national registries - Apollo registries provide ability to add fields
and incorporate custom tables to capture other
specific that are not included in the national
registries
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Results
- Affect physician practice patterns in a
non-threatening way - Improves physician compliance with clinical
pathways and outcomes - Provides comparative physician profiling reports
that allows physicians to modify their practice
patterns - Contributes to the individualized patient care
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Results Continued
- Inovas application of Apollo32 delivers more
accurate outcomes and cost reports - Preserves income through better management of
services for MCO contracts - A cornerstone for Inova Heart Centers clinical
pathways program for catheterization and cardiac
surgery
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Summary
- The LUMEDX solution
- A turnkey solution for Inova Heart Centers
Cardiology/cardiac surgery needs - Apollo yields versatile outcomes data that drives
quality improvement frameworks - Kaplan and Nortons Balanced Scorecard
- Dartmouths Clinical Value Compass
- Executive Dashboard
- ACC and STC participation
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Questions
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