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Introducing the
Patient Safety Monitor™ Suite:
Surveillance Module
Stanley Pestotnik, MS, RPh
Vice President, Patient Safety
Catalyst
Agenda
Why Patient Safety Matters
Problems & Pain Points
Product Overview
Professional Services
Key Takeaways
Agenda
Why Patient Safety Matters
© 2018
Health
Catalyst
Patient Safety
4
“…there are some patients
we cannot help, there are
none we cannot harm.”
Arthur L. Bloomfield, MD (1888-1962; Professor of Medicine;
Executive Director Dept of Medicine; Stanford Medical School, 1926-1954
© 2018
Health
Catalyst
• Told she had active hepatitis B and advanced cirrhosis at an Air Force
Medical Facility with no additional treatment options available. She
was referred for a liver transplant.
• After consultation at LDS Hospital in Utah she was placed on the liver
transplant waiting list. Past Air Force medical records were
incomplete and illegible in many sections.
• LDSH’s automated trigger-based surveillance system2 prompted a
review of her medication history by Stanley Pestotnik.
• Recurrent/multi-year high-dose use of Macrodantin (nitrofurantoin)
was identified and her attending physicians were notified (chronic
nausea, vomiting, nose bleeds, weight loss and hepatitis).
• Macrodantin use was discontinued and she recovered without the
need for a liver transplant.
Betty Redocto Story1
1Finkelstein, K. E. (1998, September 14 & 28). The Computer Cure. The New Republic.
2DC Classen, SL Pestotnik, et al., Computerized Surveillance of Adverse Drug Events in Hospital Patients, JAMA 1991;266:2847-51
5
© 2018
Health
Catalyst
6
Kimberly Hiatt, RN
http://www.nbcnews.com/id/43529641/ns/health-health_care/t/nurses-suicide-highlights-twin-tragedies-medical-errors/
© 2018
Health
Catalyst
We are all affected
7
What do all of these stories
have in common?
They are not just
consequences of
medical care. They
are people with a
face and name.
They are someone’s
child, wife, or loved one.
Whether you are the provider, the patient,
or the loved one, patient harm affects you.
© 2018
Health
Catalyst
• Preventable medical injuries are
on the rise
• There has been 10x more
preventable harm since 1999
IOM report
• 400,000 lives per year
• >$100B annually
• Patient harm is the 3rd leading
cause of death
• <5% of hospitals are measuring
and tracking all-cause harm1
Why Patient Safety?
8
Causes of Death, U.S.
(CDC 2013 Final Data)2
Heart disease
611k
Cancer
585k
Medical
error 251k
COPD
149k
All causes
2,597 k
Suicide
41k
Firearms
34k
Motor
vehicles 34k
Based on our
estimates, medical
error is the 3rd most
common cause of
death in the U.S.
However,
medical error is
not recorded on
U.S. death
certificates.
1Conway PH, Mostashari F, Clancy C. Future of Quality Measurement for Improvement and Accountability. JAMA 2013;309:2215-16.
OIG, Hospital Incident Reporting Systems Do Not Capture Most Patient Harm, HHS, 2012.
2Xu, M.D., J., M.D., Murphy, S. L., B.S., Kochanek, K. D., M.A., & Bastian, B. A., B.S. (2016, February 16).
Deaths: Final Data for 2013 (Rep. No. Volume 64, Number 2). Retrieved https://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf
© 2018
Health
Catalyst
Patient Safety Events Driving the
Biggest Burden of Disease and Costs
9
• Medication Safety
• Pressure Ulcers
• Diagnostic Safety
• DVT/PE
• Unnecessary
Readmissions
• Falls
• Patient Handoffs
• WPWSWI1
• CLABSI
• CAUTI
• C. diff
• SSI
• Antibiotic Resistance
• HAP/VAP
• Sepsis
• ABX Stewardship
• CPOE Order Sets
• Cut and Paste
• Incomplete Data
• Latent Data
• Inadequate Monitoring
• Loss of Narrative
• Implementation &
Training
Patient Care Infections HIT Workforce
• Psychological Safety
• Burnout
• Resilience
• 2nd Victim
• Turnover
• Human Factors
– Physical Ergonomics
– Cognitive Ergonomics
Direct Costs
Of Care
Litigation and
Penalty Costs
Accreditation
Costs
Human Capital
Costs
Brand and
Marketing Costs
1Wrong patient, wrong site, wrong indication
2Patient Safety in Healthcare, Forecast to 2022 (Rep.). (2018). Frost & Sullivan.
Ltd, R. A. (n.d.). Global Patient Safety And Risk Management Software Market Analysis & Trends - Industry Forecast to 2025.
Retrieved June 4, 2018, from https://www.researchandmarkets.com/research/sv9pdf/global_patient
Overall Impact
$146B
total U.S. cost
burden in 20162
30-70%
are avoidable
Decreased
Bottom-line
Agenda
Problems & Pain Points
© 2018
Health
Catalyst
Please select your most significant gap(s) in patient safety reporting.
1. Inpatient clinical (e.g. LOS, mortality, readmissions) – 41%
2. Outpatient/ambulatory clinical – 64%
3. Operations (e.g. service line cost/charge metrics, ED wait times, medication
reconciliation rates, instructions given at time of discharge) – 45%
4. Regulatory/reporting (e.g. HACs) – 36%
5. Severity of illness (e.g. Case Mix Index, RAF, other coding) – 43%
Poll Question
11
© 2018
Health
Catalyst
Health Catalyst Survey Results
12
7%
33%
50%
55%
46%
67%
0% 10% 20% 30% 40% 50% 60% 70% 80%
Other
Severity of illness
Regulatory/reporting
Operations
Outpatient/ambulatory clinical
Inpatient clinical
462
Total Participants
© 2018
Health
Catalyst
What prevents you from achieving your patient safety goals today?
Select all that apply.
1. Lack of resources (e.g. staffing, budget) – 43%
2. Organization structure, culture, or priorities – 45%
3. Ineffective information technology (e.g. data quality, patient matching, reporting) –
47%
4. Lack of real-time warnings for possible harmful events – 65%
5. Lack of reimbursement for safety initiatives – 29%
Poll Question
13
© 2018
Health
Catalyst
Health Catalyst Survey Results
14
6%
9%
10%
14%
16%
19%
27%
0% 5% 10% 15% 20% 25% 30%
Other
Changes in patient population and practice settings
Lack of reimbursement for safety initiatives
Lack of real-time warnings for possible harmful events
Ineffective information technology
Organization structure, culture, or priorities
Lack of resources
© 2018
Health
Catalyst
What are your sources for patient safety data? Select all that apply.
1. Retrospective coding
2. Trigger tool
3. Manual audits
4. Hospital acquired infection surveillance
5. Voluntary incident reporting system
Poll Question
15
© 2018
Health
Catalyst
Health Catalyst Survey Results
16
10%
82%
67%
58%
28%
29%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
Other
Voluntary incident reporting system
Hospital acquired infection surveillance
Manual audits
Trigger tool
Retrospective coding
© 2018
Health
Catalyst
• Patient safety management crosses all care settings, care models and
specialty boundaries – very few have special training, knowledge or analytics
in patient safety
• Involves a multitude of causes and risks, including genetic
• Culture plays a pivotal role & tends to be undervalued
• Providers usually don’t have appreciation or insight into the topography
(topography of harm = number, types, root causes) of harms occurring in their
patients or populations
• Organizations rely on voluntary, historical reporting rather than automated,
proactive analytics
• The depth, breadth and timeliness of required data is suboptimal
Summary of Key Pain Points
Advanced analytics and clinical decision support are essential
17
Safety is the
Priority
Quality is the
Standard
Agenda
Product Overview
© 2018
Health
Catalyst
All-Cause Harm
Surveillance
• PSO Services
• Patient Safety Monitor NPI
Safety
Consultant
• Advanced Clinical
Decision Support
Patient Safety Roadmap
19
Risk
Surveillance
• Data Models and
User Interface
Whole Patient
Measure of Safety
(Clinical, Culture,
Financial, Regulatory &
Improvement –
integration of DOS
clinical apps)
Voluntary
Reporting
© 2018
Health
Catalyst
Health Catalyst Patient Safety Solutions
• Monitor all data sources, including text, to
detect and measure all-cause harm events
with precision and fidelity, in a timely manner
• Vendor agnostic but data hungry
• Leverages Data Operating System (DOS™)
• Categorize harm through standardized
clinical assessment1
• Benchmarking advantage
• Communicate harm intelligently to multiple
stakeholders
• Protect harm data from legal discovery
• PSO protection (in process)
20
A sound epidemiologic methodology and robust technology for all-cause harm surveillance
1http://www.ihi.org/resources/Pages/Tools/GlobalTriggerToolImplementationToolkit.aspx
© 2018
Health
Catalyst
Health Catalyst Patient Safety Solutions
• Predict harm, using machine
learning and other techniques
including genomics
• Learn from harm to protect future
patients and build a culture of
safety
• Manage and prevent patient
harm by applying advanced
clinical decision support to at-risk
populations within the clinical
workflow
21
A sound epidemiologic methodology and robust technology for all-cause harm management
© 2018
Health
Catalyst
Patient Safety Monitor™ Suite:
Primary, Secondary and Future Users
22
Quality / Safety / Risk
Clinical Team (MD, RN, PharmD etc.)
Service Line & Care Managers
Primary Clinical Users - Interventionists
C-Suite / Board
Secondary Users - Analytics
Patient / Home
Front-line Caregivers across the
continuum (MD, RN, PharmD, etc.)
Future Users
© 2018
Health
Catalyst
Key Differentiators
All-cause harm literature-based trigger libraries
23
Patient Care
e.g. Return to
surgery, post-
op MI
Surgical
e.g. Patient
fall, intubation,
ICU readmit
e.g. Positive
blood/urine
culture, MRSA
Hospital Acquired
Infection
e.g. Morphine
milligram
equivalents
Pain Management
e.g. Digoxin or
Naloxone
administration
Medication
Reversal
e.g. Possible
acute kidney
injury
Renal Injury
e.g. Decrease in
hemoglobin, PTT
Coagulation
e.g. Glucose levels,
administration of
glucagon
Glycemic
Management
e.g. Total bilirubin,
elevated drug levels,
infiltrations
Pediatric
e.g. Pre-term birth,
delivery method
Perinatal
e.g. Unplanned
readmission, ER
after hospital stay
Readmission
© 2018
Health
Catalyst
Key Differentiators
24
Systems & Holistic
Approach to Patient
Safety
• All-cause harm analytics
strategy
o Patient, location and
population – across the
continuum of care
• Tactical flexibility to
address specific harms
• Enhanced accuracy of
predictions about harm
events
• DOS™ platform
• Sick Data, Health Data,
Activity Data (includes
narrative, numeric, signal,
picture etc.)
• AI, NLP, etc.
Clinical Data & Clinical
Logic/Algorithms
• DOS™ normalized and
optimized for surveillance
and decision support
• Time and point-of-care
orientation
o Support time-driven and
event-driven processing
o Pull and push notification
• Root-cause,
epidemiologic based
methodology
• Configurable to multiple
stakeholders and
situations
o Rules triggered by events,
views are triggered by
situations, intelligent
options throughout
Automated Guidance4,5
• Outputs are actionable,
concise, patient-, disease-
or task-specific
• Intelligent filtering of
knowledge and patient
data (smart views)
• Knowledge is human-
readable and machine
computable
o Infrastructure makes
computable knowledge
findable, accessible,
interoperable and reusable
(FAIR6 criteria)
• What to do
• Why to do it
1Patient Safety: achieving a new standard of care; National Academy Press, 2004
2https://www.healthit.gov/topic/safety/safer-guides
37-step Framework for Outcomes Improvement, Health Catalyst
4Improving Outcomes with Clinical Decision Support – An Implementer’s Guide, 2nd ed.
5SL Pestotnik, Pharmacotherapy, 2005, Vol. 25(8):1116-25
6https://www.force11.org/fairprinciples
Socio-technical
Development
Framework1
• Workflows and
thoughtflow UI (SAFER
Guides2)
• QI-focused professional
services; 10-yr track
record3
• Create highly reliable
organizations by
identifying safety risks,
predicting individual
outcomes, suggesting
process improvement and
promoting a culture of
safety
© 2018
Health
Catalyst
The Data Operating System
Data Ingest
Real-time
Streaming
Source
Connectors
Catalyst Analytics Platform Fabric Data Services
Real-time
Processing
Health Catalyst Applications
Data
Quality
Data
Governance
Pattern
Recognition
Hadoop/
Spark
Data Export
Population &
Registry
Builder
Leading
Wisely
Care
Management
Atlas
Client-built
Applications
NLP
Touchstone
Benchmarks
CORUS
Cost
Accounting
Patient
Safety
Measures
Manager
ACO
Financials
Patient
Engagement
HL7
Data Pipelines Metadata
Data Lake
Reusable
Content
AI Models
Third-party
Apps
Artificial
Intelligence
Pipelines
Marketplace
SAMD
& SMD
Fabric Application Services
Terminology
& Groupers
EMR
Integration
Security, Identity
& Compliance
Patient & Provider
Matching
Value Sets
& Measures
Standard,
Extensible
Data Models
RegistriesFHIR
HL7
Analytic
Accelerators
200+ Data Sources and growing
26
1. 2010 US Census Detail for State of Colorado
2. 835 – Denials
3. Adirondack ACO Clinical Data from HIXNY (HIE)
4. Adirondack ACO Medicare
5. ADT HIE Patient Programs - Patient Tracking
6. Aetna - Claims
7. Affiliate Provider Database
8. Affinity - ADT/Registration
9. Affinity - Costing
10. Affinity - Hospital Billing
11. AHRQ Clinical Classification Software (CCS)
12. All Payer All Claims (certain States) ---In process UT, CO, MA
13. Alliance Decision Support
14. Allscripts - Ambulatory EMR Clinicals
15. Allscripts - Ambulatory Practice Management
16. Allscripts - Case Management
17. Allscripts - Patient Flow
18. Allscripts (EPSi) - Budget
19. Allscripts (EPSi) - Costing
20. Allscripts (TSI) - Costing
21. Allscripts EHRQIS - Quality
22. Allscripts Enterprise/Touchworks - Ambulatory EMR
23. Allscripts Sunrise - Acute EMR Clinicals
24. Anthem - Claims
25. Aon Hewitt - Claims
26. API Healthcare - Time and Attendance
27. Apollo - Lumed X Surgical System
28. Aprima EMR
29. Aspire - Cardiovascular Registry
30. Avaya
31. Axis (MDX)
32. BCBS Illinois
33. BCBS Vermont
34. Bed Ready - Other
35. BOXI - GL
36. Carestream - Other
37. Cerner - Acute EMR Clinicals
38. Cerner - Laboratory
39. Cerner - PowerWorks Ambulatory EMR
40. Cerner HomeWorks - Other
41. Cerner Signature
42. Charlson Deyo and Elixhauser Comorbidity
43. Children's Community Health Plan (CCHP) - Payer
44. CHMB 360+ RCM - Hospital Billing
45. Cigna - Claims
46. CIT Custom - Claims
47. Clinical Improvement Grouper (Care Process Hierarchy)
48. CMS Hierarchical Condition Category
49. CMS Place Of Service
50. CMS Standard Analytical Files
51. Cone Health Employee Plan (United Medicare) - Claims
52. Cost Flex - Costing
53. CPSI - Acute EMR Clinicals
54. CPSI - Hospital Billing
55. Daptiv
56. Digimax Materials Management - Inventory Management
57. Discharge Abstract Data (DAD)
58. Echo Credentialing - Provider Management
59. eClinicalWorks - Ambulatory EMR Clinicals
60. eClinicalWorks - Mountain Kidney Data Extracts
61. Epic - Acute EMR Clinicals
62. Epic - Ambulatory EMR Clinicals
63. Epic - Hospital Billing
64. ePIMS
65. Fazzi - Patient Satisfaction
66. First Click-Wellness
67. FlightLink
68. GE (IDX) Centricity - Ambulatory EMR Clinicals
69. GE (IDX) Centricity - Hospital Billing
70. GE (IDX) Centricity - Practice Management
71. GE (IDX) Centricity - Professional Billing
72. GE (IDX) Centricity Muse - Cardiology
73. Hawaii Medical Service Association (HMSA) - Claims
74. HCUP (NRD, NIS, NED Sample sets)
75. Health Trac
76. HealtheIntent
77. HealthNet - Claims
78. HealthQuest - Patient Accounting
79. Healthscope
80. HealthStream - Patient Satisfaction
81. HST Pathways - Other
82. Humana (PPO) - Claims
83. Humana MA - Claims
84. Hyperion
85. iCIMS
86. ImageTrend
87. ImmTrac
88. InitiateEMPI
89. Innotas
90. IOS ENVI - Costing
91. IVR Outreach Detail
92. Kaufman Hall Budget Advisor - Other
93. Keane - Hospital Billing
94. Kentucky Hospital Association (KHA) - Claims
95. Kronos - HR
96. Kronos - Time and Attendance
97. Lancet Trauma Registry
98. Lawson - Accounts Payable
99. Lawson - Accounts Receivable
100. Lawson - GL
101. Lawson - HR
102. Lawson - Payroll
103. Lawson - Supply Chain
104. Lawson - Time and Attendance
105. Loinc
106. MacLab (CathLab)
107. Maestro
108. McKesson - Accounts Payable
109. McKesson Enterprise Materials Management
110. McKesson Horizon - Acute EMR Clinicals
111. McKesson Horizon Enterprise Visibility
112. McKesson HPM - Costing
113. McKesson HPM - GL
114. McKesson PFM - Accounts Payable
115. McKesson PFM - GL
116. McKesson Series - Accounts Receivable
117. McKesson Series - Patient Billing
118. McKesson STAR - Hospital Billing
119. MD Associates - Professional Billing
120. MD People
121. Medicaid - Claims
122. Medicaid - Claims - CCO
123. Meditech - GL
124. Meditech 5.66 EHR w/DR
125. Merit Cigna - Claims
126. Merit SelectHealth - Claims
127. Microsoft Great Plains - GL
128. MIDAS - Credentialing Module
129. MIDAS - Infection Surveillance
130. MIDAS - Other
131. MIDAS - Risk Management
132. Morrisey Medical Staff Office for Web (MSOW)
133. MSSP (CMS) - Claims
134. National Ambulatory Care Reporting System (NACRS)
135. National Drug Codes (NDC)
136. Navitus - Pharmacy
137. Nextgate EMPI
138. NextGen - Ambulatory Practice Management
139. NextGen (CMS) - Claims
140. NHSN
141. Now Solutions Empath - HR
142. NPI Registry
143. NRC Picker - Patient Satisfaction
144. NSQIPFlatFile
145. OBIX - Perinatal
146. Ohio Hospital Association (OHA) - Claims
147. Onbase
148. OnCore CTMS
149. Oracle (Hyperion) - Costing
150. Oracle (PeopleSoft) - GL
151. Oracle (PeopleSoft) - HR
152. Oracle (PeopleSoft) - Supply Chain
153. Orchard Software Harvest - Pathology
154. PACSHealth - Radiology
155. PARExpress
156. PeopleStrategy/Genesys - HR
157. PeopleStrategy/Genesys - Payroll
158. Pharmacy Benefits Manager
159. PHC Legacy EDW
160. PICIS (OPTUM) Perioperative Suite
161. PPM - Costing
162. PRC - Patient Satisfaction
163. Press Ganey - Patient Satisfaction
164. ProHealth - Claims
165. Provation
166. Provider Taxonomy
167. PWHP Custom - Claims
168. Quadramed Patient Acuity Classification System - Other
169. Quality Systems (Next Gen) - Ambulatory EMR Clinicals
170. QXNT - Claims
171. QXNT/Cactus - Provider
172. QXNT/Vital - Member
173. RLSolutions
174. Rx Norm
175. SafeTrace
176. Siemens RIS - Radiology
177. Siemens Sorian Clinicals - Inpatient EMR
178. Siemens Sorian Financials - Inpatient Registration and Billing
179. SIS Surgical Services
180. Smartstream - GL
181. SMS Legacy - Other
182. StatusScope - Clinical Decisions
183. StrataJazz - Costing
184. Sullivan Luallin - Patient Satisfaction
185. Sunquest - Laboratory
186. Sunrise Clinical Manager
187. Surgical Information System
188. TheraDoc
189. TransChart - Other
190. Truven Quality
191. Ultimate Software Ultipro - HR
192. UMR Claims Source
193. University HealthSystem Consortium - Clinical and Operational
Resource Database
194. University HealthSystem Consortium - Regulatory
195. Value Set Authority Center
196. Varian Aria - Oncology
197. Vermont HIE
198. Vigilanz - Infection Control
199. Wisconsin Health Information Organization (WHIO) - Claims
200. WorkDay
Generally Available
As of May - 2017
© 2018
Health
Catalyst
Health Catalyst Patient Safety Monitor™ Suite Features
• Built on the DOS™ platform
• Automated identification of potential safety events
• All-cause harm review of more than 80 triggers
• Bridges gap in inadequate voluntary reporting
• Clinically validated data
• Patient safety organization protection
• Customizable trigger logic
• Customizable review and documentation workflow
• Multi-disciplinary user workflow
• Harm review from system to patient view
• Harm trend and pattern identification
• Timeline view of identified triggers
• Supporting clinical data displayed for rapid clinical review
Adverse event trend displayed in multiple breakdown types to
support multi-level user perspectives, including:
• Adverse events by unit
• Adverse events by category
• Adverse events by severity
• Adverse events by service line
• Adverse events by frequency
• Adverse events by rate
• Estimated costs of harm
• Safety Huddle Dashboard
• Ad hoc export
Risk Surveillance (Future State): Predictive models and user
interface
• Utilizes documented harm from Patient Safety Monitor
• Identifies modifiable risk factors
• Identifies impactability
• Clinical decision support application per patient
27
Agenda
Professional Services
© 2018
Health
Catalyst
Professional Services
29
Initial
Offerings
Future
Offerings
Application
deployment
Training, adoption,
governance, &
readiness
assessment1
Custom trigger
development
Outcomes
improvement
services, including
client collaboratives1,2
Patient Safety Organization
membership and services
(pending anticipated PSO
listing)
Enhanced Culture of Safety
consulting & governance
Expand existing patient safety
improvement collaboratives
17-step Framework for Outcomes Improvement, Health Catalyst
2https://www.healthcatalyst.com/knowledge-center/success-stories/?fwp_topics=patient-safety-2
© 2018
Health
Catalyst
Health Quest focused on identifying ways to improve these
outcomes. Despite instituting several evidence-based
recommendations, the organization had not succeeded in
reducing sepsis mortality to its desired rate. Health Quest
established a multidisciplinary sepsis committee to lead
improvement efforts, including the use of analytics to combat
sepsis mortality rates and improve patient outcomes, resulting in
a:
54 percent relative reduction in sepsis mortality, saving 92 lives in 10
months.
57.1 percent relative reduction in catheter-associated urinary tract
infection (CAUTI) standardized infection ratio (SIR).
30.7 percent relative reduction in C. difficile SIR.
Collaborative, Data-driven Approach Reduces
Sepsis Mortality by 54 Percent
Sepsis can result from an infection
anywhere in the body, such as
respiratory, integumentary, or
urinary tract.
In the U.S., sepsis impacts more
than 1.5 million people annually,
of which about 250,000 will die.
Sepsis accounts for one-third to
one-half of all deaths for
hospitalized patients.
Agenda
Key Takeaways
© 2018
Health
Catalyst
• Although finance, fear of penalty, and loss of accreditation is often
the motivator for patient safety, never forget the faces that should be
the real motivators.
• There is nothing more peaceful and comfortable than the truth, no
matter what the topic. Find the truth, tell the truth, face the truth.
• Surveilling for harm proactively rather than reactively will enhance
your culture of safety and provide greater protection for all of the
victims of patient harm.
• We welcome the opportunity to be your partner in delivering safe,
quality patient care.
If you take just these things away then . . .
32
© 2018
Health
Catalyst
Healthcare Analytics Summit 18
Sept. 11-13, Salt Lake, Grand America Hotel
TOBY COSGROVE, MD
former CEO and President of
Cleveland Clinic (2004-2017),
who as a cardiac surgeon
performed more than 22,000
operations and holds 30 patents
for medical innovations
KIM GOODSELL
the actualized ‘genomified,’ quantified,
digitalized “patient of the future," her debut at
the 2014 Future of Genomic Medicine
conference made headline news
announcing— “The patient from the future,
here today”
DANIEL KRAFT, MD
a Stanford and Harvard trained physician-
scientist, inventor, entrepreneur, and
innovator, Kraft is the Founder and Chair of
Exponential Medicine, a program that
explores convergent, rapidly developing
technologies and their potential in
biomedicine and healthcare
BRENT JAMES, MD
former Chief Quality Officer at
Intermountain Healthcare - known
internationally for his work in
clinical quality improvement,
patient safety, and the
infrastructure that underlies
successful improvement efforts
PENNY WHEELER, MD
President and Chief Executive
Officer of Allina Health,
returns a second time as one
of the most popular HAS
speakers ever
MARC RANDOLF
Co-founder of Netflix, Marc will
share the Netflixed story: how a
scrappy Silicon Valley startup
brought down Blockbuster and
the lessons that could be
applicable to healthcare
JILL HOGGARD GREEN
PhD, RN, Chief Operating Officer – Mission
Health and President – Mission Hospital,
and recently named to the 2017 Becker’s
Healthcare list of the country’s top Women
Hospital and Health System Leaders to
Know
ROBERT WACHTER, MD
global leader in healthcare safety,
quality, policy, IT; Chair of the
Department of Medicine, University of
California, San Francisco; best-selling
author, “The Digital Doctor: Hope, Hype
and Harm at the Dawn of Medicine’s
Computer Age”
More highlights
4 Digital Innovators (Keynotes)
AI Showcase (10 walkabout case studies)
Digitizing the Patient Showcase (10-12 stations)
28 Educational, Case Study, and Technical Breakouts
24 Analytics Walkabout Projects
More Networking (Introducing “Brain Date”)
CME Accreditation For Clinicians
5-Star Grand America Hotel Experience
96 Total Presentations
National keynotes
Employer
Innovation
Scott
Schreeve
MD, CEO, Crossover Health
Payer
Innovation
Kevin
Sears
Executive Director of Marketing
and Network Services, Cleveland
Clinic
Biosensor
Innovation
John
Rogers
PhD, Founding Director, Center
Bio-Integrated Electronics,
Northwestern University
Pricing
Innovation
Gene
Thompson
Project Director, Health City
Cayman Islands
Q&A
© 2018
Health
Catalyst
Around the globe, we are facing a trifecta of healthcare challenges: financial constraints, an aging population, and an
increased burden of chronic disease. We need to turn healthcare upside down, empowering our patients to take action
for their health and helping physicians, nurses, and healthcare professionals move from being sages to guides.
Thursday, July 26
1:00-2:00 PM EST
Join to learn:
• How increased patient engagement can help to improve healthcare outcomes while reducing costs
• Ways that technology can effectively improve data capture, patient accountability, and decision-making
• The impactful stories of four patients who became innovators in their own care
The Patient’s Power in Improving Health and Care
35
MAUREEN BISOGNANO
President Emerita and Senior Fellow, Institute for Healthcare Improvement
Maureen was the former IHI President and CEO for five years, after serving as
Executive Vice President and COO for 15 years. She is a prominent authority
on improving health care systems, whose expertise has been recognized by
her elected membership to the National Academy of Medicine, among other
distinctions.
Thank You!

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Introducing Comprehensive, Concurrent Patient Safety Surveillance for Hospitals and Health Systems

  • 1. Introducing the Patient Safety Monitor™ Suite: Surveillance Module Stanley Pestotnik, MS, RPh Vice President, Patient Safety Catalyst
  • 2. Agenda Why Patient Safety Matters Problems & Pain Points Product Overview Professional Services Key Takeaways
  • 4. © 2018 Health Catalyst Patient Safety 4 “…there are some patients we cannot help, there are none we cannot harm.” Arthur L. Bloomfield, MD (1888-1962; Professor of Medicine; Executive Director Dept of Medicine; Stanford Medical School, 1926-1954
  • 5. © 2018 Health Catalyst • Told she had active hepatitis B and advanced cirrhosis at an Air Force Medical Facility with no additional treatment options available. She was referred for a liver transplant. • After consultation at LDS Hospital in Utah she was placed on the liver transplant waiting list. Past Air Force medical records were incomplete and illegible in many sections. • LDSH’s automated trigger-based surveillance system2 prompted a review of her medication history by Stanley Pestotnik. • Recurrent/multi-year high-dose use of Macrodantin (nitrofurantoin) was identified and her attending physicians were notified (chronic nausea, vomiting, nose bleeds, weight loss and hepatitis). • Macrodantin use was discontinued and she recovered without the need for a liver transplant. Betty Redocto Story1 1Finkelstein, K. E. (1998, September 14 & 28). The Computer Cure. The New Republic. 2DC Classen, SL Pestotnik, et al., Computerized Surveillance of Adverse Drug Events in Hospital Patients, JAMA 1991;266:2847-51 5
  • 6. © 2018 Health Catalyst 6 Kimberly Hiatt, RN http://www.nbcnews.com/id/43529641/ns/health-health_care/t/nurses-suicide-highlights-twin-tragedies-medical-errors/
  • 7. © 2018 Health Catalyst We are all affected 7 What do all of these stories have in common? They are not just consequences of medical care. They are people with a face and name. They are someone’s child, wife, or loved one. Whether you are the provider, the patient, or the loved one, patient harm affects you.
  • 8. © 2018 Health Catalyst • Preventable medical injuries are on the rise • There has been 10x more preventable harm since 1999 IOM report • 400,000 lives per year • >$100B annually • Patient harm is the 3rd leading cause of death • <5% of hospitals are measuring and tracking all-cause harm1 Why Patient Safety? 8 Causes of Death, U.S. (CDC 2013 Final Data)2 Heart disease 611k Cancer 585k Medical error 251k COPD 149k All causes 2,597 k Suicide 41k Firearms 34k Motor vehicles 34k Based on our estimates, medical error is the 3rd most common cause of death in the U.S. However, medical error is not recorded on U.S. death certificates. 1Conway PH, Mostashari F, Clancy C. Future of Quality Measurement for Improvement and Accountability. JAMA 2013;309:2215-16. OIG, Hospital Incident Reporting Systems Do Not Capture Most Patient Harm, HHS, 2012. 2Xu, M.D., J., M.D., Murphy, S. L., B.S., Kochanek, K. D., M.A., & Bastian, B. A., B.S. (2016, February 16). Deaths: Final Data for 2013 (Rep. No. Volume 64, Number 2). Retrieved https://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf
  • 9. © 2018 Health Catalyst Patient Safety Events Driving the Biggest Burden of Disease and Costs 9 • Medication Safety • Pressure Ulcers • Diagnostic Safety • DVT/PE • Unnecessary Readmissions • Falls • Patient Handoffs • WPWSWI1 • CLABSI • CAUTI • C. diff • SSI • Antibiotic Resistance • HAP/VAP • Sepsis • ABX Stewardship • CPOE Order Sets • Cut and Paste • Incomplete Data • Latent Data • Inadequate Monitoring • Loss of Narrative • Implementation & Training Patient Care Infections HIT Workforce • Psychological Safety • Burnout • Resilience • 2nd Victim • Turnover • Human Factors – Physical Ergonomics – Cognitive Ergonomics Direct Costs Of Care Litigation and Penalty Costs Accreditation Costs Human Capital Costs Brand and Marketing Costs 1Wrong patient, wrong site, wrong indication 2Patient Safety in Healthcare, Forecast to 2022 (Rep.). (2018). Frost & Sullivan. Ltd, R. A. (n.d.). Global Patient Safety And Risk Management Software Market Analysis & Trends - Industry Forecast to 2025. Retrieved June 4, 2018, from https://www.researchandmarkets.com/research/sv9pdf/global_patient Overall Impact $146B total U.S. cost burden in 20162 30-70% are avoidable Decreased Bottom-line
  • 11. © 2018 Health Catalyst Please select your most significant gap(s) in patient safety reporting. 1. Inpatient clinical (e.g. LOS, mortality, readmissions) – 41% 2. Outpatient/ambulatory clinical – 64% 3. Operations (e.g. service line cost/charge metrics, ED wait times, medication reconciliation rates, instructions given at time of discharge) – 45% 4. Regulatory/reporting (e.g. HACs) – 36% 5. Severity of illness (e.g. Case Mix Index, RAF, other coding) – 43% Poll Question 11
  • 12. © 2018 Health Catalyst Health Catalyst Survey Results 12 7% 33% 50% 55% 46% 67% 0% 10% 20% 30% 40% 50% 60% 70% 80% Other Severity of illness Regulatory/reporting Operations Outpatient/ambulatory clinical Inpatient clinical 462 Total Participants
  • 13. © 2018 Health Catalyst What prevents you from achieving your patient safety goals today? Select all that apply. 1. Lack of resources (e.g. staffing, budget) – 43% 2. Organization structure, culture, or priorities – 45% 3. Ineffective information technology (e.g. data quality, patient matching, reporting) – 47% 4. Lack of real-time warnings for possible harmful events – 65% 5. Lack of reimbursement for safety initiatives – 29% Poll Question 13
  • 14. © 2018 Health Catalyst Health Catalyst Survey Results 14 6% 9% 10% 14% 16% 19% 27% 0% 5% 10% 15% 20% 25% 30% Other Changes in patient population and practice settings Lack of reimbursement for safety initiatives Lack of real-time warnings for possible harmful events Ineffective information technology Organization structure, culture, or priorities Lack of resources
  • 15. © 2018 Health Catalyst What are your sources for patient safety data? Select all that apply. 1. Retrospective coding 2. Trigger tool 3. Manual audits 4. Hospital acquired infection surveillance 5. Voluntary incident reporting system Poll Question 15
  • 16. © 2018 Health Catalyst Health Catalyst Survey Results 16 10% 82% 67% 58% 28% 29% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Other Voluntary incident reporting system Hospital acquired infection surveillance Manual audits Trigger tool Retrospective coding
  • 17. © 2018 Health Catalyst • Patient safety management crosses all care settings, care models and specialty boundaries – very few have special training, knowledge or analytics in patient safety • Involves a multitude of causes and risks, including genetic • Culture plays a pivotal role & tends to be undervalued • Providers usually don’t have appreciation or insight into the topography (topography of harm = number, types, root causes) of harms occurring in their patients or populations • Organizations rely on voluntary, historical reporting rather than automated, proactive analytics • The depth, breadth and timeliness of required data is suboptimal Summary of Key Pain Points Advanced analytics and clinical decision support are essential 17 Safety is the Priority Quality is the Standard
  • 19. © 2018 Health Catalyst All-Cause Harm Surveillance • PSO Services • Patient Safety Monitor NPI Safety Consultant • Advanced Clinical Decision Support Patient Safety Roadmap 19 Risk Surveillance • Data Models and User Interface Whole Patient Measure of Safety (Clinical, Culture, Financial, Regulatory & Improvement – integration of DOS clinical apps) Voluntary Reporting
  • 20. © 2018 Health Catalyst Health Catalyst Patient Safety Solutions • Monitor all data sources, including text, to detect and measure all-cause harm events with precision and fidelity, in a timely manner • Vendor agnostic but data hungry • Leverages Data Operating System (DOS™) • Categorize harm through standardized clinical assessment1 • Benchmarking advantage • Communicate harm intelligently to multiple stakeholders • Protect harm data from legal discovery • PSO protection (in process) 20 A sound epidemiologic methodology and robust technology for all-cause harm surveillance 1http://www.ihi.org/resources/Pages/Tools/GlobalTriggerToolImplementationToolkit.aspx
  • 21. © 2018 Health Catalyst Health Catalyst Patient Safety Solutions • Predict harm, using machine learning and other techniques including genomics • Learn from harm to protect future patients and build a culture of safety • Manage and prevent patient harm by applying advanced clinical decision support to at-risk populations within the clinical workflow 21 A sound epidemiologic methodology and robust technology for all-cause harm management
  • 22. © 2018 Health Catalyst Patient Safety Monitor™ Suite: Primary, Secondary and Future Users 22 Quality / Safety / Risk Clinical Team (MD, RN, PharmD etc.) Service Line & Care Managers Primary Clinical Users - Interventionists C-Suite / Board Secondary Users - Analytics Patient / Home Front-line Caregivers across the continuum (MD, RN, PharmD, etc.) Future Users
  • 23. © 2018 Health Catalyst Key Differentiators All-cause harm literature-based trigger libraries 23 Patient Care e.g. Return to surgery, post- op MI Surgical e.g. Patient fall, intubation, ICU readmit e.g. Positive blood/urine culture, MRSA Hospital Acquired Infection e.g. Morphine milligram equivalents Pain Management e.g. Digoxin or Naloxone administration Medication Reversal e.g. Possible acute kidney injury Renal Injury e.g. Decrease in hemoglobin, PTT Coagulation e.g. Glucose levels, administration of glucagon Glycemic Management e.g. Total bilirubin, elevated drug levels, infiltrations Pediatric e.g. Pre-term birth, delivery method Perinatal e.g. Unplanned readmission, ER after hospital stay Readmission
  • 24. © 2018 Health Catalyst Key Differentiators 24 Systems & Holistic Approach to Patient Safety • All-cause harm analytics strategy o Patient, location and population – across the continuum of care • Tactical flexibility to address specific harms • Enhanced accuracy of predictions about harm events • DOS™ platform • Sick Data, Health Data, Activity Data (includes narrative, numeric, signal, picture etc.) • AI, NLP, etc. Clinical Data & Clinical Logic/Algorithms • DOS™ normalized and optimized for surveillance and decision support • Time and point-of-care orientation o Support time-driven and event-driven processing o Pull and push notification • Root-cause, epidemiologic based methodology • Configurable to multiple stakeholders and situations o Rules triggered by events, views are triggered by situations, intelligent options throughout Automated Guidance4,5 • Outputs are actionable, concise, patient-, disease- or task-specific • Intelligent filtering of knowledge and patient data (smart views) • Knowledge is human- readable and machine computable o Infrastructure makes computable knowledge findable, accessible, interoperable and reusable (FAIR6 criteria) • What to do • Why to do it 1Patient Safety: achieving a new standard of care; National Academy Press, 2004 2https://www.healthit.gov/topic/safety/safer-guides 37-step Framework for Outcomes Improvement, Health Catalyst 4Improving Outcomes with Clinical Decision Support – An Implementer’s Guide, 2nd ed. 5SL Pestotnik, Pharmacotherapy, 2005, Vol. 25(8):1116-25 6https://www.force11.org/fairprinciples Socio-technical Development Framework1 • Workflows and thoughtflow UI (SAFER Guides2) • QI-focused professional services; 10-yr track record3 • Create highly reliable organizations by identifying safety risks, predicting individual outcomes, suggesting process improvement and promoting a culture of safety
  • 25. © 2018 Health Catalyst The Data Operating System Data Ingest Real-time Streaming Source Connectors Catalyst Analytics Platform Fabric Data Services Real-time Processing Health Catalyst Applications Data Quality Data Governance Pattern Recognition Hadoop/ Spark Data Export Population & Registry Builder Leading Wisely Care Management Atlas Client-built Applications NLP Touchstone Benchmarks CORUS Cost Accounting Patient Safety Measures Manager ACO Financials Patient Engagement HL7 Data Pipelines Metadata Data Lake Reusable Content AI Models Third-party Apps Artificial Intelligence Pipelines Marketplace SAMD & SMD Fabric Application Services Terminology & Groupers EMR Integration Security, Identity & Compliance Patient & Provider Matching Value Sets & Measures Standard, Extensible Data Models RegistriesFHIR HL7 Analytic Accelerators
  • 26. 200+ Data Sources and growing 26 1. 2010 US Census Detail for State of Colorado 2. 835 – Denials 3. Adirondack ACO Clinical Data from HIXNY (HIE) 4. Adirondack ACO Medicare 5. ADT HIE Patient Programs - Patient Tracking 6. Aetna - Claims 7. Affiliate Provider Database 8. Affinity - ADT/Registration 9. Affinity - Costing 10. Affinity - Hospital Billing 11. AHRQ Clinical Classification Software (CCS) 12. All Payer All Claims (certain States) ---In process UT, CO, MA 13. Alliance Decision Support 14. Allscripts - Ambulatory EMR Clinicals 15. Allscripts - Ambulatory Practice Management 16. Allscripts - Case Management 17. Allscripts - Patient Flow 18. Allscripts (EPSi) - Budget 19. Allscripts (EPSi) - Costing 20. Allscripts (TSI) - Costing 21. Allscripts EHRQIS - Quality 22. Allscripts Enterprise/Touchworks - Ambulatory EMR 23. Allscripts Sunrise - Acute EMR Clinicals 24. Anthem - Claims 25. Aon Hewitt - Claims 26. API Healthcare - Time and Attendance 27. Apollo - Lumed X Surgical System 28. Aprima EMR 29. Aspire - Cardiovascular Registry 30. Avaya 31. Axis (MDX) 32. BCBS Illinois 33. BCBS Vermont 34. Bed Ready - Other 35. BOXI - GL 36. Carestream - Other 37. Cerner - Acute EMR Clinicals 38. Cerner - Laboratory 39. Cerner - PowerWorks Ambulatory EMR 40. Cerner HomeWorks - Other 41. Cerner Signature 42. Charlson Deyo and Elixhauser Comorbidity 43. Children's Community Health Plan (CCHP) - Payer 44. CHMB 360+ RCM - Hospital Billing 45. Cigna - Claims 46. CIT Custom - Claims 47. Clinical Improvement Grouper (Care Process Hierarchy) 48. CMS Hierarchical Condition Category 49. CMS Place Of Service 50. CMS Standard Analytical Files 51. Cone Health Employee Plan (United Medicare) - Claims 52. Cost Flex - Costing 53. CPSI - Acute EMR Clinicals 54. CPSI - Hospital Billing 55. Daptiv 56. Digimax Materials Management - Inventory Management 57. Discharge Abstract Data (DAD) 58. Echo Credentialing - Provider Management 59. eClinicalWorks - Ambulatory EMR Clinicals 60. eClinicalWorks - Mountain Kidney Data Extracts 61. Epic - Acute EMR Clinicals 62. Epic - Ambulatory EMR Clinicals 63. Epic - Hospital Billing 64. ePIMS 65. Fazzi - Patient Satisfaction 66. First Click-Wellness 67. FlightLink 68. GE (IDX) Centricity - Ambulatory EMR Clinicals 69. GE (IDX) Centricity - Hospital Billing 70. GE (IDX) Centricity - Practice Management 71. GE (IDX) Centricity - Professional Billing 72. GE (IDX) Centricity Muse - Cardiology 73. Hawaii Medical Service Association (HMSA) - Claims 74. HCUP (NRD, NIS, NED Sample sets) 75. Health Trac 76. HealtheIntent 77. HealthNet - Claims 78. HealthQuest - Patient Accounting 79. Healthscope 80. HealthStream - Patient Satisfaction 81. HST Pathways - Other 82. Humana (PPO) - Claims 83. Humana MA - Claims 84. Hyperion 85. iCIMS 86. ImageTrend 87. ImmTrac 88. InitiateEMPI 89. Innotas 90. IOS ENVI - Costing 91. IVR Outreach Detail 92. Kaufman Hall Budget Advisor - Other 93. Keane - Hospital Billing 94. Kentucky Hospital Association (KHA) - Claims 95. Kronos - HR 96. Kronos - Time and Attendance 97. Lancet Trauma Registry 98. Lawson - Accounts Payable 99. Lawson - Accounts Receivable 100. Lawson - GL 101. Lawson - HR 102. Lawson - Payroll 103. Lawson - Supply Chain 104. Lawson - Time and Attendance 105. Loinc 106. MacLab (CathLab) 107. Maestro 108. McKesson - Accounts Payable 109. McKesson Enterprise Materials Management 110. McKesson Horizon - Acute EMR Clinicals 111. McKesson Horizon Enterprise Visibility 112. McKesson HPM - Costing 113. McKesson HPM - GL 114. McKesson PFM - Accounts Payable 115. McKesson PFM - GL 116. McKesson Series - Accounts Receivable 117. McKesson Series - Patient Billing 118. McKesson STAR - Hospital Billing 119. MD Associates - Professional Billing 120. MD People 121. Medicaid - Claims 122. Medicaid - Claims - CCO 123. Meditech - GL 124. Meditech 5.66 EHR w/DR 125. Merit Cigna - Claims 126. Merit SelectHealth - Claims 127. Microsoft Great Plains - GL 128. MIDAS - Credentialing Module 129. MIDAS - Infection Surveillance 130. MIDAS - Other 131. MIDAS - Risk Management 132. Morrisey Medical Staff Office for Web (MSOW) 133. MSSP (CMS) - Claims 134. National Ambulatory Care Reporting System (NACRS) 135. National Drug Codes (NDC) 136. Navitus - Pharmacy 137. Nextgate EMPI 138. NextGen - Ambulatory Practice Management 139. NextGen (CMS) - Claims 140. NHSN 141. Now Solutions Empath - HR 142. NPI Registry 143. NRC Picker - Patient Satisfaction 144. NSQIPFlatFile 145. OBIX - Perinatal 146. Ohio Hospital Association (OHA) - Claims 147. Onbase 148. OnCore CTMS 149. Oracle (Hyperion) - Costing 150. Oracle (PeopleSoft) - GL 151. Oracle (PeopleSoft) - HR 152. Oracle (PeopleSoft) - Supply Chain 153. Orchard Software Harvest - Pathology 154. PACSHealth - Radiology 155. PARExpress 156. PeopleStrategy/Genesys - HR 157. PeopleStrategy/Genesys - Payroll 158. Pharmacy Benefits Manager 159. PHC Legacy EDW 160. PICIS (OPTUM) Perioperative Suite 161. PPM - Costing 162. PRC - Patient Satisfaction 163. Press Ganey - Patient Satisfaction 164. ProHealth - Claims 165. Provation 166. Provider Taxonomy 167. PWHP Custom - Claims 168. Quadramed Patient Acuity Classification System - Other 169. Quality Systems (Next Gen) - Ambulatory EMR Clinicals 170. QXNT - Claims 171. QXNT/Cactus - Provider 172. QXNT/Vital - Member 173. RLSolutions 174. Rx Norm 175. SafeTrace 176. Siemens RIS - Radiology 177. Siemens Sorian Clinicals - Inpatient EMR 178. Siemens Sorian Financials - Inpatient Registration and Billing 179. SIS Surgical Services 180. Smartstream - GL 181. SMS Legacy - Other 182. StatusScope - Clinical Decisions 183. StrataJazz - Costing 184. Sullivan Luallin - Patient Satisfaction 185. Sunquest - Laboratory 186. Sunrise Clinical Manager 187. Surgical Information System 188. TheraDoc 189. TransChart - Other 190. Truven Quality 191. Ultimate Software Ultipro - HR 192. UMR Claims Source 193. University HealthSystem Consortium - Clinical and Operational Resource Database 194. University HealthSystem Consortium - Regulatory 195. Value Set Authority Center 196. Varian Aria - Oncology 197. Vermont HIE 198. Vigilanz - Infection Control 199. Wisconsin Health Information Organization (WHIO) - Claims 200. WorkDay Generally Available As of May - 2017
  • 27. © 2018 Health Catalyst Health Catalyst Patient Safety Monitor™ Suite Features • Built on the DOS™ platform • Automated identification of potential safety events • All-cause harm review of more than 80 triggers • Bridges gap in inadequate voluntary reporting • Clinically validated data • Patient safety organization protection • Customizable trigger logic • Customizable review and documentation workflow • Multi-disciplinary user workflow • Harm review from system to patient view • Harm trend and pattern identification • Timeline view of identified triggers • Supporting clinical data displayed for rapid clinical review Adverse event trend displayed in multiple breakdown types to support multi-level user perspectives, including: • Adverse events by unit • Adverse events by category • Adverse events by severity • Adverse events by service line • Adverse events by frequency • Adverse events by rate • Estimated costs of harm • Safety Huddle Dashboard • Ad hoc export Risk Surveillance (Future State): Predictive models and user interface • Utilizes documented harm from Patient Safety Monitor • Identifies modifiable risk factors • Identifies impactability • Clinical decision support application per patient 27
  • 29. © 2018 Health Catalyst Professional Services 29 Initial Offerings Future Offerings Application deployment Training, adoption, governance, & readiness assessment1 Custom trigger development Outcomes improvement services, including client collaboratives1,2 Patient Safety Organization membership and services (pending anticipated PSO listing) Enhanced Culture of Safety consulting & governance Expand existing patient safety improvement collaboratives 17-step Framework for Outcomes Improvement, Health Catalyst 2https://www.healthcatalyst.com/knowledge-center/success-stories/?fwp_topics=patient-safety-2
  • 30. © 2018 Health Catalyst Health Quest focused on identifying ways to improve these outcomes. Despite instituting several evidence-based recommendations, the organization had not succeeded in reducing sepsis mortality to its desired rate. Health Quest established a multidisciplinary sepsis committee to lead improvement efforts, including the use of analytics to combat sepsis mortality rates and improve patient outcomes, resulting in a: 54 percent relative reduction in sepsis mortality, saving 92 lives in 10 months. 57.1 percent relative reduction in catheter-associated urinary tract infection (CAUTI) standardized infection ratio (SIR). 30.7 percent relative reduction in C. difficile SIR. Collaborative, Data-driven Approach Reduces Sepsis Mortality by 54 Percent Sepsis can result from an infection anywhere in the body, such as respiratory, integumentary, or urinary tract. In the U.S., sepsis impacts more than 1.5 million people annually, of which about 250,000 will die. Sepsis accounts for one-third to one-half of all deaths for hospitalized patients.
  • 32. © 2018 Health Catalyst • Although finance, fear of penalty, and loss of accreditation is often the motivator for patient safety, never forget the faces that should be the real motivators. • There is nothing more peaceful and comfortable than the truth, no matter what the topic. Find the truth, tell the truth, face the truth. • Surveilling for harm proactively rather than reactively will enhance your culture of safety and provide greater protection for all of the victims of patient harm. • We welcome the opportunity to be your partner in delivering safe, quality patient care. If you take just these things away then . . . 32
  • 33. © 2018 Health Catalyst Healthcare Analytics Summit 18 Sept. 11-13, Salt Lake, Grand America Hotel TOBY COSGROVE, MD former CEO and President of Cleveland Clinic (2004-2017), who as a cardiac surgeon performed more than 22,000 operations and holds 30 patents for medical innovations KIM GOODSELL the actualized ‘genomified,’ quantified, digitalized “patient of the future," her debut at the 2014 Future of Genomic Medicine conference made headline news announcing— “The patient from the future, here today” DANIEL KRAFT, MD a Stanford and Harvard trained physician- scientist, inventor, entrepreneur, and innovator, Kraft is the Founder and Chair of Exponential Medicine, a program that explores convergent, rapidly developing technologies and their potential in biomedicine and healthcare BRENT JAMES, MD former Chief Quality Officer at Intermountain Healthcare - known internationally for his work in clinical quality improvement, patient safety, and the infrastructure that underlies successful improvement efforts PENNY WHEELER, MD President and Chief Executive Officer of Allina Health, returns a second time as one of the most popular HAS speakers ever MARC RANDOLF Co-founder of Netflix, Marc will share the Netflixed story: how a scrappy Silicon Valley startup brought down Blockbuster and the lessons that could be applicable to healthcare JILL HOGGARD GREEN PhD, RN, Chief Operating Officer – Mission Health and President – Mission Hospital, and recently named to the 2017 Becker’s Healthcare list of the country’s top Women Hospital and Health System Leaders to Know ROBERT WACHTER, MD global leader in healthcare safety, quality, policy, IT; Chair of the Department of Medicine, University of California, San Francisco; best-selling author, “The Digital Doctor: Hope, Hype and Harm at the Dawn of Medicine’s Computer Age” More highlights 4 Digital Innovators (Keynotes) AI Showcase (10 walkabout case studies) Digitizing the Patient Showcase (10-12 stations) 28 Educational, Case Study, and Technical Breakouts 24 Analytics Walkabout Projects More Networking (Introducing “Brain Date”) CME Accreditation For Clinicians 5-Star Grand America Hotel Experience 96 Total Presentations National keynotes Employer Innovation Scott Schreeve MD, CEO, Crossover Health Payer Innovation Kevin Sears Executive Director of Marketing and Network Services, Cleveland Clinic Biosensor Innovation John Rogers PhD, Founding Director, Center Bio-Integrated Electronics, Northwestern University Pricing Innovation Gene Thompson Project Director, Health City Cayman Islands
  • 34. Q&A
  • 35. © 2018 Health Catalyst Around the globe, we are facing a trifecta of healthcare challenges: financial constraints, an aging population, and an increased burden of chronic disease. We need to turn healthcare upside down, empowering our patients to take action for their health and helping physicians, nurses, and healthcare professionals move from being sages to guides. Thursday, July 26 1:00-2:00 PM EST Join to learn: • How increased patient engagement can help to improve healthcare outcomes while reducing costs • Ways that technology can effectively improve data capture, patient accountability, and decision-making • The impactful stories of four patients who became innovators in their own care The Patient’s Power in Improving Health and Care 35 MAUREEN BISOGNANO President Emerita and Senior Fellow, Institute for Healthcare Improvement Maureen was the former IHI President and CEO for five years, after serving as Executive Vice President and COO for 15 years. She is a prominent authority on improving health care systems, whose expertise has been recognized by her elected membership to the National Academy of Medicine, among other distinctions.