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To Safely Restart Elective Procedures, Look to the Data

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Many health systems have realized they lack the data and analytics infrastructure to guide a sustainable reactivation plan and recover lost revenue from months of halted procedures due to COVID-19. However, with operational, clinical, and financial data, augmented by analytics tools, leaders have the visibility into hospital and resource capacity to guide a safe, sustainable elective surgery restart plan.

The first step on the road to recovery for health systems is access to robust analytics to understand the full impact of COVID-19 on clinical, financial, and operational outcomes. Second, organizations need data-sharing tools, like data displays and dashboards, allowing leaders to make decisions based on consistent data that support the organization’s reactivation goals. Leaders can even take the data one step further with predictive models and forecast procedure count, staff, and resources.

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To Safely Restart Elective Procedures, Look to the Data

  1. 1. To Safely Restart Elective Procedures, Look to the Data
  2. 2. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Martina Brooks, MHI, CSSBB Surgical and Procedural Standardization Program Director, Banner Health This article is based on a 2020 Healthcare Analytics Summit (HAS 20 Virtual) breakout presentation by Nirav Patel, MD, Medical Director for Surgical and Procedural Services, Banner Health, and Martina Brooks, MHI, CSSBB, Surgical and Procedural Standardization Program Director, Banner Health, titled, “Effectively Restarting Elective Surgery After COVID-19.” Safely Restarting Elective Procedures Nirav Patel, MD Medical Director for Surgical and Procedural Services, Banner Health
  3. 3. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Safely Restarting Elective Procedures In March 2020, healthcare organizations across the U.S. suspended elective surgeries and procedures to reserve resources for patients with COVID-19. Though the delay in care has been a critical part of the COVID-19 response, it has resulted in significant revenue loss.
  4. 4. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Safely Restarting Elective Procedures The American Hospital Association estimates that four months of halted elective procedures have led to $202.6 billion in losses for U.S. hospitals and health systems, an average of $50.7 billion per month. Some experts estimate that the pause in elective surgeries has led to the biggest financial hurdle the healthcare industry has faced in years because these procedures are a primary income source for many health systems.
  5. 5. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Safely Restarting Elective Procedures Facing financial strain (and even collapse), health systems welcomed the opportunity to resume elective procedures later in the spring of 2020—critical to financial recovery and sustainability—if they met CMS’s recommended criteria by state. However, the green light for health systems to restart elective procedures has highlighted a lack of data infrastructure and analytics tools to support an effective reactivation plan.
  6. 6. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Safely Restarting Elective Procedures To overcome this data and analytics barrier, work towards recovery, and prevent more lost revenue, organizations need a data-informed roadmap and analytics tools, including data visualization dashboards and predictive models.
  7. 7. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Robust Analytics: The First Step to Safely Restart Elective Procedures To understand the full-scale consequences of COVID-19 and restart elective proced- ures, health systems must first have access to robust analytics (clinical, financial, and operational). Without comprehensive analytics, leaders only see one piece of the picture, such as the clinical data without operational and financial context. Instead, with comprehensive information, leaders can see all of the opportunities to optimize the reactivation plan, avoid wasting resources, and generate income.
  8. 8. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Robust Analytics: The First Step to Safely Restart Elective Procedures Access to complete data sets in one comprehensive platform (e.g., the Health Catalyst Data Operating System (DOS™)) allows health systems to view all of the data, then select specific data aligned with their reactivation goals. This broad data access enables organizations to measure progress and ensure they are on track to meet their procedural volume goals.
  9. 9. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Robust Analytics: The First Step to Safely Restart Elective Procedures For example, if a health system wants to understand procedural case volume and canceled cases to inform the elective procedures reactivation plan, it needs access to analytics reflecting canceled cases, cancelation reasons, and completed cases with case completion details. Ideally, all members of the team, including providers, administrators, and other leaders, can access the same data and leverage the same information to drive decision making.
  10. 10. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data and Analytics Tools Drive an Effective Elective Procedure Reactivation Plan Once the clinical, operational, and financial data is accessible in one place, a health system can focus on creating the data and analytics tools (e.g., data dashboards) to direct the reactivation process from the start. When health systems stopped elective surgeries, many relied on their existing data tools (typically delayed, manually-configured reports based on available data) to identify opportunities and inform a reactivation plan.
  11. 11. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data and Analytics Tools Drive an Effective Elective Procedure Reactivation Plan However, without more effective data and analytics tools in place, leaders couldn’t quickly review real-time data to understand clinical resources, staffing, and supplies (e.g., personal protective equipment (PPE) and ventilators).
  12. 12. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data and Analytics Tools Drive an Effective Elective Procedure Reactivation Plan Effective information-sharing tools, such as data displays or dashboards (Figure 1), allow leaders to maximize data by seeing high-level information in a format that calls attention to outliers or trends.
  13. 13. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data and Analytics Tools Drive an Effective Elective Procedure Reactivation Plan Figure 1: Example of a procedural recovery planning dashboard with completed case data.
  14. 14. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data and Analytics Tools Drive an Effective Elective Procedure Reactivation Plan Building dashboards that can dynamic- ally reflect new data also allows support staff to avoid scrambling to build one-off dashboards on partial data sets. With data and analytic tools in place, health systems are prepared to restart elective procedures as soon as they meet the CMS guidelines.
  15. 15. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data and Analytics Tools Drive an Effective Elective Procedure Reactivation Plan Another important piece of creating effective analytics tools is to include stakeholders from a variety of departments in the development process. Hearing different viewpoints about which data sets to include leads to a more comprehensive reactivation strategy. Systemwide access to the dashboards combined with the data visualization tools are also an opportunity for leaders to promote data-driven decision making and data sharing throughout the organization.
  16. 16. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Predictive Modeling Promotes Flexible Approach to Restart Elective Procedures Once health systems have created dash- boards and given team members access to them, data experts can take the data one step further with predictive models. For example, capacity planning teams can add value to the reactivation process by helping health systems understand how many elective procedures they can accommodate relative to their clinical staff and supply resources.
  17. 17. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Predictive Modeling Promotes Flexible Approach to Restart Elective Procedures While predictive models can’t accurately forecast what will happen over the next six months because of the rapidly changing coronavirus, they can help health systems prepare for the next few weeks, a more effective approach than changing the strategy day by day.
  18. 18. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Predictive Modeling Promotes Flexible Approach to Restart Elective Procedures With data-driven tools in place, data experts can create predictive models that provide insight into possible outcomes and responses. For example, if X happens, the health system should do Y. Or, if Y happens, the health system will do Z. Because COVID-19 is changing rapidly, directly impacting a health system’s capacity, predictive models can help organizations prepare for unexpected changes and support an adaptable reactivation response plan.
  19. 19. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Predictive Modeling Promotes Flexible Approach to Restart Elective Procedures With predictive models informing decisions, health systems can create other actionable tools, such as a resource capacity model that incorporates information about staffing, hospital resources, length of stay, ICU, PPE, and ventilators. Data science teams can leverage the predictive models to measure the elective procedure volume a health system can safely accommodate.
  20. 20. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Predictive Modeling Promotes Flexible Approach to Restart Elective Procedures Based on the predicted volume from the model (taking into account historical and current volume data), the health system can develop criteria for which elective procedures to restart—rather than open at full capacity and risk shutting down due to a COVID-19 outbreak or capacity strains.
  21. 21. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data Fosters Sustainable Approach to Elective Procedure Reactivation Strategy While health systems must plan to operate with COVID-19 for the foreseeable future, they can safely restart elective procedures with a data- informed reactivation plan. Comprehensive dashboards and predictive models offer visibility into various aspects of hospital capacity that impact elective surgery restart, allowing health systems to adjust resources to tactically resume these procedures.
  22. 22. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Data Fosters Sustainable Approach to Elective Procedure Reactivation Strategy Data and analytic insight allow leaders to compare historical information with current circumstances, revealing insights into filling gaps, future case volume, and resource utilization. These insights prioritize provider and patient safety, helping organizations get on the road to financial recovery.
  23. 23. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. For more information: “This book is a fantastic piece of work” – Robert Lindeman MD, FAAP, Chief Physician Quality Officer
  24. 24. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Link to original article for a more in-depth discussion. To Safely Restart Elective Procedures, Look to the Data How to Optimize the Healthcare Revenue Cycle with Improved Patient Access Health Catalyst Editors Healthcare Relief Funding: Five Steps to Maximize COVID-19 Dollars Greg Anderson, CPA/ABV, CVA, HORNE LLP; Jeff Grandia, MBA, Senior VP, Sales Healthcare Revenue Cycle: Five Keys to Financial Sustainability Marlowe Dazley, Senior VP and Managing Director of Financial Advisory Services; Todd Halpin, Senior VP, Financial Advisory Services Four Strategies Drive High-Value Healthcare Analytics for COVID-19 Recovery Health Catalyst Editors Reduce Bad Debt: Four Tactics to Limit Exposure During COVID-19 Marlowe Dazley, Senior VP and Managing Director of Financial Advisory Services
  25. 25. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Dr. Nirav Patel serves as the Medical Director for Surgical and Procedural Services for Banner Health—a role that encompasses oversight over Surgical and Procedural Value Alignment Program(SPVAP), Supply Chain, Peri-Operative and Trauma Services. He is also Chair of the American College of Surgeons, Arizona Committee on Trauma and President of the Arizona Chapter of the American College of Surgeons. In addition to his clinical practice as a Trauma, Acute Care, Surgical Critical Care Surgeon, he is actively involved in value-based care delivery, establishment of international trauma systems and minimally invasive surgical access in low- and middle-income countries. Dr. Patel attended University of Wisconsin College of Medicine, completed a residency in General Surgery at Gundersen Lutheran and a Trauma Surgical Critical Care fellowship at University of California–San Diego. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Nirav Patel, MD
  26. 26. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Martina Brooks is the Surgical and Procedural Standardization Program Director for Banner Health. She started working for Banner in 2004 and has served in numerous roles from public relations, learning, and clinical care standardization. Currently, Martina is a program director for the Surgical and Procedural Value and Alignment Program (SPVAP). SPVAP is dedicated to collaborating with physicians, surgical and procedural departments, supply chain, and executive leadership to standardize clinical care and cost for Banner Health through data review and transparency. Martina holds a BA in communication and public relations and a master’s in healthcare innovation from Arizona State University. She is also a certified six sigma black belt. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Martina Brooks, MHI, CSSBB
  27. 27. © 2020 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Health Catalyst is a mission-driven data warehousing, analytics and outcomes-improvement company that helps healthcare organizations of all sizes improve clinical, financial, and operational outcomes needed to improve population health and accountable care. Our proven enterprise data warehouse (EDW) and analytics platform helps improve quality, add efficiency and lower costs in support of more than 65 million patients for organizations ranging from the largest US health system to forward-thinking physician practices. Health Catalyst was recently named as the leader in the enterprise healthcare BI market in improvement by KLAS, and has received numerous best-place-to work awards including Modern Healthcare in 2013, 2014, and 2015, as well as other recognitions such as “Best Place to work for Millenials, and a “Best Perks for Women.”

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