Why Data-Driven Clinical Pathways Matter

Why Data-Driven
Clinical Pathways Matter
Patrick Rogers
Chief Marketing Officer, Ayasdi
Joshua Lewis
Director of UI/UX Engineering, Ayasdi
Dr. Seth Barbanell
VP of Clinical Performance Acceleration, Mercy
Higher spending doesn’t always mean better
outcomes…
30% of all healthcare costs are unwarranted
... but do we know which 30%?
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2
Challenges with Reducing Variation
?
Identifying
causes
•  Which paths have the
highest variation?
•  What factors cause
the variation?
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Defining
optimal pathways
•  What pathways
lead to the best
outcomes?
Adopting
best practices
•  Will my physicians use
these new best
practices?
3
Mercy Hospital Profile
•  Mercy is the 5th largest Catholic health care system
in the U.S.
•  33 hospitals, nearly 700 clinic & outpatient facilities, 40,000
co-workers and more than 2,000 Mercy Clinic physicians
•  Named one of the “Most Wired” and
technologically advanced hospital systems by
American Hospital Association.
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Challenges with Existing Process
Physician
Inputs
Pathway
Lead, Population
Research
Journals,
texts,
guidelines,
protocols,
experience
Create
Preliminary
Pathway
Evaluation
Committee
Update
Pathway
Final
Pathway
Multiple Iterations
Before Consensus
Long development cycle :: “Bloated” pathways due to consensus :: Possibly subjective :: Slow adoption
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Improved Pathway Development
EMR &
Financial Data
Pathway Modeling
in Ayasdi Care
Pathway
created
Evaluation
Committee
Final Optimized
Pathway
Short development cycle (1 month) :: Data-driven Output :: Fast adoption :: Continuous Improvement
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Mercy’s Ah-ha Moment!
•  Focused on perioperative pathways - knee
replacement surgery
•  Group of MDs had patients consistently with
lower hospital stay and lower costs
•  Determined one factor was due to a specific
analgesic that was not widely used
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7
Together With AYASDI
Mercy Expects
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•  Improved care quality by
reducing clinical variation
•  Deploy clinical pathways 2x faster
•  Increased physician adoption by
20%
•  Incremental $100M savings over
next 3 years
8
Making Complex Data Useful
Billing
EHR
Data explosion:
•  Abundance of data
in EHR, claims,
pharmacies etc.
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9
Making Complex Data Useful
Billing
EHR
Data explosion:
•  Abundance of data
in EHR, claims,
pharmacies etc.
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Ayasdi Care:
•  Data-driven
•  Uncovers hidden
insights within your
data
10
Making Complex Data Useful
Billing
EHR
Data explosion:
•  Abundance of data
in EHR, claims,
pharmacies etc.
Company Confidential & Proprietary
Ayasdi Care:
•  Data-driven
•  Uncovers hidden
insights within your
data
Operationalization:
•  Delivers clinical
insight to provide
better patient
outcomes
11
Optimize Pathway Development
Ayasdi Care
•  Mathematically sequences and aggregates procedures
•  Determines optimal pathway by your desired outcomes
•  Models outcomes based on changes to treatment
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12
Drive Pathway Adoption
Ayasdi Care
•  Improves adoption with datadriven pathways
•  Allows personalization down to
specific comorbidities
•  Decreases time to deploy new
best practices
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13
Implementing Ayasdi Care
Medical &
financial data
Format and
transform data
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Ayasdi unique
topological data
analysis
Clinical
pathway
generation
Adapted into
EMR systems
Together With AYASDI
• 
Ayasdi Care for
• 
Clinical Pathways
• 
can help you
• 
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Standardize care practices
Reduce process inefficiencies
Improve patient outcomes
Control hospital costs
15
Ayasdi Care Demonstration
16
Ayasdi Care Tackles other Use Cases
CLINICAL
PATHWAY DEVELOPMENT
DENIALS
REDUCTION
POPULATION
HEALTH & RISK MANAGEMENT
COMPARATIVE
EFFECTIVENESS
OPERATIONAL
PRECISION
PATHWAYS
MEDICINE
Care Management
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Research
Operations & Finance
17
Getting Started
Discovery
Assessment
Business
Case
Validate
Email: [email protected]
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18
Thank You – Questions?