Illinois hospital integrating payor, provider data to improve employee, community health

CHARLOTTE, N.C.--(BUSINESS WIRE)--Edward Hospital & Health Services of Illinois is supporting care delivery for its 4,300 employees and the surrounding Naperville community using a new solution from the Premier healthcare alliance and Verisk Health integrating payor and provider data.

“It is essential that hospitals and health systems monitor clinical and financial performance across the continuum of care if they want to be an effective accountable care organization”

With PopulationAdvisor™, Edward Hospital can monitor clinical and financial performance across the continuum of care – an essential capability needed to provide coordinated, accountable care.

The solution combines Premier’s comparative provider database, containing 1 in 4 U.S. hospital discharges, 2.5 million real-time clinical transactions daily and nearly $43 billion in annual purchasing data, with Verisk Health’s risk-based payor analytics that are used by more than 450 healthcare and employer organizations.

PopulationAdvisor offers a complete picture of patient care with a better understanding of outcomes and total cost, including care provided outside the hospital. With most health systems at risk for the cost and quality of their own employees, the solution also helps manage employee health.

“Focusing on better coordinating care within our employee population will allow us to replicate what is working to improve our community’s health,” said Brent Smith, DO, MMM, vice president of clinical integration and chief medical officer at Edward Hospital, a Premier owner. “This solution bridges the gap between claims and provider data, which supports a range of clinical decisions. More informed predictions and customized decision making means that patients will receive the most effective treatments possible for their unique needs. It also means we can keep the people in our community healthier, so they don’t become patients. That is true healthcare.”

“Edward Hospital is taking the needed steps to support their data-driven, risk-management initiatives in improving their community’s well-being. Treating sicknesses is an expensive way to do things. Enabling health and preventing illness is not only what’s best for the individual, it saves money as well,” said Keith J. Figlioli, senior vice president of healthcare informatics for Premier, which ranked 30^th overall and third for healthcare companies on this year’s InformationWeek 500 list.

Premier is a provider-owned improvement alliance of 2,700 hospitals and 90,000 other care sites including 400,000 physicians. The alliance partnered with Verisk Health, a global leader in healthcare risk management solutions, to create PopulationAdvisor so health systems can:

Identify and manage high-risk populations – both to intervene with current high-risk, high-cost patients and model potential risk in the future;
Discover gaps in care to improve clinical outcomes;
Profile physician practice variation and establish best practices; and
Maximize performance incentives and differentiate quality using HEDIS, PQRS and ACO-33 measures.

“It is essential that hospitals and health systems monitor clinical and financial performance across the continuum of care if they want to be an effective accountable care organization,” said Nathan Gunn, chief operating officer of Verisk Health. “This initiative will equip Edward Hospital with the tools necessary to understand both quality and efficiency, enabling Edward Hospital providers to more effectively support emerging care-delivery models.”

Edward Hospital also uses other Premier solutions, which integrate and compare outcomes information to support care delivery, such as:

PhysicianFocus™, an InformationWeek top 500 technology that links physicians and hospitals across different practices and specialties to integrate care delivery.
PhysicianFocus Ambulatory, which measures quality outcomes through physician practice data to better understand the relationship between patient populations, outcomes, care and finances.
QualityAdvisor™ to benchmark and compare patient-level quality, safety and financial data for reductions in harm, mortality and readmissions, and improved resource utilization.
SpendAdvisor^® to analyze supply chain data and compare it with like organizations to find savings opportunities.

All of Premier’s quality, safety, labor and supply chain applications are easily accessible in PremierConnect™, the world’s largest virtual healthcare community. By having these apps on the same technology platform, providers can make decisions based on a holistic combination of healthcare information. This also allows providers nationwide to interact as one in communities of common interest, sharing learnings, data and strategies based on thousands of patient outcomes that can be used to benefit treatment anywhere.

Edward Hospital became an owner of Premier in 2011 to reduce costs and identify opportunities for quality and safety improvement. The hospital has already seen significant savings, while advancing care delivery.

About Edward Hospital & Health Services

Edward Hospital & Health Services is a full-service, regional healthcare provider offering access to complex medical specialties and innovative programming. Edward Hospital has 309 private patient rooms and 4,300 employees, including 1,350 nurses and a medical staff of 1,000 physicians, representing nearly 70 medical and surgical specialties and subspecialties. Ninety-eight percent of Edward's physicians are board certified. www.edward.org.

About Verisk Health

Verisk Health drives performance excellence in the business of healthcare. By combining clinical and analytics expertise with robust technology and services, we empower customers to fully leverage their data to achieve long-term measurable results. Our data-driven risk assessment technologies and business decision analytics enable clients to proactively seize opportunities for improving clinical, financial and performance results including care management; risk identification and stratification; HEDIS compliance; benefit program measurement; fraud, waste, and abuse prevention; payment accuracy; and revenue cycle management. Verisk Health is a subsidiary of Verisk Analytics (Nasdaq:VRSK). For more information, visit www.veriskhealth.com.

About the Premier healthcare alliance, Malcolm Baldrige National Quality Award recipient

Premier is a performance improvement alliance of more than 2,700 U.S. hospitals and 90,000 other sites using the power of collaboration and technology to lead the transformation to coordinated, high-quality, cost-effective care. Owned by hospitals, health systems and other providers, Premier operates a leading healthcare purchasing network with more than $4 billion in annual savings. Premier also maintains the nation's largest clinical, financial and outcomes database with information on 1 in 4 patient discharges. A world leader in delivering measurable improvements in care, Premier works with the Centers for Medicare & Medicaid Services. Headquartered in Charlotte, N.C., Premier also has an office in Washington. https://www.premierinc.com. Stay connected on Facebook, Twitter and YouTube.