Value-Based Performance Management
Orlando Health Network (OHN) has now become one of the first organizations nationally to successfully implement Epic’s Value-Based Performance Management (VBPM) module, further positioning the network to drive value-based care innovation. As an early adopter of this new population health platform, the organization is already utilizing VBPM to improve care quality, enhance cost efficiency and achieve better patient outcomes.
The VBPM module is fully integrated into the organization’s comprehensive health record, equipping clinical and administrative teams with tools to more effectively manage value-based populations. The platform supports real-time performance monitoring, facilitates data-driven decision-making and enables proactive care coordination across the care continuum.
Although the benefits of the platform are numerous, three of the most valuable VBPM capabilities include:
- Quality Monitoring: The Certified Healthcare Effectiveness Data and Information Set (HEDIS) platform allows for detailed performance tracking, providing data-driven insights to pinpoint gaps in care, predict upcoming patient gaps and allow care teams to take actions focused on achieving population health goals.
- Medication Management: VBPM enables in-depth review of Pharmacy Quality Alliance (PQA) medication adherence metrics, allowing for more informed and timely interventions to patient adherence behaviors. This information supports performance management and informs medication management strategies for care management teams.
- Expenditure Analytics: The module presents greater visibility into individual and aggregate spending trends, even allowing for proxy pricing and repricing adjustments on incomplete claims data. With these added insights, patterns of overspending and overutilization can be better tracked in real-time and, importantly, patients can be more quickly enrolled in targeted care management programs. Additionally, network management leaders benefit by having increased insights into site of service opportunities, out-of-network utilization and specialty-specific and geography-specific network needs.
Enterprise Data Platform
In addition to expanding network management capabilities, OHN has also invested considerable resources into building out its Enterprise Data Platform (EDP), which serves as a supercharged data analytics hub powered by Databricks. This strategic investment enhances Orlando Health’s capacity for conducting complex computational analytics and, ultimately, the introduction of multiple artificial intelligence (AI) applications to further augment and enhance patient and provider experiences.
With hundreds of data sources housed in the EDP environment, including dozens of value-based care datasets, OHN is now better positioned to tie payer, clinical, transactional and esoteric datasets together in a unified way to glean insights that were previously unthinkable. There are myriad aims of this big data strategy, including, (a) enabling major advancements in the direct delivery of clinical care with more robust patient information and best practice support tools, (b) optimizing care management protocols with real-time efficacy evaluation based on patient engagement and outcomes data, (c) accelerating speed to insights for complex clinical, financial and operational decision-making, enabling greater efficiency for teams across the enterprise and (d) revealing deeper understandings of population health trends so care teams can be more effective and precise, among many others.
Looking ahead, the EDP will take the network forward from a data perspective, moving beyond currently available descriptive reporting and predictive analytics, to best-practice prescriptive analytics to optimize treatment plans and patient engagements. This will translate to earlier identification of patient needs, better alignment of care coordination services and more curated patient interactions to drive desired behaviors, such as improved medication adherence. In summary, this in-house data platform represents a transformative development for OHN, and the EDP has and will continue to have a direct and positive impact on patient care.
Nuance Dragon Ambient eXperience (DAX)
As the healthcare environment evolves and administrative burdens increase, providers face growing practice challenges. One significant contributor to provider burnout is the extensive use of the comprehensive health record (CHR), particularly documentation requirements to meet quality and compliance standards. This leads to reduced clinical productivity, impaired work-life balance, extended after-hours documentation (sometimes referred to as “pajama time") and overall decreased provider satisfaction.
In response to these demands, Orlando Health has implemented the Nuance Dragon Ambient eXperience (DAX) system. This artificial intelligence (AI) solution leverages conversational, ambient and generative technologies to document patient encounters in real-time. With this solution, clinicians can focus on patient interactions while the system seamlessly captures, transcribes and drafts clinical notes in the background for final review and approval. Employing such a tool, particularly in the ambulatory care setting where patient volumes are high and time efficiency is paramount, allows providers to have more meaningful interactions. The product has already proven to save significant clinical time and open opportunities for providers to invest in the more interpersonal aspects of care, such as building patient rapport. Moreover, through these extended conversations, the product has allowed providers more time to address multiple health concerns in single encounters, as opposed to spending that time navigating the CHR.
Orlando Health providers have noted several advantages following implementation of the product, particularly less documentation time and improved clinical efficiency. The product has also shown to ease administrative burdens, mitigate “task fatigue” and provider burnout, and promote better patient-clinician relationships.
