- Posted by Kate McGinley
- On January 10, 2020
- 0 Comments
In this post in our tutorial series on creating advanced analytic feedback loops for interventional cardiologists, cardiac surgeons, and electrophysiologists, we detail how to acquire the data you need to answer questions generated in the first step.
Oftentimes, physicians are unable to access a holistic view of performance, because the data is scattered across the enterprise. Cost data typically resides in accounting and finance, revenue and profitability sit with revenue cycle, and clinical data…well…you know how often you enter the same data into different systems. And then there’s the registries, and device data (with the supply chain team), and drug data (pharmacy support owns that data)…it goes on and on.
Key to building out a 360-degree practice feedback loop is finding and combining all of this data. Biome recommends starting with registry data–it’s generally reliable, well understood, and easy to access. Work with your NCDR registry abstractors, and ask that they send the same file provided to the registries to you. From here, branch into the cost and operational performance application data–think EPSI, Lawson, and McKesson supply chain tools. Next, take the benchmarks supplied by the registries and layer that in to your data set. Once this foundation is in place, you’re ready to start asking some of the least complex questions from your list.
Oftentimes, clients want to start with their EMR data (usually from Caboodle, Cupid, HealthePlanet and/or HealtheIntent, depending on if your organization uses EPIC or Cerner). We don’t recommend starting with this data. While these systems have great warehousing capabilities, the lack of standard definitions, uncertain source systems, and data quality issues require significant data science and analytic capabilities. Our clients typically are able to bring on EMR data after two or three years of using the Biome tool to point out errors within the warehouses. For instance, one vendor defines ‘length of stay’ as a calculation that applied only to the emergency department! Be on the lookout for these kinds of issues, or partner with a vendor who will find them for you.
Successfully gathering and blending data is no small feat–it takes us about 20 days to a month to gather all of this data from a new client and ensure it is accurate.