- Posted by Kate McGinley
- On November 27, 2019
- 0 Comments
Among the biggest challenges in healthcare today, clinical care variation is among the most difficult to solve. According to Becker’s Hospital Review, “clinical care variation involves the overuse, underuse, different use, and waste of healthcare practices and services with varying outcomes”. The consequences of clinical care variation include increased costs and negative patient outcomes. However, physicians are constantly perfecting practice patterns to deliver the best possible care to their unique patients, and the root causes of clinical care variation are myriad. With reimbursement now tied to quality and cost incentives, it is imperative that hospital executives align with physician teams to holistically improve care delivery, with a balanced view of both quality and cost impacts. Using a collaborative approach, physicians can understand the cost impacts of care quality decisions, and executives can understand the bounds of variation reduction opportunities, given the unique patient population risks and variation root causes. Physician and executive leaders can tailor their approach to managing clinical care variation, maximize positive outcomes, and begin to move into strategic planning to better serve patients over a lifetime. But how can organizations begin the process of launching a collaborative care variation program? Biome has built the starting point in the cardiovascular space.
Most alternative payment models, cardiovascular analytic products, and enterprise-wide clinical care redesign projects are meant to reduce clinical care variation, not accommodate it. This type of approach restricts physicians in their ability to optimize care delivery practice patterns for their unique patients. This focus on reducing variation alone produces short-term results, but often the same variation patterns re-emerge, creating a cycle that never achieves the end goal: permanently reduced costs and higher quality care. The process-oriented approach limits the value of clinical care redesign efforts. In contrast, Biome delivers a collaborative solution that accommodates expected variation, based on each physician’s unique patient mix. Executives and physicians can quickly align to reduce variation, as each side can see the impacts and expected bounds of reduction using Biome’s proprietary technology. Clients have sustained multiple variation improvements for over 4 years: no other solution has this record.
Why does the collaborative approach work so well? Since the problem of clinical care variation stems from multiple root causes, one can expect that there are multiple solutions. Combining and creating transparency around the solutions is the foundation for Biome’s collaborative approach. Unfortunately, other methods limit the number of root-cause hypotheses evaluations, or develop analytical models for only one set of stakeholders, and therefore achieving the shared understanding across all stakeholders becomes impossible. Designed to create transparency and action for every individual stakeholder in the clinical care redesign effort, the Biome solution couples powerful analytic applications with engagement delivery. It is this collaborative approach that Biome’s clients have used to save 10% in annual direct costs for multiple years, improve the profitability of cardiovascular programs such as PCI or TAVR, while simultaneously continuing to innovate in clinical care quality that makes them market leaders. How does the Biome solution help clients accomplish these goals while simultaneously reducing clinical care variation?
As stakeholders are onboarded to the Biome solution, the Biome engagement team collects root-cause hypotheses from all stakeholders, and evaluates each hypothesis alongside Biome’s existing library of root causes. Additionally, administrative, cost, and clinical data are combined, then run through Biome’s assessment engine: each individual physician can see the results of the root cause analysis, as well as their personal performance against their organization’s best performer, and Biome’s best performer. Executives can see the unique risks of their system and facility’s patient population, down to the individual case. Constantly updated, the enormous library of over 2000 cardiovascular care variation impact points is known as Biome’s knowledge network, and the Biome solution analyzes each organization against the entire knowledge network at monthly intervals. Unlike other approaches, the Biome solution engages expert stakeholders throughout in each client organization—not just in one area, and brings national best practices to each individual client. Biome’s assessment engine automates the analysis leaders typically work through manually, and scales, assessing thousands of impact points, with only the most targeted opportunities highlighted during working sessions. This approach creates alignment between executives and physicians, quickly brings best practices to light, and manages the change effort, ensuring maximum performance achievement AND sustained positive impacts for years to come.
Rather than limit all clinical care variation, the Biome solution uncovers unnecessary variation, supplies transparency around both quality and cost impacts, and drives the individual changes necessary to achieve optimal results. This collaborative approach, powered by engagement with both administrators and clinicians, helps physicians bring cost and quality best practices to every patient.