Perficient recently worked with ProHealth Care to help the healthcare system with their data architecture efforts, specifically working on the integration of Epic System’s Cogito data warehouse and several other key data sources surfacing data via SQL Server. ProHealth Care, a community-based healthcare system with 15 primary care clinics, three hospitals, and numerous other services, as well as the largest healthcare provider in Waukesha County, Wisconsin, sought to create an IT infrastructure that would consolidate reporting and allow physicians to evaluate and modify practice patterns. This included thorough data collection, measurement and analysis, and delivery of data. As an accountable care organization (ACO), the system also wanted to implement a series of new metrics and reports to facilitate physician “pay for performance.”
Here is an excerpt from the case study describing the solution:
First, Perficient worked with ProHealth Care to perform a business intelligence assessment, which resulted in a BI strategic roadmap, providing guidance and direction to an implementation plan. Following this assessment, ProHealth decided to use Cogito as the foundation for their data warehouse model in order to meet the growing data and reporting needs and accelerate the development process.
Several factors drove that decision, including:
- An existing relationship with Epic Systems
- The need for a central “hub” for changing data requirements
- Cogito’s capabilities
Epic Systems’ Cogito is a new data warehouse that provides the ability to integrate data out of Epic’s Clarity database, as well as extend the data model to load data out of other external systems and/or third-party sources. This provided the most flexibility with the speed-to-market requirements the health system was counting on.
The end result was a data warehouse that integrated data in a way that produces current clinical and business intelligence based on role and workflow, and it provides the health system and its providers with a central data repository for clinical, financial and business data.
And specific to the ACO measures:
During Phase I, ProHealth Care focused on getting a series of ACO measures in place, and identified several domains on which to focus and improve patient care and health care delivery. The domains included access, administrative, community benefit, efficiency, quality, safety, and satisfaction metrics. The data warehouse is now being used to create physician profiles, a physician-friendly interface that allows providers to see which patients are in need of important health screenings or care interventions. Profiles are provided for the 460 physicians in the ProHealth Solutions ACO, which includes both employed and affiliated physicians. The profiles are based on over 50 quality metrics such as asthma, cancer, cholesterol, and diabetes screenings that correspond with the goals of the Medicare Shared Savings Program, in which ProHealth Solutions is a participating provider.
ProHealth Care was the first healthcare system to produce reports and data out of the Cogito data warehouse solution in a production environment. The solution is already delivering value, as it has proven to be instrumental in streamlining the collection and presentation of data across the health system to facilitate intelligence that specifically targets population health. Physicians now have access to analytics that allow them to easily see which of their patients are in need of important health screenings or care interventions.
Christine Bessler, CIO and VP of Techology at ProHealth Care, on the solution and the partnership with Perficient:
At ProHealth Care we were challenged with immense amounts of data coming from various systems and sources. We not only needed to integrate our systems to manage this data, but we needed to make the data actionable. ProHealth is the first healthcare system to successfully implement Epic’s Cogito data warehouse, and as a result, our organization has the tools and processes in place to better manage population health data, giving physicians access to information in real-time, setting the stage for preventive care and improving overall patient care and the health of our population. Perficient has been our go-to partner and trusted advisor in this endeavor due to their experience with Epic integration, deep healthcare industry expertise and valued partnership with Microsoft, and we look forward to continuing our partnership with them on ongoing improvements and future projects.
If you’d like to learn more about ProHealth Care’s implementation of Epic’s Cogito data warehouse to improve in population health management, you can read the full case study. You can also join Christine and Juliet Silver, Director at Perficient, next week, on Wednesday, March 26, 2014, for a complimentary webinar describing the solution.
To register for the webinar, click here.
How ProHealth Care Is Innovating in Population Health Management with Clinically Integrated Insights
Wednesday, March 26, 2014
1:00 p.m. CDT