Future Hospital
SAFETY NET PROVIDERS
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Key challenges facing safety-net providers include maximizing use of scarce resources, optimizing quality and safety, addressing disparities in access, including the role of social determinants of health (SDOH), and reducing total cost of care. We partner with safety-net providers (such as Parkland) to develop descriptive and predictive analytical tools that enable care delivery teams to intervene earlier, respond differently, or prioritize engagement strategies.

While our tools are potentially impactful in all care delivery settings, our efforts are specifically tailored to providers who disproportionally offer services to underserved populations. To date, our work with Parkland has garnered $76.3 M of avoided costs and has affected more than 2M clinical encounters.

WAYS TO ENGAGE

  • Our Data Science Hub functions as a data science extension for safety-net organizations. We collaborate with like-minded providers to understand their common challenges and develop/implement high-impact data science tools. Examples of established models that are positively impacting patient lives and improving care delivery include:
  • Early Warning System (EWS) A real-time predictive model to proactively alert Rapid Response Teams about a patient’s deteriorating condition in order to avoid cardiopulmonary arrest in non-ICU settings.
  • Sepsis Management Real-time predictive models that identify and trigger interventions of patients who are at high risk for sepsis both upon presentation and after being admitted to the hospital.
  • Patients at Risk for Adverse Drug Events at Admission (PARADE) A real-time, enhanced, AI-based risk score to predict― with higher accuracy― patients at admission who are at high risk for adverse drug events (ADEs) and who can benefit from timely inpatient pharmacist intervention.
  • We also recognize that there are many challenges that have yet to be adequately addressed. As such, we actively collaborate with safety-net providers to build new tools. We’ve created a co-development schedule for new descriptive and predictive analytics that address challenges associated with caring for the underserved. Topics we are actively exploring inlcude suicide prevention, length-of-stay management.

Our Innovation Skill Building expertise spans initial innovation program design through frontline design-thinking training. We are committed to advancing innovation capabilities within the safety-net community. We know that adoption of new approaches to care delivery require a culture that is open to experimentation and appropriate levels of risk-taking. We offer a flexible mix of executive facilitation, in-person training, and on-line tutorials to develop or boost an organization-wide innovation mindset.

EARLY WARNING SYSTEM (EWS)

Goal: Alert Rapid Response Teams about a patient’s deteriorating condition in order to avoid cardiopulmonary arrest in non-ICU settings.

Led to interventions for needs not
otherwise detected by clinical staff

Impact

  • 50.4% reduction in acute respiratory compromise (ARC)
  • 23.1% reduction in cardio-pulmonary arrests (CPA)
  • 2628 ICU-days avoided
  • $9.26 M in actual savings

SEPSIS REDUCTION

Goal: Identify and triggers interventions for patients who are at high risk for sepsis.

Sepsis ED

A real time model that identifies if a patient is suspected of having high risk of sepsis, alerting care teams who can decide if additional interventions are need.

Sepsis Inpatient

A real-time predictive model that identifies and triggers intervention of patients with high risk of sepsis development after being admitted to the hospital.

Approach

  • Both models run in real time and if a patient is suspected of having high risk of sepsis, an alert is generated and sent to the tare team. The tare team tan then make a decision as to whether additional interventions are needed.

Two Year Impact

SEPSIS ED

  • 3-fold increase in bundle compliance rates
  • 628 lives saved
  • 1248 ICU stays
  • ~$10.7 M in potential cost savings

SEPSIS INPATIENT

  • Model is expected to impact 18,038 patients from 23,524 hospitalizations each year

REDUCING ADVERSE DRUG EVENT PROGRAM

Goal: Predict at the time of admission patients who are at high risk for adverse drug events (PARADE), and who can benefit from inpatient pharmacist intervention.

Approach

  • Epic-integrated. real-time, enhanced A1-based risk score
  • Screens all adult patients at the point of hospitalization and flags high risk individuals who can benefit from pharmacist intervention

Two Year Impact

  • 87,425 patients screened
  • 8,731 at risk patients identified
  • 5X higher ‘Very High Risk’ consults
  • 20% annual work hour savings per pharmtech
  • $2.9 M in actual savings
  • 23.5% readmission reduction