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To manage population health, one needs to intimately understand the anatomy of healthcare and model how healthcare is delivered, in order to systematically improve healthcare outcomes. In this webinar, Dr. Burton draws on his 26-year executive career at Intermountain, Select Health, and Health Catalyst. He emphasizes the importance of linking administrative data (e.g., billing codes) to processes of clinical care to use the 80/20 principle to prioritize care processes within each venue to focus improvement initiatives on the things that matter most. He will also discuss a Clinical Integration framework to use in driving out waste by reducing variation in the ordering of care, the efficiency with which the care that is ordered is delivered and reducing defects in care delivery to make it safer.
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© 2013 Health Catalyst
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www.healthcatalyst.com
Proprietary and ConfidentialProprietary and Confidential
Population Health ManagementDavid A. Burton, MD
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Emphasis on the Continuum of CareOutpatient Inpatient
Skilled Nursing Facility
Population Health Management
Home
Home Health Care
Clinic Care
Hospice Cemetery
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Population Health ManagementParadigm Shift
AcuteCare-CentricManagement
Inpatient Outpatient
Skilled Nursing Facility
Home
Home Health Care
Clinic Care
Hospice Cemetery
Inpatient
Population-Centric Management
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Poll questionOutpatient
Inpatient1
2
Outpatient Inpatient HospiceHome Health
3
Outpatient Inpatient HospiceHome Health Clinic Care
4
SNF
5
Outpatient Inpatient HospiceHome Health Clinic Care
Other combination
Population Health ManagementAnatomy of Healthcare Delivery
Symptoms
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Population Health Management
6
Care Processes
Clinical Integration hierarchy - Care Processes
Home Clinic Care Outpatient Inpatient SNF Home Health
Hyperlipidemia
Acute Myocardial Infarction
(AMI)
Percutaneous Intervention
(PCI)
Coronary Artery Bypass Graft (CABG)
CardiacRehab
Hospice
Coronary Atherosclerosis
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential7
Population Health ManagementClinical Integration hierarchy - Care Process Families
Home Clinic Care Outpatient Inpatient SNF Home HealthHospice
Hyperlipidemia
Acute Myocardial Infarction
(AMI)
Percutaneous Intervention
(PCI)
Coronary Artery Bypass Graft (CABG)
CardiacRehab
Ischemic Heart Disease Care Process Family
Coronary Atherosclerosis
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Population Health Management
Vascular Disorders Care Process Family
Heart Rhythm Disorders Care Process Family
Heart Failure Care Process Family
Clinical Integration hierarchy - Clinical Programs
Home Clinic Care Outpatient Inpatient SNF Home Health
Ischemic Heart Disease Care Process Family
Cardiovascular Clinical Program
Hospice
© 2013 Health CatalystProprietary and9Confidential www.healthcatalyst.com
Clinical Integration hierarchyClinical Programs – ordering of care
Primary Care
Care Process Families
e.g., Diabetes
CV
Care Process Families
e.g., Heart Failure
W&C
Care Process Families
e.g., Pregnancy
GI
Care Process Families
e.g., Lower GI Disorders
Resp-iratory
Care Process Families
e.g., Obstructive Lung
Disorders
Neuro Sciences
Care Process Families
e.g., Spine
Disorders
Musculo- skeletal
Care Process Families
e.g., Joint
Replace- ment
Surgery
Care Process Families
e.g., Urologic
Disorders
General Med
Care Process Families
e.g., Infectious Disease
Oncology
Care Process Families
e.g., Breast Cancer
Peds Spec
Care Process Families
e.g., Peds
CV Surg
Mental Health
Care Process Families
e.g., Depression
© 2013 Health CatalystProprietary an10d Confidential www.healthcatalyst.com
Clinical Integration hierarchy
Care
CareProcessFamilies
e.g.,Diabetes
Care Process Families
e.g., Heart Failure
Care Process Families
e.g., Pregnancy
Care Process Families
e.g., Lower GI Disorders
Care Process Families
e.g., Obstructive Lung
Disorders
Care Process Families
e.g., Spine
Disorders
Care Process Families
e.g., Joint
Replace- ment
Surgery
Care Process Families
e.g., Urologic
Disorders
Care Process Families
e.g., Infectious Disease
Oncology
Care Process Families
e.g., Breast Cancer
Peds Spec
Care Process Families
e.g., Peds
CV Surg
Clinical Support Services – delivery of care ordered
12 Clinical Programs (“Ordering of Care”)Primary CV W&C GI Resp-iratory
Neuro Sciences
Musculo- skeletal
General Med
Mental Health
Care Process Families
e.g., Depression
Cli
nic
al S
up
po
rt S
ervi
ces
(Del
iver
y o
f C
are)
Diagnostic Clinical Support Service (work flow models)(e.g., Pathology and Laboratory Medicine, Diagnostic Radiology)
Therapeutic Clinical Support Service (work flow models)(e.g., Pharmacy, Transfusion Medicine, Respiratory Therapy, Physical, Occupational, Speech
Therapy)
Ambulatory Clinic Clinical Support Service (work flow models)(e.g., Primary Care Clinics, Chronic Disease Specialty Clinics, Sub-specialty Clinics))
Acute Medical Clinical Support Service (work flow models)(e.g., Emergency Care, ICU/CCU/NICU/PICU, General Med-Surg)
Invasive Clinical Support Service (work flow models)(Interventional Medical [e.g., cath lab, interventional radiology, GI lab, L&D, rad onc] and Surgical [e.g., amb, IP])
© 2013 Health CatalystProprietary and Confidential www.healthcatalyst.com
Heart Rhythm
Disorders
Vascular Disorders
Ischemic Heart
Disease
Heart Failure
CARDIOVASCULAR
Care ProcessFamilies
ClinicalProgram
ICD9 Volumes I-II 17,674
Diagnosis Codes
ICD-9 Volume III3,903
Procedure Codes
2013 CPT®
Code Set9706 Codes
CPT-4Code Groupings
ICD9 ProcedureCode Groupings
ICD9 DiagnosisCode Groupings
CABGPCIAMIACSCareProcesses
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Population Health Management
12
Medicare 2011 fee-for-service payments by venue
Clinic Care Outpatient Inpatient SNF Home HealthHospice
$ 31.7 Billion12.3%
77.6 Billion 30.1%
90.6 Billion 35.1%
$ 29.7 Billion11.5%
$ 18.4 Billion7.1%
$ 10.1 Billion3.9%
Clinic Care Outpatient Inpatient SNF Home Health Hospice
© 2013 Health CatalystProprietary and Confidential www.healthcatalyst.com
© 2013 Health CatalystProprietary and Confidential www.healthcatalyst.com
© 2013 Health CatalystProprietary and Confidential www.healthcatalyst.com
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Poll questionHow does your organization prioritize improvementprojects
• Respond to desires of highest volume physicians with loudest voices
• Respond to regulatory and accreditation imperatives
• Based on pre-defined strategic criteria (includingobjective and subjective factors)
• Other
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
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Our Philosophy: Be Systematic
17
Late-Binding™Data Warehouse Platform
Data Warehouse, Architecture, Metadata Management, Security, and Auditing
Analytic ApplicationsKey Process Analysis,
Dashboards, Advanced Analytics
ServicesInstallation Services,
Critical Improvement Services
Integrate Data and Measure
Apply Evidence and Standardize
Change Processand Behavior
© 2013 Health CatalystProprietary an18d Confidential www.healthcatalyst.com
Less TransformationMore Transformation
Catalyst’s Adaptive Data Model
Metadata: EDW Atlas Security and AuditingCommon, Linkable Vocabulary
Financial Source Marts
Administrative Source Marts
Departmental Source Marts
Patient Source Marts
EMRSource Marts
HRSource Mart
Diabetes
Sepsis
Readmissions
Departmental Sources
(e.g., Apollo)
Patient Satisfaction Sources
(e.g., NRC Picker, Press Ganey)
Human Resources(e.g., PeopleSoft)
Financial Sources(e.g., EPSi,
Peoplesoft, Lawson)
Administrative Sources
(e.g., API TimeTracking)
EMR Source(e.g., Epic, Cerner)
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Catalyst approach
19
1Metadata-drivenplatform
2Content-driven applications
3 Application families FoundationalApplications
DiscoveryApplications
AdvancedApplications
Late
-Bin
ding
™ D
ata
War
ehou
se P
latf
orm
Data AcquisitionEngine and Storage
Metadata Engine
Late-Binding™ Data Bus
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Cluster = Hub Hospital/Region, Medical Group, Health Plan, Section/Division
Clinical Integration Leadership Team (CILT)
20
Administration Vice-Chair
CNOVice-Chair
ClusterCMO
ClusterCNO
ClusterAdministrator
CMOChair Chief Information
Officer Chief Knowledge Officer
Cluster #1 Cluster #2 Cluster #3 Cluster # … Cluster #N
ClusterCMO
ClusterCNO
ClusterAdministrator
ClusterCMO
ClusterCNO
ClusterAdministrator
ClusterCMO
ClusterCNO
ClusterAdministrator
ClusterCMO
ClusterCNO
ClusterAdministrator
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
CV Clinical Program Guidance Team
21
Nurse DirectorVice-Chair
CV PhysicianChair*
CVMD Lead
CVNurse Lead
CVAdministrator
Cluster #1 Cluster #2
CVMD Lead
CVNurse Lead
CVAdministrator
Cluster #3
CVMD Lead
CVNurse Lead
CVAdministrator
Cluster #4
CVMD Lead
CVNurse Lead
CVAdministrator
Ischemic*MD Chair
Heart FailureMD Chair
Rhythm DisordersMD Chair
Vascular DisordersMD Chair
* One of the Clinical Implementation Team chairs also serves as the Guidance Team chair (Ischemic MD Chair in this example)
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Clinical Implementation Team (CIT)Heart Failure Care Process Family
22
Heart Failure MD Chair
Cardiologist
CV RNDirector
Vice-Chair
Heart Failure MD Lead
CVNurse Lead
Facility #1 Facility #2
Heart Failure MD Chair
CVNurse Lead
Facility #3
Heart Failure MD Chair
CVNurse Lead
Facility #4
Heart Failure MD Chair
CVNurse Lead
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
CIT Work Group
23
CIT Chair (MD)Scientific SME
Clinical OperationsDirector
Front Line Clinical OpsWorkflow SME
Provider/PatientEducation Team
Clinical Application
Steward
Administrative Application
Steward
* CMIO, CQO, Chief Patient Safety Officer, or Chief Analytics Officer provided individual has requisite qualifications and skills
Data ArchitectKnowledgeManager
Subject Matter ExpertData
Capture Workflo
w Analysis
DataProvisioning
DataAnalysis
© 2013 Health CatalystProprietary an24d Confidential www.healthcatalyst.com
Workgroup Roles
DATA CAPTURE
• Acquire key data elements• Assure data quality• Integrate data capture into
operationalworkflow
DATA ANALYSIS
• Interpret data• Discover new information in the
data (data mining)• Evaluate data quality
DATA PROVISIONING
• Move data from transactional systems into the EDW
• Build visualization for use by clinicians
Knowledge Managers
Data Architects (Analysis)
Knowledge Managers
Data Architects (infrastructure)
Data Architects (Visualization)
Application Administrators (e.g., EMR Administrators,Financial System Administrators)
Subject Matter ExpertData
Capture Workflo
w Analysis
Data Provisioning
DataAnalysis
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Poll question
Which clinical organizational teams do you have
• Executive team responsible for prioritization and governance of clinical improvement initiatives
• Domain governance teams (e.g., CV Clinical Service Line teams)
• Clinical implementation teams (e.g., Heart Failure improvement team)
• Infrastructure personnel/work groups to supportclinical improvement teams
© 2013 Health CatalystProprietary and Confidential www.healthcatalyst.com
Implementation flow diagram
Kickoff
• Mission• Cohort
Discover
• Data Analysis and Review
• BMJ BestPractices
• Building Multiple Potential AIM statements
AIM Statement
• Supplement BMJ content
• Refine Cohort
• Refine Metrics
• Develop DraftVisualizations
• Develop Recommended AIM statement#1
Implementation Design
• Cluster Reps Obtain Front Line Input
• Finalize Cohort
• Develop Additional metrics based on feedback
• Develop Additional Visualizations to support
• PDSA cycle
Launch Approval
• Cluster Reps Obtain Front Line Input
• Improvement Plan
• ImplementationPlan
• Develop cluster rep assignments, and deliverables
ResultsReview
• Collect cluster rep feedback
• Prepare Initial Results from AIM statement#1
• Summarized report for historical review
• Refine, recommend AIM statement #2
Standard “organizational” work
Monthly Tasks and Checkpoints
7 Steps(Work Streams)Gather Knowledge Assets
Define Cohort
Select AIM Statement
Select, Build, Refine MetricsDevelop
5 Implementation Plan
for Process Improvement
6 ImplementationMeasure Progress
1
2
3
4
7
Select Initial Metric Build and Refine Build and Refine Build and Refine
© 2013 Health CatalystProprietary an28d Confidential www.healthcatalyst.com
Pregnancy
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Surgical Services
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Discharge from hospital topost-hospital service
© 2013 Health CatalystProprietary an31d Confidential www.healthcatalyst.com
Pressure injury prevention
Slide Decks
Handbooks
Standard organizational workMD Contract Templates
Team Charters
Job Descriptions
Job Family Grids
Deployment Process Outlines
Compensation Grids
Meeting Agendas
Project Status Reports
L a r g e C l i n i c M e di a n Co m pe n s a ti o n Da ta $ / ho u r D i ff fr o m M i n M i d M a x
Gr o u p 5 2 0 0 0 Da ta 2 0 0 1 Da ta 2 0 0 2 Da ta 2 0 0 3 Da ta 2 0 0 4 Da ta 2 0 0 5 Da ta 2 0 0 6 Da ta a t 4 5 / wk m e di a n 0 .8 0 1 .0 0 1 .2 0
17.55 C V S u rg8
19.47 R a d io lo g y (in t e rv e n t io n a l)
2
C a rd io lo g y - C a t h -2
21.56 R a d io lo g y ( n o n - in t e r v e n t io n a l) -7
O rt h o 3 06 ,4 03 3 49 ,6 97 3 51 ,2 21 3 66 ,7 32 3 89 ,9 97 4 02 ,0 03 4 12 ,0 04 1 76 -1 0
23.89 M e di a n - Gr o u p 5 3 0 6 ,2 0 2 3 5 2 ,8 4 9 3 6 3 ,1 1 1 3 8 7 ,9 7 3 4 0 0 ,1 2 4 4 1 8 ,5 4 7 4 3 6 ,3 1 1 1 8 6
3 1 1 ,9 7 7 3 5 4 ,1 1 6 3 6 9 ,4 2 1 3 9 0 ,6 7 7 4 0 7 ,0 8 1 4 3 1 ,4 7 8 4 4 3 ,3 4 6 1 8 9
$ 1 49 $ 1 8 6 $ 2 24M e a n - Gr o u p 5
26.46 S te p =
$ 2 9 ,5 0 0
1 6
32.52 C a rd io lo g y - Ge n e ra l 2 61 ,0 00 2 79 ,4 70 3 04 ,9 94 3 20 ,0 00 3 12 ,0 10 3 50 ,0 00 3 59 ,0 04 1 53 6
Va s c u la r 2 81 ,1 43 2 89 ,9 18 3 10 ,4 01 3 20 ,2 10 3 36 ,8 20 3 21 ,1 31 3 55 ,0 00 1 52 536.03 U ro lo g y 2 64 ,1 75 2 85 ,5 00 3 10 ,9 64 3 19 ,0 00 3 22 ,0 00 3 43 ,7 69 3 46 ,6 33 1 48
2 51 ,0 83 2 82 ,5 01 3 07 ,5 00 3 14 ,4 95 3 30 ,0 08 3 38 ,2 56 3 44 ,9 60 1 47
1
039.94 A n e s t h e s io lo g y
P la s t ic s 2 73 ,2 61 2 94 ,0 39 2 97 ,2 50 3 00 ,0 00 3 40 ,8 80 3 43 ,4 97 3 42 ,9 01 1 47 0
44.24 Ga s t ro e n t e ro lo g y 2 40 ,0 00 2 46 ,5 00 2 71 ,5 03 3 00 ,0 00 3 04 ,9 94 3 14 ,4 95 3 40 ,0 10 1 45 -2
Ge n e ra l S u rg e ry 2 50 ,2 51 2 73 ,9 56 2 94 ,9 25 2 87 ,9 15 3 09 ,0 21 3 20 ,6 89 3 36 ,6 94 1 44 -349.04 EN T 2 50 ,0 00 2 68 ,4 03 2 79 ,9 85 2 93 ,0 00 3 08 ,3 63 3 20 ,9 58 3 20 ,8 90 1 37 -1 0
54.34 O p h t h 2 35 ,0 33 2 45 ,6 15 2 59 ,5 85 2 78 ,0 23 2 12 ,7 46 2 86 ,4 34 3 09 ,2 81 1 32 -1 5
M e di a n - Gr o u p 4 2 5 6 ,0 4 2 2 7 9 ,4 7 0 3 0 1 ,1 2 2 3 0 6 ,1 1 9 3 1 7 ,0 0 5 3 2 9 ,6 9 4 3 4 3 ,9 3 1 1 4 7 $ 118 $ 1 4 7 $ 1 7660.24 M e a n - Gr o u p 4 2 6 0 ,4 1 0 2 7 3 ,9 8 9 3 0 2 ,3 0 2 3 0 4 ,4 8 8 3 1 7 ,2 6 5 3 3 1 ,4 2 3 3 4 3 ,7 7 9 1 4 7
S te p = $ 2 1 ,0 0 0
Gr o u p 3
D.14 C lin ic a l P a t h o lo g y 2 17 ,5 00 2 33 ,6 77 2 32 ,9 84 2 51 ,2 27 2 25 ,0 00 2 63 ,7 50 2 87 ,9 27 1 23 1 0
H e ma t o lo g y & M e d . O n c o lo g y 1 89 ,0 00 2 05 ,0 00 2 23 ,4 70 2 31 ,7 94 2 51 ,2 41 2 61 ,5 01 2 80 ,0 01 1 20 6
D.17 D e rma t o lo g y 1 85 ,3 39 2 04 ,2 83 2 17 ,2 94 2 28 ,2 70 2 41 ,4 98 2 55 ,5 68 2 79 ,0 00 119 6
O B -Gy n - B ra n c h 2 17 ,4 26 2 29 ,2 38 2 33 ,2 95 2 45 ,5 68 2 49 ,2 56 2 56 ,9 97 2 69 ,1 47 115 2
D.19 O B -Gy n 2 29 ,6 99 2 43 ,4 34 2 54 ,5 63 2 52 ,4 00 2 60 ,7 76 2 63 ,8 16 2 62 ,0 00 112 -2
D.20 C r it ic a l C a r e M e d ic in e 2 07 ,2 50 2 18 ,0 00 2 23 ,5 00 2 28 ,7 40 2 28 ,7 40 2 34 ,5 03 2 49 ,9 96 1 07 -7
Eme rg e n c y C a re 1 89 ,2 86 2 02 ,6 90 2 11,0 00 2 21 ,9 27 2 32 ,7 49 2 38 ,5 23 2 48 ,2 27 1 06 -7
N e o n a t o lo g y 2 06 ,0 03 2 03 ,9 71 2 18 ,7 03 2 13 ,1 39 2 36 ,3 78 2 49 ,4 09 2 47 ,8 29 1 06 -8
M e di a n - Gr o u p 3 2 0 6 ,6 2 7 2 1 1 ,5 0 0 2 2 3 ,4 8 5 2 3 0 ,2 6 7 2 3 8 ,9 3 8 2 5 6 ,2 8 3 2 6 5 ,5 7 4 1 1 3 $ 9 1 $ 1 1 3 $ 1 36N.13 M e a n - Gr o u p 3
2 0 5 ,1 8 8 2 1 7 ,5 3 6 2 2 6 ,8 5 1 2 3 4 ,1 3 3 2 4 0 ,7 0 5 2 5 3 ,0 0 8 2 6 5 ,5 1 6 1 1 3
S te p = $ 1 3 ,0 0 0
Gr o u p 2
N.17 P u lmo n a ry D is e a s e 1 88 ,2 50 2 01 ,7 14 2 00 ,0 00 2 05 ,7 64 2 18 ,0 00 2 23 ,2 73 2 34 ,8 85 1 00 1 2
N e p h ro lo g y 1 87 ,0 00 1 91 ,6 61 1 96 ,7 52 2 04 ,6 17 2 14 ,7 51 2 17 ,7 57 2 25 ,5 04 9 6 8
N.19 A lle rg y / A s t h ma1 75 ,3 63 1 91 ,3 85 1 94 ,5 00 1 98 ,3 76 2 01 ,2 41 21 0 ,97 0 22 1 ,83 3 9 5 7
P h y s ia t ry 1 76 ,6 17 1 80 ,9 53 1 87 ,2 52 1 83 ,3 37 2 01 ,9 93 2 07 ,0 04 2 19 ,9 92 9 4 6
N e u ro lo g y 1 82 ,6 00 1 88 ,4 31 1 91 ,4 96 1 95 ,0 00 2 01 ,2 41 2 10 ,5 00 2 11,6 64 9 0 2
D.13 E n d o c r in o lo g y 1 65 ,0 00 1 82 ,6 58 1 80 ,3 54 1 88 ,9 92 1 85 ,0 00 1 85 ,2 50 2 00 ,5 29 8 6 -2
In fe c t io u s Di s e a s e 1 61 ,4 47 1 64 ,8 94 1 79 ,4 73 1 86 ,8 96 1 78 ,6 27 1 89 ,6 15 1 97 ,9 96 8 5 -3
D.15 U rg e n t C a re1 42 ,9 06 1 57 ,3 68 1 61 ,7 85 1 65 ,5 59 1 68 ,1 43 1 87 ,0 00 1 97 ,8 20 8 5 -4
D.17 O c c M e d
1 72 ,4 14 1 78 ,2 24 1 86 ,2 50 1 81 ,4 59 1 86 ,4 02 1 94 ,2 47 1 94 ,2 13 8 3 -5
R h e u ma t o lo g y 1 58 ,5 06 1 75 ,117 1 76 ,8 05 1 79 ,7 00 1 81 ,0 16 1 85 ,0 00 1 90 ,0 00 8 1 -7
D.19 M e di a n - G r o u p 2 1 7 3 ,8 8 9 1 8 1 ,8 0 6 1 8 6 ,7 5 1 1 8 7 ,9 4 4 1 9 3 ,8 2 2 2 0 0 ,6 2 6 2 0 6 ,0 9 7 8 8 $ 7 0 $ 8 8 $ 1 06M e a n - Gr o u p 2 1 7 1 ,0 1 0 1 8 1 ,2 4 0 1 8 5 ,4 6 7 1 8 8 ,9 7 0 1 9 3 ,6 4 1 2 0 1 ,0 6 2 2 0 9 ,4 4 4 9 0
S te p = $ 5 ,0 0 0
Gr o u p 1
P s y c h ia t ry 1 50 ,2 32 1 59 ,4 48 1 62 ,0 00 1 61 ,2 02 1 71 ,3 00 1 72 ,3 50 1 84 ,8 27 7 9 5
Ge n e ra l IM 1 42 ,0 84 1 50 ,0 46 1 53 ,7 86 1 53 ,9 39 1 65 ,3 75 1 72 ,5 65 1 78 ,0 05 7 6 2
F a mily M e d ic in e 1 39 ,7 25 1 47 ,0 25 1 55 ,0 50 1 54 ,0 18 1 66 ,1 05 1 72 ,1 57 1 75 ,0 80 7 5 0
P e d s 1 36 ,9 06 1 42 ,0 56 1 46 ,3 10 1 45 ,3 51 1 58 ,2 50 1 64 ,6 31 1 73 ,3 38 7 4 0
In t e rn a l M e d ic in e - B ra n c h 1 37 ,8 59 1 43 ,5 13 1 52 ,9 33 1 57 ,7 18 1 53 ,5 61 1 62 ,7 32 1 68 ,3 44 7 2 -3
P e d s -A d o l - B ra n c h 1 35 ,8 00 1 38 ,0 00 1 44 ,6 43 1 44 ,4 36 1 50 ,112 1 54 ,0 00 1 63 ,9 17 7 0 -4
M e di a n - Gr o u p 1 1 3 8 ,7 9 2 1 4 5 ,2 6 9 1 5 3 ,3 6 0 1 5 3 ,9 7 9 1 6 1 ,8 1 3 1 6 8 ,3 9 4 1 7 4 ,2 0 9 7 4 $ 6 0 $ 7 4 $ 8 9A ve r a g e - Gr o u p 1 1 4 0 ,4 3 4 1 4 6 ,6 8 1 1 5 2 ,4 5 4 1 5 2 ,7 7 7 1 6 0 ,7 8 4 1 6 6 ,4 0 6 1 7 3 ,9 1 9 7 4
D.8 11.69 14.63
D.9 12.99 16.21
D.10
D.11
14.39
15.91
17.97
19.91
D.12 17.65 22.07
D.14 21.67 27.10
D.15 24.02 30.03
D.16
D.17
26.63
29.50
33.28
36.88
D.18 32.67 40.86
D.19 36.23 45.28
D.20 40.15 50.18
DATA ARCHITECT-ASSOC
DATA ARCHITECT-STAFFDATA ARCHITECT-SR
DATA ARCHITECT-CNSLT
OUTCOMES ANALYST-ASSOCOUTCOMES ANALYST-STAFF N.15
OUTCOMES ANALYST-SROUTCOMES ANALYST-CNSLT
DATA MANAGER-ASSOC
DATA MANAGER-STAFF
DATA MANAGER-SR
DATA MANAGER-CNSLT
2 7
Co m pe n s a ti o n Ra te by S pe c i a l ty A dm i n i s tr a ti ve Ra tes by Gr o u pGRADE MIN MID MAX
Neurosurg 345,250 389,644 395,305 400,942 450,006 465,000 499,992 214
380,207 415,351 438,901 441,133 440,000 474,772 455,455 195
306,000 356,001 375,000 410,250 410,250 424,992 440,004 188
276,001 304,750 325,494 375,003 380,234 412,101 432,618 185
258,000 309,255 330,603 350,000 372,000 410,000 420,000 179
D.13 19.56 24.45 29.36 Group 4
MFM (Perinatology)
298,158 no data 385,917 312,238 395,809 375,005 382,414 163
© 2013 Health Catalyst www.healthcatalyst.comProprietary and
Confidential
Poll question
How prepared do you feel to implement population health management and shared accountability (e.g., ACO) strategies?
Thank you