Premier Healthcare Alliance is a performance improvement alliance of more than 2,400 U.S. hospitals and 70,000-plus other healthcare sites using the power of collaboration to lead the transformation to high quality, cost-effective care. Owned by hospitals, health systems and other providers, Premier maintains the nation's most comprehensive repository of clinical, financial and outcomes information and operates a leading healthcare purchasing network.
CHALLENGE
Premier’s network of hospitals and healthcare sites needed product offerings to help hospitals leverage performance improvement data and knowledge sharing to prepare for and succeed under healthcare reform. Premier wanted to develop an industry-first solution to share clinical data among hospitals and doctors that help hospitals predict reform impact, automate measures reporting and sustain quality and cost improvements. Intelligence from existing Premier products and tools need to be integrated into one platform to give hospitals a more complete view of opportunities for further cost containment, care quality and patient safety gains. Ultimately, this mitigation of medical data fragmentation will help patients realize a reduction in adverse medical events and reduce the costs associated with providing quality care.
SOLUTION DEPLOYED
The solution allows a healthcare provider organization to collect HL7 data from various internal or external facilities and transform it into a consistent format so that it can be used to identify patterns and/or raise alerts.
The solution decrypts the HL7 EDI message and converts it into an XML message. The HL7 XML message is then checked for syntactic rules and facility-specific patient ID is mapped to an enterprise patient ID. The XML message is then transformed into a Patient Encounter Entry object (i.e. into common information model format). The facility-specific vocabulary in the Patient Encounter Entry object is then mapped to a common/industry vocabulary (i.e. SNOMED, LOINC, Multum) and the updated object is stored in the database. This Patient Encounter Entry object is further sent to an eventing engine, for clinical situations/alerts identification and (email) notifications, as well as to a dimensional warehouse for reporting.
The solution allows the customer to seamlessly add/acquire new facilities/organizations to provide support to hospitals, doctors and other health providers making information more accessible. It will also reduce fragmentation of medical information that results in higher medical costs and increased likelihood of adverse medical events.
BUSINESS VALUE DELIVERED
- Created a new approach to primary, specialty and hospital care to reward coordination, efficiency and productivity
- Tightly integrated relationships with specialists, ancillary providers and hospitals so they are similarly focused and aligned to achieve high-value outcomes
- Increased alerting for defined clinical events from the current solutions 10-30 minute solutions to less than 30 seconds from the time the data lands in the operational data stores
- Processes 100% of the pharmacy data from the facilities vs. the limited antibiotic data from the current solution
- Provides the framework for additional analytics as purchasing and operational data are added to the baseline in coming releases