How Well Do You Know Your Practice

Estimate MN Health Care Home Revenue * Quantify Key Revenue Drivers * Estimate Financial Impact of PracticeVariation * Analyze Revenue by Conditions and Services * Assess the ROI of Health Care Interventions * Case Mix AdjustKey Performance Measures * Create Composite Quality Scores * Turn Quality and Resources into Efficiency Metrics

Are you relying on State data to estimate the revenue you may obtain through

Health Care Home tiering?

Estimate MN Health Care Home Revenue

To estimate HCH revenue, Evidity analyzes diagnoses in your EMR data to identify the patients who fall into each HCH tier according to the definition outlined by the Minnesota Department of Health.

NoTier46%

Tier133%

Tier29%

Tier38%

Tier44%

Es matedRevenueTier1: $2,433,600Tier2: $1,313,496Tier3: $2,189,160Tier4: $1,933,028

$7,869,284



Can you pinpoint why one provider is generating more revenue than another?

Quantify Key Revenue Drivers

To quantify revenue drivers, Evidity case mix adjusts your billing data and isolates the impact of patients per provider, visits per patient, and revenue per visit.

-25%

-3%

5%8%

18%

11%

1%

-8%-12%

11%

Clinic3$846,536 Clinic5

$903,648

Clinic1$920,258

Clinic2$924,980

Clinic4$1,209,553

-30%

-25%

-20%

-15%

-10%

-5%

0%

5%

10%

15%

20%

AdjPa ents/Provider AdjVisits/Pa ent AdjRevenue/Visit

Revenue/FTE



Do you know how much practice variation is affecting your bottom line?

Estimate Financial Impact of Practice Variation

To estimate the financial impact of practice variation, Evidity case mix adjusts your billing data and models performance after an optimal benchmark.

$303,888

$877,544

$1,075,384

$1,802,945 $1,823,024

$0

$200,000

$400,000

$600,000

$800,000

$1,000,000

$1,200,000

$1,400,000

$1,600,000

$1,800,000

$2,000,000

Clinic4 Clinic1 Clinic2 Clinic3 Clinic5

Pt/ProvIncrease Vis/PtIncrease Rev/VisIncrease


Estimate MN Health Care Home Revenue * Quantify Key Revenue Drivers * Estimate Financial Impact of Practice Variation* Analyze Revenue by Conditions and Services * Assess the ROI of Health Care Interventions * Case Mix Adjust KeyPerformance Measures * Create Composite Quality Scores * Turn Quality and Resources into Efficiency Metrics

Is your revenue coming from where you think?

Analyze Revenue by Conditions and Services

To analyze revenue by conditions and services, Evidity links your EMR data to AHRQ and CMS data, so it can be grouped into more meaningful categories.

$142$172

$221$243

$293

$402

$714

$0

$100

$200

$300

$400

$500

$600

$700

$800

Hyperlipidemia AcuteSinusi s Hypertension Spondylosis MoodDisorders Diabetes CardiacDysrhythmias

Eval/Mgmt

Imaging

Procedures

Tests

Other66%

30%3%



What has been the impact of your latest health improvement initiative?

Assess the ROI of Health Care Interventions

To assess the ROI of health care interventions, Evidity uses rigorous evaluation techniques.

Propensity Score-Matched Control GroupEnsures similar age, gender, and comorbidity

characteristics

Study Group Control Group

Pre-/Post- Cohort DesignMakes certain impact is not due to different

populations being in the pre- and post- period

Multivariate Difference-in-Difference Regression ModelsGold standard for program evaluations after RCTs

Pre- Post-



Do providers distrust performance metrics because they don’t account for the fact they have sicker populations?

Case Mix Adjust Key Performance Measures

To case mix adjust, Evidity synthesizes selected patient characteristics to calculate composite measures of complexity and severity that can be applied to revenue, quality, and utilization metrics.

34

1 2

5

Rank

$800,000

$850,000

$900,000

$950,000

$1,000,000

$1,050,000

$1,100,000

$1,150,000

$1,200,000


RevenuePerProvider

Unadjusted CaseMixAdjusted



Can you easily track a provider’s performance across the growing number

of quality measures?

Create Composite Quality Scores

To create composite quality scores, Evidity standardizes and appropriately weights individual quality metrics before combining into a single performance measure.

12%

44%22%

10% 12%

91%

86%

91%95% 94%

AverageRank2

5

41

3

CompositeRank


QualityMeasure1 QualityMeasure2



How do your providers fare when quality and resources are combined into

an “efficiency” measure?

Turn Quality & Resources into Efficiency Metrics

To create efficiency metrics, Evidity combines composite quality scores and resources.

Clinic7

Clinic10

Clinic5

Clinic8

Clinic2

Clinic12

Clinic6

Clinic1

Clinic9

Clinic4

Clinic3

Clinic11

Quality

Resources

LeastEfficient:Lowqualityandalotofresources

MostEfficient:Highqualityandfewresources


Bubble size represents number of patients at each clinic

Documents

How Well Do You Know Your Practice