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IBM > Case Studies > Prevea Health automates population health management
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Prevea Health automates population health management

Technology Category
  • Platform as a Service (PaaS) - Data Management Platforms
Applicable Industries
  • Healthcare & Hospitals
Use Cases
  • Remote Patient Monitoring
  • Predictive Quality Analytics
Services
  • System Integration
  • Data Science Services
The Challenge
Prevea Health, a multispecialty physician group, adopted the patient-centered medical home care delivery model to improve the health and satisfaction of patients. However, they faced challenges in automating population health management and patient engagement. Their system did not scale well, and care management processes were largely manual, with limited automation and rudimentary registries. They needed a solution that could help them manage their populations more effectively and efficiently. They also needed a solution that could integrate smoothly with their Epic EHR system.
About The Customer
Prevea Health is a physician group that provides primary care and specialty care in more than 50 specialties at 20 health centers throughout Green Bay and northeast Wisconsin. The group has 180 physicians and launched its first patient-centered medical home (PCMH) in 2009. Now, it has patient-centered medical homes in 15 primary care sites that include 50 providers and 17 care managers who care for 29,000 patients. Prevea’s leaders committed early to the transition to value-based care, determined to move away from episodic care and embrace population health management.
The Solution
Prevea Health implemented a suite of IBM Watson Health solutions designed to help them manage their populations. The solutions included IBM Phytel Coordinate, IBM Phytel Outreach, and IBM Phytel Remind. These solutions helped Prevea to automate the process of identifying gaps in care and performing patient outreach. They also helped care managers to identify patients due for recommended care based on evidence-based guidelines, notify these patients through automated messaging, and track patient response and monitor adherence. The IBM Watson Health solutions integrated smoothly with Prevea's Epic EHR system, operationalizing data from Epic to generate automated outreach communication and detect clinical indicators that might necessitate follow-up visits.
Operational Impact
  • Prevea Health achieved a 250 percent improvement in care management efficiency.
  • The IBM Watson Health solutions helped Prevea to increase the number of patients receiving care.
  • The solutions also helped Prevea to evaluate its own effectiveness at managing population health, including producing worklists to track and manage quality measures and initiatives, demonstrating quality improvements to qualify for Meaningful Use, pay-for-performance and other incentives, and assessing individual provider and practice performance on quality guidelines.
Quantitative Benefit
  • Increased office visits by 207 percent for noncompliant diabetics.
  • Increased office visits by 124 percent for IBM Watson Health contacted hypertension and diabetes patients.
  • Improved FFS revenue while transitioning to value-based care.

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