A healthcare organization likely could not manage financial risk well without access to accurate and complete case and financial data. Delta Joint Management has developed a database for collecting, sharing, and analyzing patient data and outcomes.
“The dashboard tracks patients from time of surgery to receiving bundled payment to each downstream provider and care they receive,” says Donna Garvey, CMPE, executive director of Delta Joint Management.
Data on pre-op visits, surgery, post-op visits, therapy, patient’s plan of care, dates, questions and answers, outcomes, and other items are collected. The patient’s outcomes reports are given at post-surgery dates of two weeks, six weeks, and 12 weeks, says Steve Lucey, MD, founder and president of Delta Joint Management. The database’s dashboard shows a patient list, date of surgery, when their 90 days benchmark expires, when payments were received, and who the downstream providers are for each case, Garvey says.
“It’s a file of the different contracts we have with the different payers,” she says.
Easy access to data and data analysis is so important to the work that Delta Joint Management has been working with information technology experts to expand the database and dashboard. After the total joint program opened in 2017, its volume expanded quickly. Garvey realized that the software wouldn’t provide all the necessary information.
“So, we decided to build our own software,” she says. “We developed a team of people, including a software developer, to create a tool that contains clinical and financial management information.”
Once the software is complete, Delta Joint Management will license it. “The way my dashboard will improve is [the software] also will have a patient portal access, as well as downstream provider access,” Garvey says. “This will allow me to know information from the case manager side of things, and patients can report on how they’re doing.”
Through the portal, patients can let their providers know how they’re progressing. Patients also can log in and confirm when they started physical therapy and finished it. “This will help with reporting, claims information, and outcomes information,” Garvey notes.
The database also provides quarterly reconciliation.
“At the end of the quarter, we look at any leakage claims or how claims are going through,” Garvey adds. “We see if there is anything happening with patients that we were not aware of.”