Matt Zavadsky Presents on Data Dichotomy in the New EMS Payer Landscape at EMS Today 2016

This fast-paced session was not your typical data session (yawn!). Matt Zavadsky of MedStar Mobile Health, presenting at EMS Today 2016, made the compelling case about how today’s integrated care delivery models requires a whole new approach to proving value.  He explained that measuring outcomes for meeting the IHI Triple Aim of Improved Care, Improved Outcomes and Reduced Costs requires EMS professionals to collect, analyze and report data far beyond traditional measurement techniques of response time, unit hour utilization and unit hour costs. The session highlighted the data healthcare stakeholders will be looking for from you to demonstrate value in MIH programs and make the case for sustainable funding models.

Zavadsky also gave specific examples of how MedStar, in Fort Worth, Texas, has used data for clinical effectiveness measures and economic measures to move the needle on the value discussions in their area.

Some of the specific “Ah Ha” moments were: 

The Main Components of Healthcare Economic 3.0:

  • Outcome-based payment models
  • Bundled payments based on episode of care
  • Mergers and Acquisitions on both the provider and payer side
  • How hospitals are being held accountable for the Medicare Spending Per Beneficiary

Some of the business use cases for data analysis included:

Day-to-Day Operations:

  • Problem to Solve: Improve immediate treatment of EMS patients and their continued care in Emergency Departments (EDs)
  • Data Needed: Current medical information regarding lab results, medications, allergies, chronic illnesses, and recent surgeries, contact information for primary and specialty care

MIH and Community Paramedicine:

  • Problem to Solve: Improve care coordination and population health and increase appropriate utilization of emergency and urgent care services
  • Data Needed: Current medical information regarding lab results, medications, allergies, chronic illnesses and recent surgeries; health and social services information regarding current providers and services; utilization information and social determinants of health

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