CUSTOMER STORY:
Making a Big Impact with Big Data: Why PrimeWest Health Relies on Inovalon Healthcare Data Lake for HEDIS® Analytics
Background
PrimeWest Health is a regional health plan serving members across 24 counties in Minnesota. The health plan partners with nearly 15,000 organizations within their provider network to deliver coordinated, high-quality care to children, adults, and senior members.
For the small but mighty data analytics team at PrimeWest Health, the flexibility to query their data as needed – across populations, measures, custom reports, and internal initiatives – is a cornerstone of their quality measurement strategy. This strategy is powered by Inovalon Healthcare Data Lake.
The following explores how PrimeWest Health has benefited from having a single source of truth to store, enrich, and analyze its data.
”We love the detail and transparency – it’s great that everything is right there for us. Being able to access all aspects of our data processed with the Inovalon software is the best.
Sarah PiankaManager, Reporting & Data Analytics
From Multiple Downloads to One Central Location
Prior to implementing a data lake, PrimeWest Health was compiling their information through mass extracts. They had to download files, work with an internal team to import the data into a data warehouse, QA the data and ensure it was loaded as expected – and only after these steps were carefully completed could they start to analyze their data.
The work was manual, time-consuming, and error-prone. It also hindered the health plan’s ability to react to member needs in a timely, efficient manner. Once all the steps above were completed, it was usually weeks between the first documentation of a member’s need and then identifying that condition in their care coordination efforts.
With Inovalon Healthcare Data Lake, “We’ve been uncuffed,” shares Sarah Pianka, Manager, Reporting & Data Analytics. “We’re now in the data that we live and breathe, and we can find information so much more quickly. Instead of multiple report views or filters and many exports and uploads, we get it all together.”
”We’ve been uncuffed. We’re now in the data that we live and breathe, and we can find information so much more quickly. Instead of multiple report views or filters and many exports and uploads, we get it all together.
Sarah PiankaManager, Reporting & Data Analytics
One Source of Truth, Multiple Benefits
Having data in one place gives PrimeWest Health multiple avenues to inform and improve its quality measurement initiatives. For its data analytics team, Inovalon Healthcare Data Lake offers the transparency, speed, and flexibility to run custom queries for various needs.
Brittney Lind, Data Coordinator, shared, “We’re very much more comfortable writing our own SQL queries and digging into our data versus being limited to dashboards that were built into the front-end of a solution. We like being able to slice and dice our data.”
For PrimeWest Health, this can look like:
Recurring HEDIS® reports
In the midst of HEDIS season, quality teams need to understand how well their performance is tracking – and old data won’t do the trick. PrimeWest Health can access data in real time, run custom queries, and establish reports to automatically run on the metrics their team needs.
This creates a constant flow of data that keeps the quality team informed on how well they’re performing, and where they may have opportunity to improve their quality scores.
Manipulating tables to understand key events
When HEDIS season is over, PrimeWest Health analyzes its data again to understand the key events that occurred during a measure year. Inovalon Healthcare Data Lake helps the quality team run the report quickly and then manipulate the data provided to identify where they can start improving for the next year.
“The accessibility to pull from multiple different areas – for example, measure details for HEDIS measures, is great. We’re able to customize the dates we want to see into our own extract.” – Sarah Pianka, Manager, Reporting & Data Analytics, PrimeWest Health
”The accessibility to pull from multiple different areas – for example, redundant details for HEDIS measures, is great. We’re able to customize the dates we want to see into our own extract.
Sarah PiankaManager, Reporting & Data Analytics
Addressing quality and risk needs
With Converged Quality and Inovalon Healthcare Data Lake, PrimeWest Health can apply Johns Hopkins Adjusted Clinical Groups (ACG®) predictive modeling system to understand their populations’ healthcare utilization and costs.
The analytic runs give insight on predictive risk scores for members, with summary information that can help guide care coordination – such as the number of hospitalizations members have had, members at risk of rehospitalization, and population health analysis and disease management.
Together, these Inovalon solutions make sense of PrimeWest Health’s quality measurement initiatives by combining and analyzing the massive data points associated with these programs.
The result:
clear, actionable reporting to continuously improve member care.
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The #1 Difference of Having the Right Data Lake
Across the various queries and multiple reports PrimeWest Health can run within Inovalon Healthcare Data Lake, the top benefit that stands out is the access to data at greater detail and transparency.
“We love the detail and transparency – it’s great that everything is right there for us. Being able to access all aspects of our data processed with the Inovalon software is the best. Never take [Inovalon Healthcare Data Lake] away.”
– Sarah Pianka, Manager, Reporting & Data Analytics, PrimeWest Health
Discover the Power of Inovalon Healthcare Data Lake
Realize what one central data warehouse can do for your health plan – and discover a newfound level of transparency and ease in creating the reports you need to improve your quality measurement and risk score accuracy performance. Contact us to see Inovalon Healthcare Data Lake in action.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
