By Jon Phillips
Director, Health Information Technology
Millennium is committed to supporting our partner transformation strategies with actionable information from our Cerner HealtheIntent population health management platform. This means that when a service provider is with a Medicaid member, they have immediate access to information to link them to needed services and/or to ensure the proper care is delivered. We refer to this important initiative as “Project Catalyst”.
HealtheIntent will further extend our data-driven population health capabilities by enabling Millennium and our safety net providers to identify at-risk members and care gaps through 22 chronic disease and wellness registries. Cerner will also be a valuable tool to help coordinate care and transitions across care settings.
No matter what robust capabilities a population health management platform may have, it is only as good as the data that goes into it. To this end, Millennium – with patient consent — intends to load Medicaid claims data provided by the New York State Department of Health and clinical data from our safety net providers.
Since data sharing can only currently be done with patient consent to help their care teams better manage their care, Millennium is working closely with HEALTHeLINK to increase the number of patients who have consented to share their medical information. Millennium is also working with our safety net providers to begin sending care summary records following patient encounters and sign up to receive HEALTHeLINK alerts when their patients are admitted to a hospital or present in an emergency room.
Cerner will be responsible for transforming this data into timely actionable insights that we can use to deliver high quality healthcare services. This will be in the form of patient registries that identify at risk patients who need services and the care gaps that need to be addressed to better manage their medical condition(s). Physicians and their care teams will also be able to view dashboards that identify opportunities to improve their performance on their high priority project related quality measures.
We are excited about executing our strategy of working with our partners and the State to use data, analytics and technology to achieve our goals of improving the quality while reducing the cost of care. The initial pilots are planned for December, followed by full implementation across our PPS network by April, 2017.