Jody Remedies Leakage and Reduces ER Visits and Hospital Admissions

July 06, 2017
Shelley Riser, Vice President, Consulting Services and Clinical Innovations


“I’m not sure my health system could have achieved our cost and quality goals and succeeded in our value-based contracts without the Theon® analytics and insights platform. Given our success in years 1 and 2, I am confident the Theon® platform will support our achievement of even more aggressive metrics in the third year of our risk-based contracts.”

Those are Jody’s words, and she’s talking about the success she’s had using Geneia’s Theon® analytics platform. 

Spoiler alert: I’m about to share her results with you. If you’re the kind of person who doesn’t like to know the results before finding out how she did it and how you can too, download the case study now.

Jody's health system used analytics to achieve value-based care success.

If you’re the kind of person who skips to last page of a novel to learn the ending, here it is:

Jody’s health system used the insights in the Theon® analytics platform to: 

  • Reduce out-of-network referrals by five percent in the first year,
  • Save nearly $143,000 on emergency department costs, and
  • Lower hospital admissions with a remote patient monitoring program and other provider and patient outreach.

To help you know that you too can replicate her success, let me tell you about Jody and her health system. 

Jody works for the chief medical officer of a health system comprised of three hospitals, 25 primary care practices and nearly 40 specialty practices of varying sizes. Jody’s health system participates in two accountable care organizations (ACOs): one for its Medicare population and one for a large percentage of its commercial patients. They also have a number of value-based contracts with commercial payers.

The health system’s CMO charged Jody with creating initiatives to quickly recoup its investment in the Theon® analytics platform but, just as importantly, to achieve the goals in the system’s value-based contracts in the early years and position them to continue to succeed in subsequent years.

Like virtually every health system, Jody’s had low hanging fruit. She used the Theon® platform to identify hers – a severe leakage problem - and to design a solution: a comprehensive physician and patient education program, a new incentive for in-network referrals and the addition of in-network gastroenterologists.

To learn how she used analytics to decrease emergency department costs, hospital admissions and readmissions, I encourage you download Jody’s story: http://www2.geneia.com/jody-reduces-readmissions.

*Jody’s experience is an illustrative example based upon the actual experience of a Geneia client. This information is provided for illustrative purposes only. Jody is fictional and not intended to represent any specific person. Any direct similarities to any real person are purely coincidental and unintentional.


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