Population Health
Population health describes the management of health and illness. At MUSC Health, the health we manage includes not only the absence of illness but the concept of health.
Vision
A healthy South Carolina.
Mission
Transforming healthcare delivery to achieve better outcomes for the lives we touch.
Process
We offer health care that is consistent, sustainable, equitable, scalable, patient-centered, and value-based to better serve our population. We leverage technology, evidence-based practice, community partnerships, and engagement.
What We Do
Value Institute
The Value Institute was established in 2012 to support MUSC's efforts to advance evidence-based practice at the bedside through innovative solutions and the education of future leaders.
Evidence-based practice (EBP) is the integration of research evidence with clinical expertise and a patient's values and preferences. The motivation for EBP integration comes from payor and healthcare facility pressures for cost containment, greater availability of information and greater consumer savvy about treatment and care options. The EBP process encourages patient-centered care by more clearly defining the benefits and harms of interventions as part of shared decision-making between providers and patients.
Vision
To optimize healthcare delivery and value based on evidence.
Mission
Transforming healthcare delivery by leveraging evidence to create tools that improve value.
What is evidence-based practice (EBP)?
For more information visit Overview of EBP - Evidence-Based Practice - Guides at Medical University of South Carolina
How do we support evidence-based patient care?
- EBP staff education through our project-based courses to support continuous improvement of clinical care and quality.
- MUSC Health guideline development (Ideal Care Plans) which establishes the “MUSC Health standard of care” for patients treated in our facilities across the state of South Carolina.
- Population-based Pathway development for providers and nurses to promote evidence-based care in our electronic medical record (EMR) for patients in our clinics, emergency departments, and hospitals.
Value Intelligence
The South Carolina Quality Achievement Program (SC QAP)
- Gathered, performed quality assurance checks, and submitted data to meet program requirements
- 18,894 diabetes encounters, 98,720 ED visit encounters, 33,487 hypertension encounters, 2,196 maternal care patients, 236 ED navigation patients
- Supported ED Navigator workflows and development of Compass Rose tools
- Improved performance visibility with dashboard summary view for Diabetes and Hypertension
Enhancing Oncology Model (EOM)
The Value Intelligence Pharmacoeconomics team developed cost and utilization methodology for profiling EOM cancer types to identify variations in care, outliers, and business opportunities.
The Population Health Engagement Management team met with Oncology providers to facilitate driving cancer staging documentation from 10 to 176 out of 659 patients.
Served alongside Cancer ICCE clinical, Population Health and Project Management leadership to ensure the Cancer ICCE’s success with EOM including development of Guiding Principles.
BCBS Cooper
The Value Intelligence Pharmacoeconomics team identified an opportunity to confirm from Humira® to biosimilars which we anticipate will result in over $200,000 in shared cost savings in the coming year.
Compass Rose – 35% of Care Management Programs using Compass Rose tools, with goals of 65% by FY 25
Social Determinants of Health – Performed Slicer Dicer and SDOH training sessions including Black River Emergency Food Box Slicer Dicer Assistance
Primary Care – Developed Slicer Dicer Dashboard focused on key Health Maintenance elements
Healthy Planet – 100,000+ value-based contract lives tracked in Epic in collaboration project with Information Solutions.
Care Management
- New and optimized Compass Rose care management program tools for Community Health Workers, Chronic Care Management, Transitional Care Management, Chronic Kidney Disease and Pharmacy Concierge services
- Healthy Planet link provides communication and care coordination pilot programs
Regulatory
Hierarchical Condition Category (HCC)
- The Value Intelligence team has played a significant role in the development of new tools and programs to support clinicians in HCC coding
- New analytics data models, suspected diagnosis suggestion based on clinical criteria, and pre-visit CDO activity are under implementation
- New program to develop an Outpatient CDI team is underway
Engagement Management
Communicated provider feedback to IS resulting in several provider satisfaction improvements:
- Defaulting program data elements to save provider clicks
- Redesigned EOM SmartForm to improve workflow
- Created EOM Checklist SmartPhrase to streamline documentation
Risk Adjustment
Developed risk adjustment tactics including increasing opportunities for outpatient visits where diagnosis can occur and capitalizing on opportunities to improve Outpatient Clinical documentation.
Community Development
Created dashboard for SDOH grants to demonstrate impact, streamline data submissions and identify opportunities for our Population Health Sickle Cell and Community Health Worker programs.
Diabetes Prevention Program
The Diabetes Prevention Program is an evidence-based lifestyle change program to help patients eat well, move more & prevent or delay the onset of Type 2 Diabetes. This group-based program includes a full year of sessions & support to help you achieve your goals!
Tobacco Treatment Program at MUSC (Tobacco-Free)
We’ll show you how to conquer your urges, use nicotine-management gums and lozenges, control your environment and get the emotional support you need.
