Puget Sound Regional Fire Authority
At the forefront of innovation, FD CARES is dedicated to transforming fire department healthcare services by providing care coordination and in-home clinical services to stabilize patients at home or direct 911 callers to the most appropriate care. To evaluate the benefits of these services and identify future improvements, FD CARES used innovative analytics to prescribe improvements in delivery effectiveness and to reduce costs of care.
The Puget Sound Regional Fire Authority (PSF) established FD CARES to better meet the needs of their community members and to improve the value of fire department healthcare services. To achieve this aim, FD CARES matches response times, apparatus, equipment, clinical team and services to 911 callers’ non-emergent needs. The clinical team, including a firefighter/emergency medical technician, registered nurse and social worker, provide care coordination and deliver in-home clinical services to stabilize patients at home or direct 911 callers to the most appropriate care. FD CARES integrates these services into the broader social and healthcare services in the community such that people get the care they need, when they need it, in ways that are user-friendly, achieve the desired results and provide value.
PSF wanted to determine whether prescriptive analytics could be used to understand the impact of FD CARES’ innovative non-emergent medical services (NEMS) approach on the Institute for Healthcare Improvement (IHI) triple aim objectives (improving the patient experience of care, improving the health of populations and reducing the per capita cost of healthcare) as it relates to community health management and in particular:
- Measure the value of FD CARES services in terms of cost efficiencies for the fire department and the community; and service utilization and patient experience
- Evaluate the impact of different changes to patient care pathways through FD CARES’ services and its provider, payer and transportation partners (Molina Health, Premera Blue Cross, Tri-Med Ambulance and University of Washington Valley Medical Center)
- Model and prescribe further improvements to FD CARES program resource utilization, service delivery and cost efficiency
PSF engaged CGI for the FD CARES proof of concept (POC) analytics project. CGI worked with PSF to define the project objectives and evaluation metrics, design the methodology and conduct the analysis. Leveraging River Logic (RL) and its Enterprise Optimizer® (EO) platform, CGI and the FD CARES partners:
- Identified appropriate FD CARES data needed to describe the resource use, care utilization and interactions across the coordinated care continuum
- Designed a data-driven, constraint-based system model using sample data from FD CARES coordinated care partners
- Performed optimization and prescriptive analytics to measure the impact of FD CARES services and prescribe better ways to help maximize return on investment for FD CARES partners
Moving from “what if” to “what’s best”
Optimizing healthcare value requires a shift in using analytics from monitoring and reporting what has happened, to using prescriptive analytics mathematical modeling to identify ways of improving future activities and results. Prescriptive analytics for FD CARES were provided by the CGI Healthcare Enterprise Optimization solution which combines CGI’s deep healthcare domain expertise and best practices with RL’s EO engine to measure impacts, evaluate risks and identify optimal choices for decisions.
The CGI and RL team built an “intelligent model” based on FD CARES’ most important patient processes and the following patient flows:
- Transport to the emergency department (ED)
- Transport to alternate care location
- Stabilize at home
CGI and RL collected data for 911 calls, FD CARES NEMS responses, transportation, emergency admissions, billing and payment from PSF and its partners for 2015. For each 911 patient incident, the data was linked across data sources to create an “episode of care” and understand the resources used and service utilization across the patient flows. Incidents were grouped to common clinical categories and then proxy costs were assigned. Data was then loaded into the EO model to analyze key “what if” scenarios:
- What is the value of the FD CARES innovative NEMS approach to community health management?
- What if more non-emergent 911 patient incidents are directed to appropriate care?
- What if appropriate non-emergent 911 patient incidents are directed to a sobering clinic?
- What if appropriate non-emergent 911 patient incidents are directed to a mental health clinic?
- What if FD CARES stabilizes more patients at home?
- What if FD CARES increases proactive home services?
In an 18 month pilot study at PSF, preliminary data found that patients received a better experience of care and better continuity of care in their homes at lower costs. The FD CARES response resulted in stabilizing 53% of patients at home and transporting only 26% of patients to the hospital, an improvement over a traditional response of stabilizing 22% and transporting 67% of patients.* This information was used as the baseline in the POC for identifying additional benefits.
The success story
The value of FD CARES’ innovative NEMS approach to community health management was measured in terms of potential savings to PSF, savings to the health system partners as a whole, care utilization and patient experience. The POC demonstrated that FD CARES has a positive impact on the community it serves, while also improving operational efficiency and service delivery for PSF and its partners.
The outcomes were given an overall impact rating for each scenario. FD CARES’ current and potential future benefits are summarized as follows:
- Reduced costs to PSF by up to $600,000 annually
- Reduced health system costs by up to $1 million annually
- Improved health services utilization by reducing emergency department visits by up to 200 visits annually and associated diagnostic tests
The POC also identified the following:
- The opportunity value of providing additional services that direct 911 non-emergent responses to alternative care and stabilize 911 non-emergent responses at home
- The optimum volume at which additional proactive care visits can add financial benefit to PSF and improve health services utilization
- Programs that would have the least positive impact if implemented
The bottom line: This innovative analytics project succeeded in helping FD CARES to prescribe better outcomes and reduce the costs of care.