IBM Case Studies Watson Health helps Orlando Health build a clinically integrated network to help promote a healthier community
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Watson Health helps Orlando Health build a clinically integrated network to help promote a healthier community

IBM
Platform as a Service (PaaS) - Data Management Platforms
Healthcare & Hospitals
Predictive Quality Analytics
Remote Patient Monitoring
Data Science Services
System Integration
Orlando Health, a comprehensive private, not-for-profit healthcare network based in Florida, recognized the need to transition to value-based billing and population health management. However, this transition required the automation of patient engagement and the unlocking of patient data across all clinical systems. The two options available to them were either manually aggregating the records for its large patient population across the various electronic health record (EHR) systems used by its physicians, which would be impractical, or relying on outdated claims data, which would be insufficient due to the rapid changes in a patient's health over time.
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Orlando Health is one of Florida's most comprehensive private, not-for-profit healthcare networks. Based in Orlando, the network comprises a family of eight hospitals that serve nearly 2 million Central Florida residents and approximately 4,500 international visitors annually. As Central Florida's fifth-largest employer, Orlando Health employs more than 14,000 individuals, including 500 physicians. The healthcare network has approximately 3,000 affiliated physicians in primary and specialty care. It has been an enthusiastic supporter of the Accountable Care Organization (ACO) model, participating in various ACO programs since 2013.
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To overcome the challenges of transitioning to value-based billing and population health management, Orlando Health implemented the Watson Health™ platform. This platform met all the IT infrastructure requirements Orlando Health had identified for its population health management (PHM) initiative, including aggregating data from multiple EHRs, and automation to free up healthcare staff to address deeper patient needs. The first step was to use the Watson Health platform to establish the technology foundation of Orlando’s Clinically Integrated Network (CIN), with Watson Health essentially acting as a pseudo-health information exchange (HIE) to aggregate data from all the different EHRs. The next step was to begin building patient registries for patients who met certain criteria, such as having chronic conditions or those who fit the recommended parameters for preventive screenings.
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Orlando Health was able to increase the number of its diabetic patients who received HbA1c tests by 7 percent; increase preventative mammogram screening by 10 percent and colorectal cancer screening by 9 percent; and increase the number of patients overall who closed care gaps by 22 percent.
The Watson Health platform was also used to launch a pilot program focused on getting Orlando Health’s sickest patients to participate in shared medical appointments. This program brought together a cohort of patients who share chronic co-morbidities that may be modified through lifestyle changes for 90-minute monthly group appointments that provide education and support from their physician as well as a nurse care coordinator, dietitian, exercise physiologist, pharmacist or any other healthcare professionals the patients require.
The effectiveness of the PHM program has had another residual effect as well. As local PCPs learn about Watson Health’s ability to aggregate EHR data across platforms, more are requesting to become affiliated with the health system.
Orlando Health generated $6.6 million in shared savings from two ACO contracts.
Using Watson Health solutions, Orlando Health was able to reach a population of 270,000 people.
By using automated outreach and follow-up, Orlando Health increased the amount of gaps of care it closed by 22 percent.
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