Adding the new C-suite role and deepening data analytics at NOMS is part of a path the practice has been on for years toward taking on more risk, Frederick said. It greatly reduces clicks in the electronic medical records (EMRs) and “hopefully minimizes physician burnout as well as helps you do better in the value-based world,” Frederick said. COVID-19 allowed the team to take a step back and see where the organization needed to strengthen its infrastructure, Frederick said, noting that they knew NOMS was weaker in data analytics and having data in good formats.
NOMS also has invested in artificial intelligence technology, Navina AI, that can pull data from inside a medical chart and other sources to provide what is called a patient portrait, said Joshua Frederick, president and CEO of NOMS, which stands for Northern Ohio Medical Specialists. “We’ll be looking at to what extent can we segment our patient population in order to identify the patients that have the right diagnosis, or understand do they have the right diagnosis?” said Coran, who joins NOMS from University Hospitals, where he helped build a data science program that informed operations. “Are they on the right treatment, and are they getting all the different types of care that they can receive in order to achieve wellbeing and overall health and wellness?”
The technology can, among many other features, find documents in the system, including those that were misfiled or misnamed, and the AI learns diagnoses codes and risk scoring codes to make recommendations, he said. He’s tasked with creating new advanced analytic products, including things like artificial intelligence, machine learning or risk stratification algorithms.
“The payers, the patients, the employers (were) all saying, ‘Look, we need to manage our costs of care better in the optimal setting,’ ” he said. “This allowed us to come to that conclusion and we said we needed somebody like this, and Justin’s name came to the table.” Bringing on Coran — who can pull that data from many different sources, generate it into a dashboard and into a real-time care management software — is going to take NOMS’s care management and population health team “to another level,” Frederick said. COVID-19 both allowed NOMS the time to slow down to examine this and increased the importance of data as patients, employers and payers were looking for alternative ways to access care outside of traditional hospital settings. The pandemic “exponentially increased” the push to migrate care to outpatient, more cost-effective, high-quality settings, Frederick said.
NOMS had used what data it was able to cobble together from different payers and other sources. As NOMS has been growing significantly in recent years, “we definitely needed to be able to analyze the data more real time and in a better format than what we were currently using, which is very fragmented,” Frederick said.
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