Population Health Case Study

1. Limited systematic screening across the network for all mammography service patients with a single database for electronic documentation of patient/family history.
2. Lack of medical staff approved protocols to stratify risk and document a personalized breast screening plan.

Although the hospital system provided breast imaging services for over 60,000 patients annually, they had less than 150 breast MRI’s and minimal genetic testing to detect high-risk patients.

• Created a business plan for high-risk stratification
• Formalized the screening protocol process
• Implemented a business Co-Management structure and Joint Operating Group leadership
• Compiled proforma analysis to quantify financial impact
• Outlined metrics and Fair Market Value (FMV) for the physician panel group
• Constructed the Co-Management company agreement and fees
• Established the target volumes for 3-year projections
• Increased continuity of care across 13 breast imaging sites
• Formulated and executed the implementation approach
• Assisted in the implementation of EPIC Mammo to enhance breast imaging services

Through systematic screening, data collection of patient/family history and protocol utilization, breast MRI’s increased from less than 150 annually to over 4,000.

This immense increase resulted in earlier detection, prevention and screening of cancer. This outcome vastly enhanced population health, genetic testing/counseling and escalated additional imaging net revenues by more than $4 million annually.