Stratagem Health, Inc. - Population Health Navigator

Stratagem Health is a Health-IT vendor that provides data analytic solutions towards improved health outcomes. The Stratagem Population Health Navigator uses a patent-pending algorithm that analyzes EMR data to provide clinics, health plans, hospitals and other health care providers actionable Power BI dashboards/reports to improve outcomes of their patients utilizing predictive analytics.

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Health Navigator

Stratagem Health is a Health-IT vendor that provides data analytic solutions towards improved health outcomes. The Stratagem Population Health Navigator uses a patent-pending algorithm that analyzes EMR data to provide clinics, health plans, hospitals and other health care providers actionable Power BI dashboards/reports to improve outcomes of their patients utilizing predictive analytics.

Company: Stratagem Health is women-owned and minority-owned business. Stratagem Health’s co-founders include a Health-IT physician leader and a Lean, Six Sigma Black Belt, Certified SCRUM Master and PMP expert with seasoned program management skills. Stratagem Health’s focus will be the Health-IT market for care coordination, complex health management, value-based purchasing (pay-for-performance) and Population Health outcomes.

Background: With the Affordable Care Act (ACA) healthcare reimbursements are increasingly tied to health quality outcome measures. Some such measures include:

  1. Hospital Readmission Reduction Program
  2. Comprehensive Primary Care Plus
  3. HEDIS and
  4. Other programs

These programs result in penalties or payment adjustments if specific metrics are not met. Increasingly the Center for Medicare and Medicaid Services (CMS) wants to reimburse healthcare providers only if they can prove that they have improved the outcomes of their patients.

With the HITECH Act, most hospital systems and clinics now have Electronic Medical Records (EMR). EMRs hold a large amount of data which can be effectively analyzed to a) identify gaps in care b) risk stratify patients and c) predict patients that will be at high risk for utilization of healthcare resources.

Products/Services: Stratagem Health has developed a patent-pending risk-stratification algorithm. Stratagem Health Navigator is a Microsoft Power BI® enabled tool that 1) normalizes Data from the EMRs 2) analyses this using Stratagem Health’s algorithm to risk stratify and 3) publishes this with easy to use Power BI® reports and dashboards.

Stratagem Health's navigator directly analyzes data from the EMR's repository such as an SQL database, thereby eliminating the need for costly HL7 type interfaces for the customer.

The data from the EMR is normalized and integrated via an SQL database. For purposes of demonstration, 50 test patients with test data are shown in the PBIX file. Six screen are previewed with the demo.

In the Hospital Case Manager desktop, the case manager is able to view a complete list of patients including their demographics, contact information, diagnosis, primary care physician (PCP), etc. Additionally patients are stratified by age, diagnosis and by the patent-pending Stratagem Risk Score. Utilizing this, the Case Manager can focus their resources on those patients that need the most attention based on their Risk Score (which is color coded with a schema from green (low) to red (high). The color variance is visual indicator of the risk stratification for the case manager.

The Clinic Desktop allows staff including physicians, clinic nurses and managers to aim their resources on patients with complex conditions such as Diabetes and Congestive Heart Failure (CHF). Of these, they can further drill down on those patients not getting appropriate care for their conditions. They can track patients that need important vaccines such as Pneumonia vaccine and Influenza.

The Diabetes and CHF desktops are condition specific desktops that drill down on patients with specific conditions so as to risk stratify those not obtaining appropriate treatment, labs, referrals and medications.

The Women's Health Desktop track's women's health issues including mammogram screen for breast cancer, cervical cancer screen and chronic conditions such as Diabetes and CHF.

The Mental Health Desktop tracks mental health, drug/alcohol dependence and chronic conditions.

All the desktops allow for risk stratification and specific drill down; for example women with Diabetes who also have depression and alcohol dependence or patients with Congestive Heart Failure who are not getting the right medications and have missed their Flu vaccine.

Leveraging Microsoft Power BI dashboard and reporting tools allows Stratagem Health's risk stratification algorithm to provide visual dashboards and reports. This will allow healthcare providers including clinics and hospitals to improve Population Health outcomes across the Continuum of Care.

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