Analytic Solutions

Actionable analytic solutions and reporting products customized and continuously refined to meet clients' evolving needs and program goals. 

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Analytics & Reporting

Customizable analytic applications employing the most contemporary tools and standards for measures production, study design, population health solutions, statistical analysis, and predictive analytics. Our tailor-made solutions enable comprehensive views of care delivery across healthcare service areas, providers, programs, and payers to identify and understand variation in cost, quality, and utilization of services. Those solutions are then packaged in comparative cost analyses, including consumer transparency reporting, geographic variation analyses, program evaluations, provider portals, and provider reporting systems, and a wide range of special studies and whitepapers. 

Comparative Cost Analyses: Onpoint provides analytic support for bundled payment initiatives, primary care practice payment reform programs, hospital tiered benefit programs, and consumer transparency reporting around shoppable procedures of interest to clients, their stakeholders, and consumers. Onpoint was the first to employ the HealthPartners' Total Cost of Care (TCOC) measure set to an APCD dataset and, since then, has been generating TCOC results for health improvement initiatives in multiple markets. Our comparative hospital cost analysis tool, which enables deep dives into drivers of hospital-cost variation, uses a single composite measure of variation in inpatient and outpatient hospital expenditures from statewide commercial claims data to support the development of tiered benefit programs.

Geographic Variation Analyses: Onpoint undertook the nation’s first multi-state integration of APCDs, examining variations in healthcare utilization and cost for commercial, Medicaid, and Medicare populations across Maine, New Hampshire, and Vermont. This tri-state variation study served as the basis for a number of subsequent collaborative analyses, including the Dartmouth Institute’s multi-state Atlas reporting, a national demonstration of HealthPartners’ TCOC measurement system, and a pediatric variation project conducted for a Midwestern health improvement initiative. Onpoint also offers a tier of comparative reporting by standard and customized regions that enables a more comprehensive view of care delivery across healthcare systems. Our team is the first to apply a communities classification system derived from a cluster analysis of community-level socio-economic variables from a statewide APCD. This system, known as Health Reference Groups, allows users to identify the impact of disparities between types of communities on prevalence of disease, utilization, cost, and quality measures.

Program Evaluations: Our team of analysts apply contemporary health services research methods in conducting program evaluations for government and private health improvement initiatives, including patient-centered medical home models, disease management projects, and other programs. These analyses include summaries of the claims-based set of measures and stratified, risk-adjusted assessments of medical homes to comparison groups. Analyses are enhanced with clinical and other quality measure results and summary reporting tailored to program needs.

Provider Portals: With the need to put sensitive, actionable patient-level data in the hands of providers to inform care management decisions, Onpoint has developed provider portal solutions that offer comprehensive views of the cost, quality, and utilization of healthcare services for targeted patient populations. With dynamic drill-down, filtering, and sorting capabilities, providers are able to slice data into a variety of hierarchical views supported by a wide range of performance measures and benchmarks. In many cases, providers and practices have questions about the aggregated data or measure results. For those questions, there needs to be a clear “review and reconciliation” process in place to handle such data inquiries. To make things simple, Onpoint embeds functionality in the portal's patient-level views enabling providers to identify patients contributing to each measure and individual patients who should potentially be excluded from a measure's calculation. Prior to a more formal report release, necessary corrections can be made to the data, reconciling all inquiries.

Provider Reporting Systems: Onpoint regularly generates comparative, practice- and community-level profiles that feature a broad range of cost, utilization, and effective/preventive care measures (e.g., ACO, AHRQ, CMS, HEDIS, NQF, and other performance measures) that integrate commercial, Medicaid, and Medicare claims data with other statewide or regional data sources. The profiles offer risk-adjusted comparisons to statewide, regional, and national rates as well as trends, including 95% confidence intervals and significance testing. Drill-down analyses help identify key drivers of variation in expenditures, utilization, and quality of care, incorporating predictive models and stratified analyses. Reporting solutions employ an array of data visualization techniques and displays including scatter plots, heat maps, turnip graphs, and spider maps.

Special Studies & White Papers: Working at the direction of state Medicaid health department, and other government agency or private sector-led programs across the country, Onpoint offers special expertise in how to address policy nuances and issues with available data. Over the years, Onpoint has generated a number of advanced analyses focused on chronic diseases and conditions, community mental health care facility usage, children’s healthcare cost, quality, and utilization, diverse population healthcare access, and behavioral healthcare access, usage, and treatment options. An example of our work involves the comparison and evaluation of outcomes associated with various medication and treatment options for opioid-dependent populations, which includes the linking of Medicaid claims data with other statewide data sources, including incarceration and employment data.

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Data Delivery

After the creation of a broad set of analysis and reporting, secure delivery of those services is the next step in helping our clients realize their health transformation visions. To achieve this end, we offer our clients analytic enclave environments, business intelligent solutions, web-based consumer transparency reporting, data warehousing and extract services, and provider portals.

Analytic Enclave Environment: Onpoint’s analytic enclave environment offers approved users access to a variety of tables and tools. Our subscription-based service allows users to securely connect to a familiar Windows-based environment where they have access to a broad array of applications necessary to meet their needs. Applications include SQL, R, SAS Office Analytics, SAS Visual Analytics, and the Microsoft Office Professional suite. User can explore the data at their own pace, create and save customized queries, and download results for offline study based on their role-based privileges.

Business Intelligence Solutions: "Black-box" data processing and transformations underlying proprietary solutions can be frustrating to clients. That's why Onpoint builds custom solutions leveraging the power of industry-leading tools on a transparent foundation of specific client and stakeholder requirements. Our staff have extensive experience with third-party analytic tools critical to effective information delivery and downstream analytics. We have developed a suite of Business Intelligence applications that serve a wide range of interests and needs, including SAS-based self-service reporting systems for skilled analysts, as well as dynamic web-based reports that enable flexible access to data by novice users.

Data Warehousing and Extraction Services: Following data cleansing and standardization, transformation, patient and provider indexing, value-add construction, and consolidation, data are extracted from our operational data store (ODS) into downstream data stores used for efficient analysis and reporting. Three primary targets extracted from the ODS depending on client requirements can include (a) a dimensional data warehouse, (b) a standard data extract, and (c) a customized data mart. Each structure, optimized for varying use cases, enables diverse levels of querying sophistication and views of the data equipped with core, supporting, and reference data tables.

Provider Portals: With the need to put sensitive, actionable patient-level data in the hands of providers to inform care management decisions, Onpoint has developed provider portal solutions that offer comprehensive views of the cost, quality, and utilization of healthcare services for targeted patient populations. With dynamic drill-down, filtering, and sorting capabilities, providers are able to slice data into a variety of hierarchical views supported by a wide range of performance measures and benchmarks. In many cases, providers and practices have questions about the aggregated data or measure results. For those questions, there needs to be a clear “review and reconciliation” process in place to handle such data inquiries. To make things simple, Onpoint embeds functionality in the portal's patient-level views enabling providers to identify patients contributing to each measure and individual patients who should potentially be excluded from a measure's calculation. Prior to a more formal report release, necessary corrections can be made to the data, reconciling all inquiries.

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End-User Support

A unique and in-depth know-how of health data and its inherent limitations is key to ensuring the success of our clients’ analytic goals. Our staff, expert in coding standards, claims adjudication processes and systems, research methods and analytic tools, and privacy and security laws, assist our clients in the understanding of data transformation activities and analytic processes and methods to ensure complete buy-in to the validity and reliability of the data we deliver.

End-User Documentation: To develop a cohesive end-user community, we help build a transparent knowledge base by producing a wide array of documentation, including data dictionaries, user guides, technical backgrounders, and data FAQs.

Online Collaboration: Onpoint’s interactive Collaboration Zone, powered by Microsoft’s SharePoint, is a secure online hub tailored to the specific needs of clients and their end users, enabling stakeholders to share documentation, access key communications, exchange questions and ideas, and stay up to date through an intuitive user-friendly environment.

Tailored Training Programs: Online webinar trainings for clients and their stakeholders support knowledge transfer and cross-training needs on the data and its analytic use. Standard sessions include review of data and schema processes, end-user documentation, quality assurance processes, and standard and client-specific value-add services.