Study Analyzes Cost of Automated Cancer Screening Outreach Using TopCare at Massachusetts General Hospital

04 Jan 2016 11:01 AM | Deleted user

"Health IT-Assisted Population-Based Preventive Cancer Screening: A Cost Analysis"
Published in Latest Edition of American Journal of Managed Care

BOSTON, MA and FORT LAUDERDALE, FL--(Marketwired - Dec 21, 2015) - SRG Technology, developer of cutting-edge data collection and analysis solutions designed to drive performance improvements, announced today that a peer-reviewed manuscript published in the latest edition of The American Journal of Managed Care (AJMC) titled "Health IT-Assisted Population-Based Preventive Cancer Screening: A Cost Analysis" analyzes the costs and benefits achieved while implementing TopCare Powered by Blenderâ„¢, a population health management technology platform, for automated breast, cervical and/or colorectal cancer screening outreach at Massachusetts General Hospital. The paper was co-authored by Douglas E. Levy, PhD, Vidit N. Munshi, MA, Jeffrey M. Ashburner, PhD MPH, Adrian H. Zai, MD PhD MPH, Richard W. Grant, MD MPH, and Steven J. Atlas, MD MPH.

The study compared three screening strategies, two of which were novel information technology (IT)-based population health strategies using TopCare. One of these approaches employed an algorithm to automate outreach processes (AUC), while the other leveraged physician input to streamline cancer-screening outreach (AUCPI). The third comparator was baseline usual care (BUC).

Using data from a randomized trial conducted previously by members of the study team showing similar benefits in cancer screening from AUC and AUCPI strategies, the authors estimated that the TopCare interventions would decrease overall costs, primarily by reducing physician time devoted to cancer screening relative to usual office-based care. Total costs of cancer screening efforts over the one-year study in a primary care network with 160,000 adult patients were $3.83 million for AUC, $3.88 million for AUCPI, and $4.10 million for BUC. Ongoing per-patient costs were lower for both AUC ($35.63) and AUCPI ($35.58) relative to BUC ($39.51). The results suggest that physician networks capable of monetizing savings in physician time could achieve savings through the use of the IT-based strategies.

"Successful health IT-based strategies harness patient registry data with the ultimate goal of continuously improving care at a population level," said Dr. Adrian Zai, CMIO at SRG Technology and Clinical Director of Population Informatics at the Massachusetts General Hospital's Lab of Computer Science. "Using TopCare as the population health management platform, we were able to analyze the costs and benefits of two health IT strategies in improving cancer screening compared to usual care in the primary care network."

Jointly developed by Massachusetts General Hospital's Laboratory of Computer Science and SRG Technology, TopCare is a software solution revolutionizing value-based care models that drive results through patient outcomes, quality performance, and real cost savings. TopCare enables the entire health provider team to collaborate on the patient's care, providing role based task management tools to enable proper task assignment, timely patient outreach, and improved patient adherence through appropriate referrals and follow-up; all designed to drive value-based care outcomes within patient populations.

This study was supported by grants from the Agency for Healthcare Research and Quality (AHRQ R03-HS020308, R18-HS018161), the Controlled Risk Insurance Company/Risk Management Foundation, and by institutional funding through the Massachusetts General Hospital Primary Care Operations Improvement program and the Massachusetts General Physicians Organization.

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