title: Leveraging data to systematically improve care: coronary artery disease management at Geisinger.
abstract: Coronary artery disease is complex chronic disease best managed by a team empowered by actionable data and a comprehensive approach, the ability to improve intermediate outcomes was dramatically enhanced after Geisinger created a system of care to do so. Continuous measurement of critical data elements of process and intermediate outcome measures allows the delivery of actionable information to the most appropriate team member, including the patients and family as team members. Continuous monitoring of the overall program looking for trends and opportunities across sites and regions allows for program enhancements. The comprehensive "all-or-none" bundled approach to care, which has already realized a 300% improvement, will be further enhanced by incorporating additional "Big Data" flows.
authors.affiliation: Geisinger Health System, Danville, Pennsylvania.
authors.forename: Thomas
authors.initials: T
authors.lastname: Graf
authors.forename: Alistair
authors.initials: A
authors.lastname: Erskine
authors.forename: Glenn D
authors.initials: GD
authors.lastname: Steele
mesh_terms: D002908:Chronic Disease; D003324:Coronary Artery Disease / Q000517:prevention & control / Q000628:therapy*; D003627:Data Interpretation, Statistical; D019468:Disease Management; D055317:Evidence-Based Practice / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D055502:Secondary Prevention / Q000379:methods / Q000592:standards