How an AdventHealth medical group achieved 2020 quality goals in just six months

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This is the third post in our blog series called "The Quest for Quality", you can view our first post here and the second post here.

In 2018, one of the nation’s largest not-for-profit health care providers, AdventHealth, set an ambitious system-wide goal for all affiliated medical groups to achieve top quartile in care quality by 2020. They looked to those we’ve previously described as “Quality Heroes” to design and implement a system-wide quality improvement plan, which included pre-visit planning as a key initiative. Avhana was identified as a tool that could significantly improve paper- and EHR-based processes and was first deployed within AdventHealth’s largest medical group. Six months after beginning to use Avahna, the medical group met AdventHealth’s 2020 quality goals – two years ahead of schedule.

Learnings from AdventHealth Success With Avhana

  1. Health system leadership can develop a culture of quality with focused, system-wide quality goals

  2. Thoughtfully integrated technology enables behavior change that saves time and improves the health of patients

  3. Pre-visit planning is key to systematically closing gaps in care and improving quality

Health system leadership can develop a culture of quality with focused, system-wide quality goals

AdventHealth leadership set an ambitious system-wide quality goal for all affiliated medical groups to be in the top quartile of quality nationwide. Rather than focus on many quality measures, they prioritized six. These quality measures are understood to be the priority across the entire organization and have helped create a culture of excellence.

Adventhealth 2020 quality goals being managed with Avhana

Adventhealth 2020 quality goals being managed with Avhana

To achieve these goals, AdventHealth created a multi-state ambulatory physician committee that was tasked with reviewing supportive technology solutions and developing best practices. They knew that an important part of success was for the technology to be tightly integrated into the electronic health record (EHR) or it would not be used. After selecting Avhana to assist with pre-visit planning, they chose to first deploy it with their largest medical group.

Thoughtfully integrated technology enables behavior change that saves time and benefits patients

The goal of pre-visit planning, the process for gathering and organizing pertinent information ahead of a patient visit, is to make the visit as meaningful as possible. While the positive impact of planning visits ahead of time has been well described, broad-scale implementation of an effective process has been a challenge for many health care organizations. AdventHealth’s quality heroes decided to use pre-visit planning to help them meet their 2020 quality goals so they selected teams at Florida Health Medical Group (FHMG) to use the Avhana technology to enable pre-visit planning.

Before we brought Avhana into production at AdventHealth, we met with AdventHealth and FHMG clinical leadership to understand existing clinical workflows. We needed to understand how care teams were identifying appropriate services for each patient to satisfy key quality measures. We learned that most teams were reviewing patient records during the visit, taking up what is often limited patient-provider time.

We then configured Avhana to review patient records for gaps in care and recommend pre-written orders that would satisfy AdventHealth’s prioritized quality guidelines. We also configured the system so that pertinent patient information, such as medical problems and recent lab results were visible while staff or providers reviewed Avhana’s recommendations and queued orders for the next visit. This context made it easy for providers to review and approve of the Avhana clinical guidance, making the right thing to do the easy thing to so.

The EHR integration required no AdventHealth IT resources because as a member of athenahealth’s MDP program, Avhana is available as a turn-key application. “Go-live” occurred just six weeks after contract.

Realizing that use of Avhana would enable care teams to manage more than just their 2020 quality goals, senior leadership selected additional measures to be configured in the platform.

Beyond 2020 Quality goals being managed in Avhana

Beyond 2020 Quality goals being managed in Avhana

Pre-visit planning is key to systematically closing gaps in care and improving quality scores

Before using Avhana, FHMG group was meeting AdventHealth’s 2020 goals for three of the six prioritized quality measures. However, in measures where they had room to improve they were able to exceed their goals in just six months. One measure, Body Mass Index screening, improved twenty-two percent! Additionally, they saw dramatic improvements in Colorectal and Breast Cancer screening.

Improvement of AdventHealth 2020 goals, before and after using Avhana

Improvement of AdventHealth 2020 goals, before and after using Avhana

Even more exciting is the number of patients whose care was improved through use of Avhana. Over 12,650 gaps in care were closed with Avhana for about 6,500 patients in just six months!

The cumulative number of gaps in care closed with Avhana

The cumulative number of gaps in care closed with Avhana

Deployment of Avhana, as with any new technology, didn’t occur without challenges. By design, Avhana is meant to facilitate a more effective workflow for pre-visit planning. Some change management was required and product configuration required some tweaking. However, we worked hand-in-hand with AdventHealth’s team to incorporate their feedback and the current result has been positive.


Download the full case study here.

About Avhana Health

Our mission is to offer impactful, patient-specific support for healthcare teams. At the core of what we do is the Avhana Quality Improvement Software Suite which we embed into leading electronic health records (e.g. Allscripts, athenahealth, Cerner & Epic). Our team is located in Baltimore, Los Angeles, and Boston. Avhana Health was awarded “Best Provider Facing Company” during Health 2.0 in 2018.