Paarth Parrekh

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Paarth Parrekh

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B2B

Merit Based Incentive Payment System (MIPS)

Modernizing Medicare to provide better care and smarter spending

Overview

About the project

The Merit-based Incentive Payment System (MIPS) is a new way by which eligible clinicians will be measured by Dept. of Health Services to determine if they are providing quality patient care in an economically efficient way.

Regenstrief Institute wanted to build an online platform for physicians & healthcare advisors to report & track performance efficiently thereby decreasing administrative burdens.

My Role:

User Research, Interaction, Visual

design, Prototyping & Testing

Duration:

Jun 2020 - Dec 2020

In 2017, 73% of hospitals were penalized by the govt. due to their inability to report data

about the quality of service provided to the patients. Tracking this data can prevent

penalties and ensure that better care is provided.

Create a performance data reporting system to reduce the

overall administrative burdens for physicians and advisors

The Challenge

MIPSight Web App

MIPSight Web App

A customizable web-based application which can record data, generate scorecard and conduct what-if analysis to save time and provide meaningful insights.

Dashboard

MIPSight

All Reports

Create Report

Scorecard

Providers

Contact

Harriet Becker

6-7-14

0

100

200

300

400

500

12-8-15

6-18-15

1-1-16

16-4-16

12-12-16

5-20-17

80

50

90

ACI

Quality

CPIA

1-6-16

CPIA

Quality

ACI

Compare Scores

20 August 2017

December Report

Edit

Scorecard

Recenty edited

17 October 2017

December Report 2

Edit

Scorecard

Recenty edited

15 January 2017

August Report

Edit

Scorecard

Recenty edited

December Report

Check Score

mipsight.com

://

https

1. Dashboard

A dashboard which shows all the important

& frequently used features at one place to

navigate faster. Users can quickly view, edit

and compare scores from different reports.

2. Manage Reports

All the reports are saved and organized

automatically by the date created. Users

can search sort and filter the reports based

on their date, score and edit history.

3. View Report

In these individual reports, users can add,

edit, search, and import data in the tables.

They can also generate scorecards of the

reports in real time.

Dashboard

MIPSight

All Reports

Create Report

Scorecard

Providers

Contact

Harriet Becker

mipsight.com

://

https

Edit Report 12-12-17

Dashboard

MIPSight

All Reports

Create Report

Scorecard

Providers

Contact

Harriet Becker

Rows per page:

10

1-10 of 100

Emma Copeland

Thomas Sutton

Jim Nash

Alejandro Marsh

Provider Name

1 item selected

Edit Item

View Score

Ethan Lawson

Fred Warner

Victor Steele

41 / 59

41 / 59

41 / 59

41 / 59

E-Prescribing

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

Provide Patient

Access

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

Health information

exchange

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

View, Download or

Trasmit (VDT)

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

Patient Specific

Education

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

Secure Messaging

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

Medical Reconcilation

41 / 59

41 / 59

41 / 59

ADVANCING CARE INFORMATION

QUALITY

CLINICAL PRACTICE IMPORVEMENT ACTIVITIES

Security risk analysis

Immunization registry reporting

Syndromic surveillance reporting

Specialized registry reporting

Add Data

Import Data

What-if Analysis

VIew Scorecard

Search

mipsight.com

://

https

3. View Report

In these individual reports, users can add,

edit, search, and import data in the tables.

They can also generate scorecards of the

reports in real time.

4. Scorecard

A scorecard visualizes the report to show

meaningful insights such as indivual

performance, top providers, and overall

score which can be downloaded anytime by

the users.

Result Report 12-12-17

Dashboard

MIPSight

All Reports

Create Report

Scorecard

Providers

Contact

Harriet Becker

ACI PROVIDER LEVEL SCORECARD

ACI TIN LEVEL SCORECARD

QUALITY SCORECARD

What-if analysis

Advancing Care Information

Bobby Howell

Dean Hogan

Andre Gomez

Provider Name

1 item selected

Download Selected

Sean Peters

Lora Strickland

50

0

0

Base Score

50

50

73

10

10

Performance

Score

80

90

5

5

5

Bonus Score

5

5

140

0

0

Final Score

154

159

41 / 59

41 / 59

41 / 59

E-Prescribing

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

Health information

exchange

41 / 59

41 / 59

41 / 59

41 / 59

41 / 59

Provide Patient

Access

41 / 59

41 / 59

Owens

Sophie

Jessie

Dixon

Derrick

Lela

10%

0%

20%

30%

Top Providers

Age

Performance

52.4%

31.2%

16.4%

Base Score

Bonus Score

97

Organization Score

Final Score

Overview

790

Average Provider Score

0

1000

Performance

Last 6 month

ACI score growth

6.43%

Provider Growth

9.43%

mipsight.com

://

https

Download

4. Scorecard

A scorecard visualizes the report to show

meaningful insights such as indivual

performance, top providers, and overall

score which can be downloaded anytime by

the users.

User Testing &

Evaluation

Wireframing &

Prototyping

Brainstorming

different ideas

Identifying pain points

of users

Stakeholder

interviews

Understanding the

context (MIPS)

User Testing &

Evaluation

Wireframing &

Prototyping

Brainstorming

different ideas

Identifying pain points

of users

Stakeholder

interviews

Understanding the

context (MIPS)

Understanding the

context (MIPS)

Stakeholder

interviews

Identifying pain points

of users

Brainstorming

different ideas

Wireframing &

Prototyping

User Testing &

Evaluation

The Process

I collaborated with the researchers and domain experts in the team to understand our core users, their environment, and majors tasks to accomplish. We interviewed few participants and gathered data on their current workflow and major challenges. This data helped us in finding opportunites to solve the problems.

I collaborated with the researchers and domain experts in the team to understand our core users, their environment, and majors tasks to accomplish. We interviewed few participants and gathered data on their current workflow and major challenges. This data helped us in finding opportunites to solve the problems.

Interviews & Observations

Interviews & Observations

User Research

User Research

Interviews & Observations

I collaborated with the researchers and domain experts in the team to understand our core users, their environment, and majors tasks to accomplish. We interviewed few participants and gathered data on their current workflow and major challenges. This data helped us in finding opportunites to solve the problems.

The users of this tool are Quality Improvement Advisors (QIA). QIA's acts as an internal consultant and resource to a health organization with the goal of driving improvement in quality, cost efficiency and patient satisfaction. They gather, compile and analyze clinical reports, identify gaps / strengths & make appropriate

recommendations for corrective actions.

The users of this tool are Quality Improvement Advisors (QIA). QIA's acts as an internal consultant and resource to a health organization with the goal of driving improvement in quality, cost efficiency and patient satisfaction. They gather, compile and analyze clinical reports, identify gaps / strengths & make appropriate recommendations for corrective actions.

Who are the users?

Target Audience

Participants

We chose four QIA (Quality Improvement

Advisors) to interview. Interviews conducted were

semi- structured in nature. All from different

health organizations such as IU Health, Purdue

Health etc.

We chose four QIA (Quality Improvement Advisors) to interview. Interviews conducted were semi- structured in nature. All from different health organizations.

Interviews Script

1. What's the context?

2. What are your major tasks?

3. How do you report & analyze data?

4. What are the major problems faced?

5. How do collaborations happen?

6. What tools do you currently use?

Observations

Observations were conducted to get and

understanding the QIA's process of data

collection from various pysicians and providers

and to study the tools / mediums used in their

current workflow.

Observations were conducted to get and understanding the QIA's process of data collection from various pysicians and providers and to study the tools / mediums used in their

current workflow.

Users mainly use MS Excel

spreadsheets to enter data

& frequently edit values in

the tables to compare their

scores.

Users want to see the results

in a concise and visual

format which is easy to

understand, share with

stakeholders.

QIAs' want to quickly find

and organize relevant data

and practises from several

others in the list.

Due to the complexity of

calculations they often fail to

complete & deliver

meaningful analytics on time.

Users want to see the results

in a concise and visual

format which is easy to

understand, share with

stakeholders.

Users mainly use MS Excel

spreadsheets to enter data

& frequently edit values in

the tables to compare their

scores.

QIAs' want to quickly find

and organize relevant data

and practises from several

others in the list.

Due to the complexity of

calculations they often fail to

complete & deliver

meaningful analytics on time.

Research Insights

Understanding the user

After conducting interviews and observations I created user personas with information about their behaviors,

technologies used, pain points & their needs. View Persona

After conducting interviews and observations I created user personas with information about their behaviors,

technologies used, pain points & their needs.

After conducting interviews and observations I created user personas with information about their behaviors, technologies used, pain points & their needs. View Persona

MS Excel

MS Excel

Journal

Journal

Gmail

24%

24%

14%

14%

51%

51%

11%

11%

Other

Other

Tools Currently Used

Tools Currently Used

Reporting Data

Recommending

Percentage

Calculating Results

Organizing Data

Analyzing Results

Most Time Consuming Tasks

10%

15%

17%

22%

6%

Problem Space

Issues Found

1. Long reports and high error rates

3. Organizing & searching data in reports

2. Tedious process to analyze the data

4. Time consuming calculations in Excel

Journey Mapping

Identifying use case

Brainstorming

Sketching initial ideas

Brainstorming

Sketching initial ideas

Information Architecture

User flow diagrams

Wireframing

Iterating user interface

As we moved on to designing the interface of the application, I wireframed all the UI screens and conducted an

intial user testing session.

As we moved on to designing the interface of the application, I wireframed all the UI screens and conducted an intial user testing session.

As we moved on to designing the interface of the application, I wireframed all the UI screens and conducted an intial user testing session.

Defining Patterns

Design Style Guide

High Fidelity

Visual Design

Conclusion

Overall Impact

The web app is currently used by Quality Improvement Advisors (QIA) to guide 15,000+ clinicians across

universities, health systems and independent provider-practices in major of the domestic states

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by

incentivising the performance of physicians, providers etc.

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by incentivising the performance of physicians, providers etc.

Conclusion

Overall Impact

The web app is currently used by Quality Improvement Advisors (QIA) to guide 15,000+ clinicians across

universities, health systems and independent provider-practices in major of the domestic states

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by

incentivising the performance of physicians, providers etc.

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by incentivising the performance of physicians, providers etc.

Conclusion

Overall Impact

The web app is currently used by Quality Improvement Advisors (QIA) to guide 15,000+ clinicians across

universities, health systems and independent provider-practices in major of the domestic states

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by

incentivising the performance of physicians, providers etc.

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by incentivising the performance of physicians, providers etc.

Learnings


  1. Handling Missing Values

  2. Implementing DAX for Analysis

  3. Dynamic Visualization Control

  4. Implementing Row Level Security

  5. Report Publishing and Sharing

  6. Scheduling Data Refresh

  7. Best Practices in Power bi Implementations

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by incentivising the performance of physicians, providers etc.

What’s your story? I’d love to hear it.

© Jan 24. Designed by Paarth Parrekh

What’s your story? I’d love to hear it.

© Jan 24. Designed by Paarth Parrekh

What’s your story? I’d love to hear it.

© Jan 24. Designed by Paarth Parrekh

What’s your story? I’d love to hear it.

© Jan 24. Designed by Paarth Parrekh

4. Scorecard

A scorecard visualizes the report to show

meaningful insights such as indivual

performance, top providers, and overall

score which can be downloaded anytime by

the users.

3. View Report

In these individual reports, users can add,

edit, search, and import data in the tables.

They can also generate scorecards of the

reports in real time.

3. View Report

In these individual reports, users can add,

edit, search, and import data in the tables.

They can also generate scorecards of the

reports in real time.

2. Manage Reports

All the reports are saved and organized

automatically by the date created. Users

can search sort and filter the reports based

on their date, score and edit history.

1. Dashboard

A dashboard which shows all the important

& frequently used features at one place to

navigate faster. Users can quickly view, edit

and compare scores from different reports.

Information Architecture

User flow diagrams

Wireframing

Iterating user interface

As we moved on to designing the interface of the application, I wireframed all the UI screens and conducted an intial user testing session.

Defining Patterns

Design Style Guide

High Fidelity

Visual Design

Conclusion

Overall Impact

The web app is currently used by Quality Improvement Advisors (QIA) to guide 15,000+ clinicians across

universities, health systems and independent provider-practices in major of the domestic states

This tool is helping healthcare institutions to save thousands of dollar and increasing the quality of patient care by incentivising the performance of physicians, providers etc.

The Challenge

Create a performance data reporting system to reduce the overall administrative burdens for physicians and advisors

In 2017, 73% of hospitals were penalized by the govt. due to their inability to report data about the quality of service provided to the patients. Tracking this data can prevent penalties and ensure that better care is provided.