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Mammoth Hospital's journey to revolutionizing health care with population health

In 2020, Mammoth Hospital’s population health team hit a brick wall. While EHR and revenue cycle systems are core to clinical and administrative staff operations, Mammoth’s population health and quality teams relied on numerous Excel spreadsheets to support cumbersome manual processes. Juggling several quality programs and payment processes to meet specific timelines, Mammoth was at risk of falling short in performance goals and losing meaningful reimbursement dollars. Manual data mining and report building took an enormous amount of skilled labor to meet monthly demands. This opened the door for reporting errors and constrained the organization from transitioning and participating in new quality programs.
Mammoth Hospital leadership made the decision to invest in a population health technology platform for all quality programs including data analytics, care coordination, and workflow integration to improve quality and enhance reimbursement performance.

Areas of focus included:
  • Improving Medicare Shared Savings Program performance across 10 quality measures to achieve maximum shared savings.
  • Enhancing California QIP quality performance across 18 quality measures to increase reimbursement.
  • Decreasing reporting errors and realigning clinical and operational labor from manual reporting functions to hospital and clinic job roles.
  • Increasing quality program participation and performance opportunities with state and federal health plans by leveraging a comprehensive population health platform.
  • Developing and executing wellness programs that meet community health needs.
  • Providing regular performance feedback to all levels of operations and clinical, and administrative teams within Mammoth Hospital and clinics.
The Solution
Mammoth Hospital chose to partner with i2i Population Health technology. The i2iTracks platform offers a comprehensive patient view with actionable insights into user-centered workflows for outreach tasking and care coordination.
Improving quality program performance through deep EHR and PM integration was another goal of the i2i relationship, incorporating hundreds of quality measures and registries. Data activation was a foundational element of the i2i Mammoth collaboration. The i2i LINKS solution integrates data from many EHR and PM systems, health plans, and open-source channels.

The combination of LINKS and i2iTracks specifically supported Mammoth through features such as:
Data management
i2i unifies disparate data systems to create a longitudinal patient record and a single source of data truth.
Quality management
i2i scales quality program reporting with dynamic measures that can be customized into hospital and clinic scorecards. This included participating in PRIME, QIP, eCQM, HEDIS, MIPS, and ACO for Mammoth.
Care coordination
i2i leverages real-time patient searches and registries, care-gap closure, and automated outreach through dashboards, care team huddle views, and quality reports.
Referral management
i2i’s integrated practice management workflows for patient referral orders allow i2iTracks to present easy-to-use tracking reports for follow-up to reduce network leakage.
“With i2i, we went from manually tracking quality measures to an automated PHM platform allowing us to participate in several quality programs. We are now able to uncover more opportunities for grants,” says Kate Britton, Mammoth Hospital population health manager.
Britton adds that i2iTracks helped Mammoth create provider incentives through simple and effective scorecards that clinicians love. “There is no doubt that i2i has helped us grow our patient volumes, improve the health of our community, and increase reimbursement levels.”
Improvements across the hospital and clinics include:
  • Time savings between 3,016 and 6,032 hours, supporting reallocation of time to necessary clinical operations and strategic programs.
  • Fewer errors through the elimination of manual processes.
  • More effective referral management workflows with real-time alerts and follow-up actions.
  • Automated outreach programs for patients that drive care gap closure.
  • Care team huddle report to prepare clinical and care management teams for the day.
  • More precise registries across multiple chronic conditions, providers, locations, and dates.
  • Improved QIP reporting readiness, leading to accurate revenue cycle processes and significant time savings.
  • Identified and targeted patient outreach specific to closing gaps in care for high-risk patients.
  • Improved management of chronic conditions and support of wellness programs.
  • Ability to identify opportunities to optimize Medicare patient programs.
Within just three months post-implementation, Mammoth Hospital achieved a positive return on investment with i2iTracks, resulting in more than $2 million in newfound quality revenue and labor savings. The hospital has also realized substantial time savings and anticipates an ROI of approximately $12 million over the contract’s duration.
Download the case study to learn more.
About i2i
i2i is a leading population health technology company dedicated to serving underserved populations, community health centers, critical access hospitals, and more. With more than 23 years of experience and recognition for innovation in population health, i2i continues to drive positive change in health care.
About Mammoth Hospital
Mammoth Hospital, located in Mammoth Lakes, Calif., is a critical access hospital with outpatient clinics. The hospital's commitment to providing quality care is evident through its expansions and partnerships, including being a medical provider for the U.S. ski and snowboard teams. 

NRHA adapted the above piece from a case study published by i2i Population Health, a trusted NRHA partner, for publication within the Association’s Rural Health Voices blog.

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