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Leveraging Data to Systematically Improve Care: Coronary Artery Disease Management at Geisinger

Graf, Thomas MD; Erskine, Alistair MD; Steele, Glenn D. Jr MD, PhD

Journal of Ambulatory Care Management: July/September 2014 - Volume 37 - Issue 3 - p 199–205
doi: 10.1097/JAC.0000000000000038
Original Articles

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.

Geisinger Health System, Danville, Pennsylvania.

Correspondence: Thomas Graf, MD, Geisinger Health System, 100 N Academy Ave, Danville, PA 17822 (

T.G. is on the Merck Medical Home Speaker's Bureau.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins