Case Study: Western Maryland Health System achieves first-place quality reimbursement and reduced readmissions with Dimensional Insight Diver Platform

Navigating the New World of Quality-Based Reimbursement with Healthcare Analytics

The Western Maryland Health System, a 205-bed hospital in Maryland, faced significant financial and operational challenges after ranking last in the state's new quality-based reimbursement program, which cost them $1.2 million in revenue. To shift from a volume-based to a value-based care model and improve its performance on critical quality indicators, the health system partnered with vendor Dimensional Insight to implement its Diver Platform analytics solution.

By leveraging the Dimensional Insight Diver Platform to track mortality, reduce readmissions, and identify discrepancies in patient discharge data, Western Maryland achieved a dramatic turnaround. The hospital improved its state ranking from 46th to 1st, saw a positive revenue swing of $2.5 million, and reduced the number of high-utilization patients, thereby significantly improving patient outcomes and operational efficiency.

Western Maryland Health System

William Byers

Chief Technology Officer