An Accountable Care Organization’s (ACO) success is tied directly to quality metrics and reducing the total cost of care for its patient population. Central to that mission is ensuring that all health care providers in the ACO form linkages and facilitate care coordination. It has been proven that with increased care coordination comes improved health outcomes, reduced costs, and a decrease in the use of acute care services. Aetna’s thesis was simple: aggregating and visualizing provider referral patterns inside an ACO will empower the ACO to make positive change.
Working with health care data brings its own challenges (i.e. HL7 FHIR, HIPPA). Privacy, security, and accuracy are table stakes for any health care project, but what was compelling for MojoTech was Aetna’s commitment to two things: delivering real value to its customers and embracing Agile development practices. For us, these two things go hand-in-hand.
We often work with early stage companies to provide the entire technical infrastructure of that business at its outset, but as you might well imagine, the opposite is the case with a health care leader like Aetna.
The first step to success, in this circumstance, was implementing a project management and development practice that leveraged the strengths of both Aetna and MojoTech.
Using a disciplined SCRUM approach, we were able to seamlessly integrate the efforts of our developers, Aetna’s product owners, data suppliers, third party design resources, and Aetna’s own internal developers.
We love working with our clients’ internal technical teams, as we are able to share our best practices, mentor developers on the latest tools and frameworks, and most importantly, ensure that the in-house transition is performed smoothly. As a software development agency, we have the luxury of constantly exploring new technologies and approaches to problem solving. But this is often not the case inside corporate tech teams with legacy products where the high cost of change often dictates compartmentalization and stifles innovation.
Partnering with an agency like MojoTech is the ideal solution for larger clients: low-risk access to new skills and technologies, providing internal resources as a means to grow, optimizing development cycles, and accelerating projects.
We used Ruby-on-Rails and PostgreSQL to create a flexible, robust data ingestion and transformation engine. The intuitive front-end utilizes Angular, D3, and Google Maps to craft a UI that allows non-technical users to navigate and drill through complex data and obtain simple, actionable, trackable insight. Integrated test suites (Cucumber and MiniTest) and a Jenkins CI server kept everyone honest before the deployment of new features to a Private Cloud.