IS YOUR HEALTH CARE ORGANIZATION DATA RICH BUT INSIGHT POOR? Your organization stores disparate data—electronic health records (EHR), claims, socio-demographic, administrative—but how are you using it? References: Cohen, S. The Concentration of Health Care Expenditures and Related Expenses for Costly Medical Conditions, 2009. Statistical Brief #359. February 2012. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.meps.ahrq.gov/mepsweb/data_files/publications/st359/stat359.pdf. Accessed 1/30/14. U.S. Department of Health and Human Services. EMR Adoption. Available at: http://www.hhs.gov/news/press/2013pres/05/20130522a.html. Accessed 1/30/14. American Diabetes Association. Diabetes Cost of Care. Available at: http://www.diabetes.org/advocate/resources/cost-of-diabetes.html. Accessed 1/30/14. DATA RICH, INSIGHT POOR See Data through Multiple Lenses Apply your data to understand your populations through all available lenses and act on the data to improve health. SOCIO-ECONOMIC • Education level: high school FINANCIAL • Total cost of care per year >$25,000 (Average annual cost of care $13,700) CLINICAL • HbA1c >9 FINANCIAL LENS • Which patients cost the most by chronic condition? SOCIO-DEMOGRAPHIC LENS • Assess barriers to care –No transportation to obtain care –Depression (PHQ score of 9) –Lack of help at home PATIENT POPULATION LENS • 5% of population drives nearly 50% of health care spending • Who are my sickest patients? • Which patients are at greatest risk for hospitalization? CLINICAL SOCIO-ECONOMIC FINANCIAL Find Opportunities for Intervention Utilizing advanced analytics, find the populations that are not only the highest-risk but also the most likely to be helped through clinical intervention. For example, take a look at your patients with diabetes. Plan Your Interventions Create a plan for targeted outreach and care coordination for high-risk patients with the highest likelihood for improving. most valuable opportunities for intervention patients to appropriate programs barriers to care care transitions TRACK interventions quality measure performance Measure Intervention Success Use a scientific approach to determine which interventions make the biggest difference in your high-risk population. BEST CONTROL OF HBA1C LOWEST HOSPITAL ADMISSIONS HIGHEST PATIENT SATISFACTION Data Rich, Insight Rich Now that you have gained insights from your data, use those insights to continuously improve. TRIAGE ASSIGN MANAGE > 80% of doctors have EHR 80% 80% of EHR data is unstructured 80% 94% of U.S. hospitals have EHR 94% 30% of U.S. hospitals use a data warehousing/mining tool OPPORTUNITY FOR TARGETED INTERVENTION STEP 1. STEP 2. STEP 3. STEP 4. STEP 5. 30% I M P R O V E y o u r inte rv e ntio n s tr a te g ie s R E F I N E y o u r p o p u lati o n a n a ly sis F I N D n e w o p p o r t u n i t i e s f o r i n t e r v e n t io n C U L T I V A T E r i c h e r s u c c e s s m e a s u re s R E F I N E F I N D I M P R O V E C U L T I V A T E
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IS YOUR HEALTH CARE ORGANIZATION DATA RICH BUT INSIGHT POOR?
Your organization stores disparate data—electronic health records (EHR), claims, socio-demographic, administrative—but how are you using it?
References:
Cohen, S. The Concentration of Health Care Expenditures and Related Expenses for Costly Medical Conditions, 2009. Statistical Brief #359. February 2012. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.meps.ahrq.gov/mepsweb/data_files/publications/st359/stat359.pdf. Accessed 1/30/14.
U.S. Department of Health and Human Services. EMR Adoption. Available at: http://www.hhs.gov/news/press/2013pres/05/20130522a.html. Accessed 1/30/14.
American Diabetes Association. Diabetes Cost of Care. Available at: http://www.diabetes.org/advocate/resources/cost-of-diabetes.html. Accessed 1/30/14.
DATA RICH, INSIGHT POOR
See Data through Multiple LensesApply your data to understand your populations through all available lenses and act on the data to improve health.
SOCIO-ECONOMIC• Education level: high school
FINANCIAL• Total cost of care per year
>$25,000 (Average annual cost
of care $13,700)
CLINICAL
• HbA1c >9
FINANCIAL LENS• Which patients cost the most by chronic condition?
SOCIO-DEMOGRAPHIC LENS• Assess barriers to care–No transportation to obtain care–Depression (PHQ score of 9)–Lack of help at home
PATIENT POPULATION LENS• 5% of population drives nearly 50% of health care spending• Who are my sickest patients? • Which patients are at greatest risk for hospitalization?
CLINICAL
SOCIO-ECONOMIC
FINANCIAL
Find Opportunities for InterventionUtilizing advanced analytics, find the populations that are not only the highest-risk but also the most likely to be helped through clinical intervention. For example, take a look at your patients with diabetes.
Plan Your InterventionsCreate a plan for targeted outreach and care coordination for high-risk patients with the highest likelihood for improving.
most valuable opportunities for intervention
patients to appropriate programs
barriers to care
care transitions
TRACK
interventions
quality measure performance
Measure Intervention SuccessUse a scientific approach to determine which interventions make the biggest difference in your high-risk population.
BEST CONTROL OF HBA1C
LOWEST HOSPITAL ADMISSIONS
HIGHEST PATIENT SATISFACTION
Data Rich, Insight RichNow that you have gained insights from your data, use those insights to continuously improve.
TRIAGE
ASSIGN
MANAGE
> 80% of doctors have EHR
80%
80% of EHR data is unstructured
80%
94% of U.S. hospitals have EHR
94%
30% of U.S. hospitals use a data
warehousing/mining tool
OPPORTUNITY FOR TARGETED INTERVENTION
STEP 1.STEP 2.
STEP 3.STEP 4.
STEP 5.
30%
IMPROVE your intervention strategies
REFINE your population analysis
FIND new
opportu nities for interventionCULT
IVA
TE r
iche
r su
cces
s m
easu
res
REFINE
FI
ND
IMPROVE
CU
LTIV
ATE
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