Health Data Analytics: Context is King

Health Data Analytics:Context is KingPresented by Mandi Bishop

@MandiBProLead, Health Analytics Innovation & ConsultingDell Healthcare & Life Sciences

#KingContext at #AHIPDigital

2Dell - Internal Use - Confidential

Meet “Sandy”

3Dell - Internal Use - Confidential

Sex: FemaleAge: 39Location: Orlando, FLMarital Status: DivorcedDependents: 1 female, 13 yearsEmployer: ACME EnterprisesSmoking Status: Non-Smoker

Sandy’s Stats

4Dell - Internal Use - Confidential

Sandy, Health Plan ViewGroup: ACME (National VIP)

Network: ACO Roadrunner

Attributed PCP: Dr. Wile E. Coyote

CM/DM Program: Diabetes

CM/DM Status: Inactive

ED Utilization: 4

IP Utilization: 3

Ambulance: 4

Ambulatory Utilization: 1

Annual Wellness Visit: Not filed

5Dell - Internal Use - Confidential

Sandy Gets CAHPS Survey

In the last 12 months, how often did your health plan’s customer service give you the information or help you needed?

In the last 12 months, how often did your health plan’s customer service staff treat you with courtesy and respect?

In the last 12 months, how often were the forms from your health plan easy to fill out?

6Dell - Internal Use - Confidential

How Confident Are You?

…that the information provided throughout the year was useful and relevant to Sandy?

…that she felt she was treated with courtesy and respect?

…that she understood how to properly complete the forms you provided to her?

7Dell - Internal Use - Confidential

How Confident Are You?

…that Sandy will even respond?

8Dell - Internal Use - Confidential

Life IS Health: Context Matters

Race

Ethnicity

Language

Education

Occupation

Living situation

Lifestyle

9Dell - Internal Use - Confidential

Lifestyle Context

Exercise habits

Nutrition habits

Sleep habits

Habit awareness

10Dell - Internal Use - Confidential

Location ContextAre preventive services available, in timely manner, within convenient distance of Sandy’s home? What about Sandy’s work?

Is public transportation available near Sandy?

Do you know if Sandy has access to her own transportation?

11Dell - Internal Use - Confidential

Financial ContextIncome – household sole source?

Credit – good? Bad?

Debt-to-income ratio?

Home – own? Rent?

Car – own? Lease?

School – private?

12Dell - Internal Use - Confidential

Family Context

13Dell - Internal Use - Confidential

Mental Health Context

14Dell - Internal Use - Confidential

Why Invest In Context?Health plans want to be partners in member/patient care. Partnerships require trust. Trust is earned.

Build trust by knowing the person behind the membership number.

Members who trust you are more likely to engage, achieve Triple Aim goals.

15Dell - Internal Use - Confidential

Diabetes:Pop Health + ContextDiabetes Population Health

•Data sources today: medical and ancillary claims, labs•Propensity to develop co-morbidities•Prioritize outreach (by number care gaps)•Discover variations in care

Diabetes Population Health - Enhanced Context

•Enhanced data sources: above + behavioral health claims, EHR, HRA, public data sets (CMS, FDA, HHS, census, climate, transportation, education, crime), social media

How would additional data change the way you do population health?

16Dell - Internal Use - Confidential

Each Region, Family, PersonHas a Story that Guides Choices.

Know the Story to Meaningfully Engage.

17Dell - Internal Use - Confidential

Context is King.

we are templates.

Without it,

Thank you!

Mandi Bishop

[email protected]

@MandiBPro