NOUS. Health Management. Importance of Population. White Paper INFOSYSTEMS LEVERAGING INTELLECT

Save this PDF as:

Size: px
Start display at page:

Download "NOUS. Health Management. Importance of Population. White Paper INFOSYSTEMS LEVERAGING INTELLECT"

Transcription

1 NOUS INFOSYSTEMS LEVERAGING INTELLECT White Paper Importance of Population Health

2 Abstract The revised healthcare regulations in US markets like the Affordable Care Act (ACA) law, the demands of providing Physician Quality Reporting System (PQRS) details for incentive and regulatory programs or engaging the patient to achieve the outcome based incentives, are not easy accomplishment unless right systems are in place. The Population Health (PHM) serves a great deal in all these activities for both individual healthcare settings like physicians' offices, outpatient clinics, nursing homes, skilled nursing facilities or any care facilities and for the network managements. Ever heard of the eradicated diseases like Smallpox, Rinderpest? Know how the diseases like polio, malaria are tackled by different countries in a combined effort? Heard how regional diseases like Hookworm, measles are eradicated? The Health authorities and policy makers, with the concern over citizens devise different health programs, which could otherwise not just cost the individual patient, but the society in whole. Think about the modern day concerns like Obesity and Smoking. The ill-effects may not only limit to the individual, but others in the circle of influence. How will the government work over such items, though they are all lifestyle-based and individualistic? In this white-paper, we explore the different elements involved in population health management which have major implications for public policy decisions, Care continuum, Healthcare Economics and Total Health Care outcome. We explain Population Health in short and how can it can add value alongside other systems that are already in place throughout the care lifecycle. Population Health can be explained in simple terms as the categorizing Patients into different population categories based on risk levels. It also, analyses the reasons for the diseases and engages the patients with programs that could result in improving care quality and reducing overall healthcare costs. Introduction Similarly, how should the stakeholders in the Care Continuum like Payers, Providers engage in achieving the generalized goals? The answer is Population Health. This white papers tries to explain different activities involved and then the means to achieve those goals of PHM, in a modern day technology-driven lifestyle. 2

3 Are the incentives only reason for implementing Population Health (PHM)? Population Health is the managing and improving of the care quality and outcomes of a defined population as a whole. The targets set for the defined population can be achieved by targeting interventions to sub-groups, thus helping to improve individual outcomes which in-turn improve outcomes measures of the whole group or population for the given health goals. This can be used to manage the resources for right areas and achieve better ROI and quality of care. This betters the outcomes of the high-risk patients, by reducing common incidents and high-cost complications in additions to ensuring incentives or incomes through Pay-for-Performance (P4P) programs. Meaningful Use Stage 2 and stage 3 require meeting targets for clinical measures and care providers must submit all the defined care given information into Patient Quality Reporting System (PQRS). Having a PHM system helps in knowing population requiring interventions thus improving outcomes without having to list for each categories through systems that are not designed for this activity. Payer organization processing the claim settlements come across such data from the clinical and claim information, about the likelihood of the patient's condition in the near future and resulting clinical and financial consequence due to it. If a seamless system to manage these are built to alert the care managers to know them, the overall cost of the care is reduced for all involved. Over the years, the payers and providers have gained lots of insights about the trends and patterns about the patient or consumer behavior, but very little is done with it, as they did not form the core to the area they were working. 3

4 Let us consider an example of Obesity as a case for Population Health, without delving much into the exact activities and detailed considerations, but as a mere example to understand. For to consider someone as obese, there needs to be definition of what condition qualifies. In this case, it can be measure of BMI. BMI measurement alone can be a consideration and will require waist measurement. But both have limitations. However, they form the ground for classification. Major activities of Population Health Now, how serious is the condition of the patient? And how to control the ill-effects? Does the patient require a Bariatric surgery? What are the predicted risks of having a surgery or not having a surgery? How should the care giver engage the patient before or after the surgery? What are the behavioral or Lifestyle changes required by the patient? And how to engage the patient to observe those recommendations? How are the outcomes of the engagement measured and controlled? These are some of the activities that will go into the population management. It includes, whole Program design, communication, incentives, physical activity programs, nutritional programs, devising innovative interventions, etc. 4

5 The PHM implementation mainly involves following activities. 1 Defining population Categorize patients into key population groups: Using the data collected through different systems bucket them to different population groups based on the target criteria. Challenge is to collate what is structured and what is random data and convert it into useful data. Data from every possible system source should be considered. The classification can be based whatever the system is generally considered. Popularly they are classified into four categories High-cost Patients; Rising-risk Patients; At-risk Patients; and Healthy Patients. The percentage categorization is again part of the design criteria. This stage calls for well managed Data Mining and Analysis of different data like Demographic Data, Clinical Data, and Pharmaceutical Data. There could chances of missing information or collating issues. With the help of insights gained, Health managers need to device strategies and justification for classification of population. Using various mathematical models and available data, the categories could be classified, for example like - High-Cost Patients 5%, Rising-Risk Patients 20%, At-Risk Patients 40%, Healthy Patients 35%; or so. These would be used in working further on cost effect, care gaps, analysis, etc. Based on the need for granularity, this categorization can still be sub-divided into smaller groups and narrow down on the interesting cases and conditions. 5

6 2 Identify care gaps and stratify the risks - Analyzing to locate risk causing sources: Giving due consideration for broader set of risks, and with the knowledge and insights gained over the years, determine the risk causing factors and finding out which care interventions will give most desired outcomes. Based on the trend and pattern formation, use different data analysis techniques, to gain a better understanding of which interventions will actually make a difference. Population health managers should consider a broader set of risks, like social risk, geographical risk, and behavioral risk. In addition, the degree of patient engagement through different channels, this can make a big difference in which interventions are most appropriate and most effective. 6

7 3 Engaging patients, Managing care and Measuring the Outcome - Intervention and patient engagement of the focused population group: As there needs to be different kind intervention requirements for each population group of patients, a properly categorized population group allows the population health manager to engage available limited resources on groups where they will do the most good. Each population segment has an intervention strategy appropriate for its level of risk. Close interaction between Care Managers, who have insights of different care conditions and population group. Based on the need of the category, High-Cost Patients engaged through Health Coach Assignment; Rising-Risk Patients through Behavioral Health Consultant; At-Risk Patients through Peer Group Connections and Healthy Patients with Preventive Care Outreach activities. Though engagement is done based on need, efforts should also be spent to understand the actual outcome of this set of engagement. Flexibility should be maintained to accommodate any changes to the co-ordination based on the outcome. Enough consideration should be given for improving the clinical and financial outcomes, through disease management, case management and demand management. Constant deployment of analysis over Clinical measures and health outcomes to reduce the care costs and effectiveness of care quality. 7

8 An EHR has been built to store patient s data, support documentation needed for billing and for creating a care plan but when it comes to retrieving meaningful data to identify patients with critical risk, it requires someone to make use of disparate systems and manual reconciling is needed. The challenge here is, it is multi-step, cumbersome and complex. It is almost impossible for any EHR to create a meaningful data itself, or to get this data into a PHM system. Payer organization processing the claims settlements come across such data from the clinical and claim information, about the likelihood of the patient's condition in the near future and resulting clinical and financial consequence due to it. If a seamless system to manage these are built to alert the care managers to know them, then overall cost of the care is reduced for all involved. Opportunities to engage the patient for appropriate care management program or suitable intervention be explored all the time. The system should be flexible enough to accommodate any changes required on the criteria being considered. Other activities of Population Health Current established systems like EHR or PMS can only provide capabilities specific to their job function and little can be leveraged in terms of predictiveness of the patient conditions and thus risk levels. Suitable employment of the PHM not only helps in identifying the patients, but also streamlining the process with the evidence. Well-built predictive models not only eases the function but provides options to measure and control the activities. All options to automate any activity involved should be considered. Surveillance systems in claims processing and such will lead to less intervention by Care Managers on daily basis, except only for over-seeing the functioning of the system and make modifications based on the need. Data processing will not be limited to finding the critical patients or the prospective benefits, but also in the controlling the costs of a plan and predict the financial state and readiness to meet any adverse events. The responsibility of the care giver and payers are not limited to per incident, but also on the outcome of the treatment. This requires engaging the patients or the consumers constantly and understanding the risk levels of managing the member. 8

9 With the popularity of the smart phones and social media, the engagement and communication is quicker and less expensive. Think about a case, where an alert had to be communicated to a member or a group of members. The traditional means of contacting would not have yielded good results and would not have put the member in the comfort. With the automated feedback systems with integration to Social media and smart devices. Use of multi-channels like Mobile, Portals, Devices, Kiosks, apps, etc., have led to diversity and boundless opportunity for communication. Automated systems can take care of raising the alerts, sending communication to the members. What happens when a drug is recalled by a drug company, how the existing patients prescribed with those medicines are notified about it. How to re-issue the prescriptions for the same and engage the patient in such cases? All this could be managed easily should there be a PHM solution in place, which helps with Push notifications or group alerts or personalized alerts. The core objective of PHM is also to build a seamless communication, delivery of service and engagement of the patient/consumer irrespective of the patient s location. To meet these goals, it definitely requires the usage of mobile health and telehealth technologies. Few other areas that help to attain this phase of PHM is mobile application, interactive web-based application, customized education programs and Personal health records. 9

10 Stages and Components of Population Health in Care Continuum EHR Define Population Data Analytics Data Werehouse Population Monitoring / Identification Population Analytics Identify Care Gaps Clinical Databoards Health Assessment Patient cost and Utilization Stratify Risks Predictive Modeling to Stratify Population Risk Stratification Care Continuum Engage Patient No or Low Risk PHR Moderate Risk Health Promotions, Wellness Health Risk Organizational Interventions (Culture/Environment) High Risk Care Co-ordination/ Advocacy Disease/Case Patient Portals Telehealth Device Integration Tailored Inventions Person Community Resources Care Manage Care Wellness Programs Operational Messures Messure Outcomes Programe Outcomes Psycho-social Outcomes Behavior Change Clinical and Health Status Productivity, Satisfaction, OOL Revenue Cycle Financial Outcomes Provider Network

11 Population Health not necessarily targets individuals, but tries to manage the outcome of the whole population to the desired target goals and thus bringing down the overall cost of all. Any opportunity to implement population health management in any healthcare settings should be readily adopted and overall goal of reducing cost and meeting quality care standards should achieved. How are these data generated being analysed to understand if there are any trends formation or changes required into the algorithm applied or strategy employed, collecting metrics and visualization of the trends, patterns to meaningful insights should be employed. Employing either metric-based dashboards or KPI based dashboards to monitor the progress should form an integral part. Conclusion Authored By: Ravi Prakash H S, Business Analyst, Nous Infosystems Nous Infosystems is a CMMi Level 5 SVC + SSD v1.3, ISO 9001:2008, and ISO/IEC 27001:2013 certified global Information Technology firm providing software solutions across a broad spectrum of industries. Major offerings include Digital Transformation, Application Development & Maintenance, Enterprise Application Integration, Product Engineering, Business Intelligence, Independent Testing and Infrastructure Services. 6 For more informtion, Please visit - or mail us at Copyright Nous Infosystems. All rights reserved.

Value of. Clinical and Business Data Analytics for. Healthcare Payers NOUS INFOSYSTEMS LEVERAGING INTELLECT

Value of. Clinical and Business Data Analytics for. Healthcare Payers NOUS INFOSYSTEMS LEVERAGING INTELLECT Value of Clinical and Business Data Analytics for Healthcare Payers NOUS INFOSYSTEMS LEVERAGING INTELLECT Abstract As there is a growing need for analysis, be it for meeting complex of regulatory requirements,

More information

How MissionPoint Health is Using Population Health Insights to Achieve ACO Success

How MissionPoint Health is Using Population Health Insights to Achieve ACO Success How MissionPoint Health is Using Population Health Insights to Achieve ACO Success Background The United States spends more per capita on healthcare than other country, yet is ranked last among industrialized

More information

NOUS CREATING POSITIVE CUSTOMER EXPERIENCE IN BANKING INFOSYSTEMS LEVERAGING INTELLECT

NOUS CREATING POSITIVE CUSTOMER EXPERIENCE IN BANKING INFOSYSTEMS LEVERAGING INTELLECT NOUS INFOSYSTEMS LEVERAGING INTELLECT CREATING POSITIVE CUSTOMER EXPERIENCE IN BANKING Abstract Understanding the customer experience is the key in today s highly competitive and changing banking industry.

More information

Analytics: The Key Ingredient for the Success of ACOs

Analytics: The Key Ingredient for the Success of ACOs Analytics: The Key Ingredient for the Success of ACOs Author: Senthil Raja Velusamy Business Analyst Healthcare Center of Excellence Executive Summary Accountable Care Organizations (ACOs) are structured

More information

Population Health Management A Key Addition to Your Electronic Health Record

Population Health Management A Key Addition to Your Electronic Health Record Population Health Management A Key Addition to Your Electronic Health Record Rosemarie Nelson, MS Principal Consultant, MGMA Sponsored by: 1 Contents Introduction... 3 Managing Populations of Patients...

More information

Population health management:

Population health management: 3M Health Information Systems Population health management: A bridge between fee for service and value-based care Balancing multiple payment models Although 85 percent of healthcare reimbursement is currently

More information

TACKLING POPULATION HEALTH MANAGEMENT with Worksite Wellness & Community Outreach

TACKLING POPULATION HEALTH MANAGEMENT with Worksite Wellness & Community Outreach TACKLING POPULATION HEALTH MANAGEMENT with Worksite Wellness & Community Outreach APRIL 2015 THE PRESIDENT S MESSAGE Daniel T. Yunker Why do we need population health management in the health care delivery

More information

Great Expectations: Why Pharma Companies Can t Ignore Patient Services

Great Expectations: Why Pharma Companies Can t Ignore Patient Services Accenture Life Sciences Rethink Reshape Restructure... for better patient outcomes Great Expectations: Why Pharma Companies Can t Ignore Patient Services Accenture Research Note: Key findings from a survey

More information

Patient Relationship Management

Patient Relationship Management Solution in Detail Healthcare Executive Summary Contact Us Patient Relationship Management 2013 2014 SAP AG or an SAP affiliate company. Attract and Delight the Empowered Patient Engaged Consumers Information

More information

EMDEON CLINICAL SOLUTIONS

EMDEON CLINICAL SOLUTIONS EMDEON CLINICAL SOLUTIONS Meaningful Use is easy with our web-based EMR Lite and leading Health Information Exchange Simplifying the Business of Healthcare EMDEON OVERVIEW Emdeon Connecting payers, providers

More information

Population Health. Care Management. One Platform. NextGen Care

Population Health. Care Management. One Platform. NextGen Care Population Health. Care Management. One Platform. NextGen Care We ve become very proactive in identifying at-risk patients and getting them in our door before they get sick. Our physicians have so many

More information

I am not a prospect I am a partner

I am not a prospect I am a partner IntelliRx, Transforming Prospect to Partner I am not a prospect I am a partner Scalable Systems Life Science & Healthcare Practices Improve Your DNA Data, Numbers & Analytics Intelli Rx Scalable Systems

More information

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration

More information

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation Dignity Health Population Health Management and Compliance Programs Julie Bietsch, VP Population Health Management Dawnese Kindelt, Senior Compliance Director, Clinical Integration June 8, 2015 Moving

More information

Data: The Steel Thread that Connects Performance and Value

Data: The Steel Thread that Connects Performance and Value WHITE PAPER Data: The Steel Thread that Connects Performance and Value An Encore Point of View Randy L. Thomas, FHIMSS, Managing Director, Value April 2016 Realization Solutions, David H. Brown, Barbara

More information

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have

More information

Big Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics. David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014

Big Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics. David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014 Big Data Analytics in Healthcare In pursuit of the Triple Aim with Analytics David Wiggin, Director, Industry Marketing, Teradata 20 November, 2014 Agenda The Triple Aim Population Health in Russia The

More information

Accountable Care: Implications for Managing Health Information. Quality Healthcare Through Quality Information

Accountable Care: Implications for Managing Health Information. Quality Healthcare Through Quality Information Accountable Care: Implications for Managing Health Information Quality Healthcare Through Quality Information Introduction Healthcare is currently experiencing a critical shift: away from the current the

More information

Analytics for ACOs Integrated patient views

Analytics for ACOs Integrated patient views Analytics for ACOs Integrated patient views What s at stake? Level-setting Overview The healthcare environment is changing and healthcare organizations have challenging decisions to make. With the dramatic

More information

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Health Information Technology and the National Quality Agenda Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Institute of Medicine Definition of Quality "The degree to which

More information

Meaningful Use. Goals and Principles

Meaningful Use. Goals and Principles Meaningful Use Goals and Principles 1 HISTORY OF MEANINGFUL USE American Recovery and Reinvestment Act, 2009 Two Programs Medicare Medicaid 3 Stages 2 ULTIMATE GOAL Enhance the quality of patient care

More information

Healthcare Performance Management Strategies for Highly Efficient Practices

Healthcare Performance Management Strategies for Highly Efficient Practices A Mariner White Paper Healthcare Performance Management Strategies for Highly Efficient Practices By Rob Capozziello, Practice Manager Michael McCarthy, Business Development Manager Mariner, Healthcare

More information

The Five Pillars of Population Health Management. Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega

The Five Pillars of Population Health Management. Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega The Five Pillars of Population Health Management Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega ZeOmega a forerunner in Population Health Management Transformation into

More information

Using Health Information Technology to Drive Health Care Quality, Safety and Healthier Patient Outcomes

Using Health Information Technology to Drive Health Care Quality, Safety and Healthier Patient Outcomes Using Health Information Technology to Drive Health Care Quality, Safety and Healthier Patient Outcomes 2 Using Health Information Technology to Drive Health Care Quality, Safety and Healthier Patient

More information

The Six A s. for Population Health Management. Suzanne Cogan, VP North American Sales, Orion Health

The Six A s. for Population Health Management. Suzanne Cogan, VP North American Sales, Orion Health The Six A s for Population Health Management Suzanne Cogan, VP North American Sales, Summary Healthcare organisations globally are investing significant resources in re-architecting their care delivery

More information

Population health management:

Population health management: GE Healthcare Population health management: Navigating successfully from volume to value In the new world of value-based care and risk-sharing compensation, success will depend on how well provider organizations

More information

Optum One Life Sciences

Optum One Life Sciences Optum One Life Sciences April 15, 2015 Creating a profound and lasting impact on the health system Lower the cost trend > $100 billion 22 hours per day > 50% > $80 billion Unnecessary costs due to improper

More information

Practice and Transformation Taskforce: CCIP. Design Group 3, Session 2: Technology Enablers & Monitoring Performance August 20 th, 2015

Practice and Transformation Taskforce: CCIP. Design Group 3, Session 2: Technology Enablers & Monitoring Performance August 20 th, 2015 Practice and Transformation Taskforce: CCIP Design Group 3, Session 2: Technology Enablers & Monitoring Performance August 20 th, 2015 1 Meeting Agenda Item 1. Meeting Objectives Allotted Time 5 min 2.

More information

New Business and Investment Opportunities Emerging from Population Health Management (PHM)

New Business and Investment Opportunities Emerging from Population Health Management (PHM) Stax s Perspective on Changes Driven by PHM New Business and Investment Opportunities Emerging from Population Health Management (PHM) By Natalie De Fazio, Director, Stax Inc. November 2014 New Business

More information

A Population Health Management Approach in the Home and Community-based Settings

A Population Health Management Approach in the Home and Community-based Settings A Population Health Management Approach in the Home and Community-based Settings Mark Emery Linda Schertzer Kyle Vice Charles Lagor Philips Home Monitoring Philips Healthcare 2 Executive Summary Philips

More information

ElegantJ BI. White Paper. Operational Business Intelligence (BI)

ElegantJ BI. White Paper. Operational Business Intelligence (BI) ElegantJ BI Simple. Smart. Strategic. ElegantJ BI White Paper Operational Business Intelligence (BI) Integrated Business Intelligence and Reporting for Performance Management, Operational Business Intelligence

More information

POPULATION HEALTH ANALYTICS

POPULATION HEALTH ANALYTICS POPULATION HEALTH ANALYTICS ANALYTICALLY-DRIVEN INSIGHTS FOR POPULATION HEALTH LAURIE ROSE, PRINCIPAL CONSULTANT HEALTH CARE GLOBAL PRACTICE DISCUSSION TOPICS Population Health: What & Why Now? Population

More information

The New Health Care Model. Axel Arroyo, MD MPH

The New Health Care Model. Axel Arroyo, MD MPH The New Health Care Model Axel Arroyo, MD MPH Past Learning Objectives Which are the reasons behind these changes? To review the reasons of this transformation. To review Legislative initiatives (ARRA,

More information

Popula'on Health Management for PACE. Paul Funaro Brenda Vatland Kiran Simhadri

Popula'on Health Management for PACE. Paul Funaro Brenda Vatland Kiran Simhadri Popula'on Health Management for PACE Paul Funaro Brenda Vatland Kiran Simhadri Today s speakers: Brenda Vatland, Mediture, VP Business Development Paul Funaro, NewCourtland, AVP of Utilization Management

More information

Health Information Technology Framework for Population Health Management

Health Information Technology Framework for Population Health Management Health Information Technology Framework for Population Health Management Tracey Moorhead President and CEO Care Continuum Alliance November 11, 2010 Population Health Management Along the Care Continuum

More information

Data Analytics and Wellness Programming

Data Analytics and Wellness Programming Click to edit Master title style Data Analytics and Wellness Programming Presented to: International Public Management Association for Human Resources January 9, 2014 Presented by: Erin Eason and Bridgette

More information

Solution Overview. Fusion Health Advantage Big Data Accelerator Platform

Solution Overview. Fusion Health Advantage Big Data Accelerator Platform Solution Overview Fusion Health Advantage Big Data Accelerator Platform Improve Patient Outcomes And Manage Them Cost Effectively Healthcare reform measures have intensified governmental scrutiny, thereby

More information

Driving Hospital Performance Through a Successful IT Platform

Driving Hospital Performance Through a Successful IT Platform Driving Hospital Performance Through a Successful IT Platform Speakers Carl Dirks, M.D., Chief Medical Information Officer Saint Luke s Health System Deborah Gash, Chief Information Officer Saint Luke

More information

Population Health Management Primer

Population Health Management Primer Population Health Management Primer A White Paper October 2014 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800- 680-7570 Impact- Advisors.com Table of Contents What Is Population

More information

Capital District Physicians Health Plan, Inc. Nonprofit Health Plan Albany, New York

Capital District Physicians Health Plan, Inc. Nonprofit Health Plan Albany, New York Capital District Physicians Health Plan, Inc. Nonprofit Health Plan Albany, New York Capital District Physicians Health Plan, Inc. (CDPHP ) is featured as a high performer in cardiovascular care, identified

More information

Global Headquarters: 5 Speen Street Framingham, MA 01701 USA P.508.935.4445 F.508.988.7881 www.idc-hi.com

Global Headquarters: 5 Speen Street Framingham, MA 01701 USA P.508.935.4445 F.508.988.7881 www.idc-hi.com Global Headquarters: 5 Speen Street Framingham, MA 01701 USA P.508.935.4445 F.508.988.7881 www.idc-hi.com L e v e raging Big Data to Build a F o undation f o r Accountable Healthcare C U S T O M I N D

More information

AT&T Healthcare Community Online

AT&T Healthcare Community Online AT&T Healthcare Community Online January 30, 2012 HCO empowers health care professionals to reduce re-admissions, increase care coordination and provide seamless care transitions while improving patient

More information

Consumer Engagement with Health Information Technology Summary of NeHC Survey Results

Consumer Engagement with Health Information Technology Summary of NeHC Survey Results Consumer Engagement with Health Information Technology Summary of NeHC Survey Results Background In June 2012, National ehealth Collaborative (NeHC) distributed a survey on consumer engagement with health

More information

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics Identifying High-Risk Medicare Beneficiaries with Predictive Analytics September 2014 Until recently, with the passage of the Affordable Care Act (ACA), Medicare Fee-for-Service (FFS) providers had little

More information

Population Health Management Systems

Population Health Management Systems Population Health Management Systems What are they and how can they help public health? August 18, 1:00 p.m. 2:30 p.m. EDT Presented by the Public Health Informatics Working Group Webinar sponsored by

More information

Total population health management 2.0. An innovative approach to delivering healthcare in a reformed environment

Total population health management 2.0. An innovative approach to delivering healthcare in a reformed environment Total population health management 2.0 An innovative approach to delivering healthcare in a reformed environment Total Population Health Management (TPHM) is a fresh and innovative approach to healthcare

More information

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration

More information

SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care

SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care PHEMI Health Systems Process Automation and Big Data Warehouse http://www.phemi.com SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care Bringing Privacy and Performance to Big

More information

Quality and Performance Improvement Program Description 2016

Quality and Performance Improvement Program Description 2016 Quality and Performance Improvement Program Description 2016 Introduction and Purpose Contra Costa Health Plan (CCHP) is a federally qualified, state licensed, county sponsored Health Maintenance Organization

More information

ABOUT MDFLOW SYSTEMS. We know healthcare, we get results.

ABOUT MDFLOW SYSTEMS. We know healthcare, we get results. ABOUT MDFLOW SYSTEMS MDFlow Systems is a premier Healthcare Information Technology (HIT) company. We utilize leading technologies to deliver comprehensive, integrated, strategic, customized and cost effective

More information

I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S. In accountable care

I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S. In accountable care I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S The Role of healthcare InfoRmaTIcs In accountable care I n t e r S y S t e m S W h I t e P a P e r F OR H E

More information

InteliChart. Putting the Meaningful in Meaningful Use. Meeting current criteria while preparing for the future

InteliChart. Putting the Meaningful in Meaningful Use. Meeting current criteria while preparing for the future Putting the Meaningful in Meaningful Use Meeting current criteria while preparing for the future The Centers for Medicare & Medicaid Services designed Meaningful Use (MU) requirements to encourage healthcare

More information

www.sryas.com Analance Data Integration Technical Whitepaper

www.sryas.com Analance Data Integration Technical Whitepaper Analance Data Integration Technical Whitepaper Executive Summary Business Intelligence is a thriving discipline in the marvelous era of computing in which we live. It s the process of analyzing and exploring

More information

SOLUTION BRIEF. SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care

SOLUTION BRIEF. SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care SOLUTION BRIEF SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care Bringing Privacy and Performance to Big Data with SAP HANA and PHEMI Central Objectives Every healthcare organization

More information

Top 10 Issues for Health Plans - Strategic & Operational Priorities

Top 10 Issues for Health Plans - Strategic & Operational Priorities Top 10 Issues for Health Plans - Strategic & Operational Priorities Thomas Carleton, Sr. Director, Health IT & Analytics Mosaic Health Solutions (BCBS NC) Nancy Wise, SVP, Strategic & Regulatory Consulting

More information

Presenters. How to Maximize Technology to Improve Care and Reduce Cost 9/17/2015

Presenters. How to Maximize Technology to Improve Care and Reduce Cost 9/17/2015 How to Maximize Technology to Improve Care and Reduce Cost Presenters Justin Miller Director of Synergy Jordan Health services Dallas, TX jmiller@jhsi.com Justine Garcia Director of Software Solutions

More information

ICD-10 Advantages Require Advanced Analytics

ICD-10 Advantages Require Advanced Analytics Cognizant 20-20 Insights ICD-10 Advantages Require Advanced Analytics Compliance alone will not deliver on ICD-10 s potential to improve quality of care, reduce costs and elevate efficiency. Organizations

More information

Access. Action. Insight. Healthcare Analytics and Marketing Communications Consultative, Analytical, and Promotional Solutions

Access. Action. Insight. Healthcare Analytics and Marketing Communications Consultative, Analytical, and Promotional Solutions Cardinal Health Specialty Solutions Healthcare Analytics and Marketing Communications Consultative, Analytical, and Promotional Solutions Access Action Insight In today s increasingly competitive healthcare

More information

Optimizing Enrollment Management with Predictive Modeling

Optimizing Enrollment Management with Predictive Modeling Optimizing Enrollment Management with Predictive Modeling Tips and Strategies for Getting Started with Predictive Analytics in Higher Education an ebook presented by Optimizing Enrollment with Predictive

More information

Infogix Healthcare e book

Infogix Healthcare e book CHAPTER FIVE Infogix Healthcare e book PREDICTIVE ANALYTICS IMPROVES Payer s Guide to Turning Reform into Revenue 30 MILLION REASONS DATA INTEGRITY MATTERS It is a well-documented fact that when it comes

More information

Collaboration is the Key for Health Plans in a Shared Risk Environment

Collaboration is the Key for Health Plans in a Shared Risk Environment INTERSYSTEMS WHITE PAPER Collaboration is the Key for Health Plans in a Shared Risk Environment Information Sharing Enables Health Plans to Leverage Data and Analytical Assets to Deliver Sustained Value

More information

HEALTHCARE REFORM WILL TALK SMAC

HEALTHCARE REFORM WILL TALK SMAC HEALTHCARE REFORM WILL TALK SMAC Disruptive Technologies Key to Success of Outcome-Based Delivery By Al Denis, Director www.isg-one.com INTRODUCTION The Affordable Care Act creates a powerful set of incentives

More information

SIEBEL HEALTHCARE SOLUTIONS

SIEBEL HEALTHCARE SOLUTIONS SIEBEL HEALTHCARE SOLUTIONS Oracle s Siebel Healthcare offers rich relationship management solutions designed specifically for health insurance, employee benefits, and care delivery organizations. It enables

More information

Guide to Population Health Management

Guide to Population Health Management Guide to Population Health Management presented by the Healthcare Intelligence Network Note: This is an authorized excerpt from the Guide to Population Health Management. To download the entire guide,

More information

Achieving meaningful use of healthcare information technology

Achieving meaningful use of healthcare information technology IBM Software Information Management Achieving meaningful use of healthcare information technology A patient registry is key to adoption of EHR 2 Achieving meaningful use of healthcare information technology

More information

Population Health Management

Population Health Management Population Health HIMSS 2014 Disclosure Paul Mulhausen and Brian Barry are employed by Telligen. Session Objectives You will be able to define population health management (PHM) and population medicine.

More information

ElegantJ BI. White Paper. The Competitive Advantage of Business Intelligence (BI) Forecasting and Predictive Analysis

ElegantJ BI. White Paper. The Competitive Advantage of Business Intelligence (BI) Forecasting and Predictive Analysis ElegantJ BI White Paper The Competitive Advantage of Business Intelligence (BI) Forecasting and Predictive Analysis Integrated Business Intelligence and Reporting for Performance Management, Operational

More information

MDaudit Compliance made easy. MDaudit software automates and streamlines the auditing process to improve productivity and reduce compliance risk.

MDaudit Compliance made easy. MDaudit software automates and streamlines the auditing process to improve productivity and reduce compliance risk. MDaudit Compliance made easy MDaudit software automates and streamlines the auditing process to improve productivity and reduce compliance risk. MDaudit As healthcare compliance, auditing and coding professionals,

More information

Whitepaper Data Governance Roadmap for IT Executives Valeh Nazemoff

Whitepaper Data Governance Roadmap for IT Executives Valeh Nazemoff Whitepaper Data Governance Roadmap for IT Executives Valeh Nazemoff The Challenge IT Executives are challenged with issues around data, compliancy, regulation and making confident decisions on their business

More information

Proven Population Health Management. Faster.

Proven Population Health Management. Faster. Proven Population Health Management. Faster. At Medecision, our quest to liberate healthcare means tackling the big obstacles by connecting more data from more care teams than other population health management

More information

NCQA INCLUDES ODS PROGRAM IN NATIONAL QUALITY LEADERSHIP PUBLICATION

NCQA INCLUDES ODS PROGRAM IN NATIONAL QUALITY LEADERSHIP PUBLICATION NCQA INCLUDES ODS PROGRAM IN NATIONAL QUALITY LEADERSHIP PUBLICATION The National Committee for Quality Assurance (NCQA) invited ODS to submit a case study for publication in its Quality Profiles: The

More information

Population Health What it is and its Potential for Fixing what Ails America

Population Health What it is and its Potential for Fixing what Ails America Population Health What it is and its Potential for Fixing what Ails America Health Expenditure Per Capita $10,000 $9,000 $8,000 $7,000 $6,000 $5,000 $4,000 $3,000 $2,000 $1,000 $ United States Canada Sweden

More information

Healthcare Trends 2014: Pressure Rises and Delivery Organizations Respond

Healthcare Trends 2014: Pressure Rises and Delivery Organizations Respond Healthcare Trends 2014: Pressure Rises and Delivery Organizations Respond A Market Point-of-View September 2014 Impact Advisors LLC 400 E. Diehl Rd. Suite 190 Naperville IL 60563 1-800-680-7570 Impact-Advisors.com

More information

Business Intelligence for Healthcare Benefits

Business Intelligence for Healthcare Benefits Business Intelligence for Healthcare Benefits A whitepaper with technical details on the value of using advanced data analytics to reduce the cost of healthcare benefits for self-insured companies. Business

More information

POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk

POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk POPULATION HEALTH MANAGEMENT The Lynchpin of Emerging Healthcare Delivery Improve Patient Outcomes, Engage Physicians, and Manage Risk Julia Andrieni, MD, FACP Vice President, Population Health and Primary

More information

Software Solutions Digital Marketing Business Services. SugarCRM Community Edition for Small & Medium Enterprises

Software Solutions Digital Marketing Business Services. SugarCRM Community Edition for Small & Medium Enterprises Software Solutions Digital Marketing Business Services SugarCRM Community Edition for Small & Medium Enterprises Contents Introduction... 1 SugarCRM Community Edition (CE)... 1 Basic CRM Workflow... 2

More information

The Business Case for Using Big Data in Healthcare

The Business Case for Using Big Data in Healthcare SAP Thought Leadership Paper Healthcare and Big Data The Business Case for Using Big Data in Healthcare Exploring How Big Data and Analytics Can Help You Achieve Quality, Value-Based Care Table of Contents

More information

For over 15 years, Aclara has been a proven innovator in utility customer education and engagement

For over 15 years, Aclara has been a proven innovator in utility customer education and engagement Home Energy Reports For over 15 years, Aclara has been a proven innovator in utility customer education and engagement. Aclara s software has helped to demystify energy bills, giving customers the knowledge

More information

Sedgwick manages injury claims from start to finish with proven strategies that produce better outcomes for clients and injured workers.

Sedgwick manages injury claims from start to finish with proven strategies that produce better outcomes for clients and injured workers. CLAIMS AND CARE MANAGEMENT SOLUTIONS Sedgwick manages injury claims from start to finish with proven strategies that produce better outcomes for clients and injured workers. As the leader in customized

More information

Combating Fraud, Waste, and Abuse in Healthcare

Combating Fraud, Waste, and Abuse in Healthcare Combating Fraud, Waste, and Abuse in Healthcare ABSTRACT This paper discusses how real time analytics and event intelligence technologies can be used to analyze, detect, and prevent fraud, waste, and abuse

More information

ElegantJ BI. White Paper. Achieve a Complete Business Picture with a Business Intelligence (BI) Dashboard

ElegantJ BI. White Paper. Achieve a Complete Business Picture with a Business Intelligence (BI) Dashboard ElegantJ BI White Paper Achieve a Complete Business Picture with a Business Intelligence (BI) Dashboard Integrated Business Intelligence and Reporting for Performance Management, Operational Business Intelligence

More information

Turning Big Data into a competitive advantage? Challenges and opportunities

Turning Big Data into a competitive advantage? Challenges and opportunities Turning Big Data into a competitive advantage? Challenges and opportunities Presentation prepared for CIB Symposium by IMS Health Kris Bruynseels, Senior Principal, Technology and Services, IMS Health

More information

Population Health Management: Advancing Your Position in the Journey to Value-Based Care

Population Health Management: Advancing Your Position in the Journey to Value-Based Care Population Health Management: Advancing Your Position in the Journey to Value-Based Care Webcast Session One: An Integrated Approach to Population Health Management 11 August 2015 Welcome & Introductions

More information

WHITE PAPER NEXXUS SALES. Administering MBO-based Incentive Compensation Plans

WHITE PAPER NEXXUS SALES. Administering MBO-based Incentive Compensation Plans WHITE PAPER NEXXUS SALES Administering MBO-based Incentive Compensation Plans Introduction Managing by Objectives, more commonly referred to as MBO s, has been around in the Pharmaceutical industry for

More information

Social Business Analytics

Social Business Analytics IBM Software Business Analytics Social Analytics Social Business Analytics Gaining business value from social media 2 Social Business Analytics Contents 2 Overview 3 Analytics as a competitive advantage

More information

How To Qualify For EHR Stimulus Funds Under

How To Qualify For EHR Stimulus Funds Under BEST PRACTICES: How To Qualify For EHR Stimulus Funds Under Meaningful Use & Certified EHR Technology The American Recovery and Reinvestment Act (ARRA) set aside early $20 billion in incentive payments

More information

Telemedicine Offers Growth for Hospitals, Rural Care Opportunities

Telemedicine Offers Growth for Hospitals, Rural Care Opportunities Telemedicine Offers Growth for Hospitals, Rural Care Opportunities The internet and digital technology have transformed our lives, changing the way we keep in touch with our family and friends, shop, pay

More information

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities

More information

CORL Dodging Breaches from Dodgy Vendors

CORL Dodging Breaches from Dodgy Vendors CORL Dodging Breaches from Dodgy Vendors Tackling Vendor Security Risk Management in Healthcare Introductions Cliff Baker 20 Years of Healthcare Security experience PricewaterhouseCoopers, HITRUST, Meditology

More information

Technology & Applications. Three Technology Must-Haves to Improve Sales Effectiveness and Boost Win Rates

Technology & Applications. Three Technology Must-Haves to Improve Sales Effectiveness and Boost Win Rates Technology & Applications Three Technology Must-Haves to Improve Sales Effectiveness and Boost Win Rates Executive Summary To drive sales excellence, sales professionals need to monitor their objectives,

More information

Population Health Management: A New Business Model for a Healthier Workforce INNOVATIONS 2 SOLUTIONS

Population Health Management: A New Business Model for a Healthier Workforce INNOVATIONS 2 SOLUTIONS Population Health Management: A New Business Model for a Healthier Workforce INNOVATIONS 2 SOLUTIONS Population Health Management: A New Business Model for a Healthier Workforce POPULATION HEALTH MANAGEMENT:

More information

Why Medicare's E-Prescribing Bonus Gives Labs A New Opportunity for Added Value. Ravi Sharma, CEO 4medica, Inc.

Why Medicare's E-Prescribing Bonus Gives Labs A New Opportunity for Added Value. Ravi Sharma, CEO 4medica, Inc. Why Medicare's E-Prescribing Bonus Gives Labs A New Opportunity for Added Value Ravi Sharma, CEO 4medica, Inc. eprescribing definition The transmission, using electronic media, of prescription or prescription-related

More information

MDFlow Case Management & Disease Management (CM/DM) System

MDFlow Case Management & Disease Management (CM/DM) System MDFlow Case Management & Disease Management (CM/DM) System The COMPLETE and CUSTOMIZED Case and Disease Management Solution for Healthcare Payers (HMOs, PPOs and MA Plans) Accountable Care Organizations

More information

REAL-TIME INTELLIGENCE FOR FASTER PATIENT INTERVENTIONS. MICROMEDEX 360 Care Insights. Real-Time Patient Intervention

REAL-TIME INTELLIGENCE FOR FASTER PATIENT INTERVENTIONS. MICROMEDEX 360 Care Insights. Real-Time Patient Intervention REAL-TIME INTELLIGENCE FOR FASTER PATIENT INTERVENTIONS MICROMEDEX 360 Care Insights Real-Time Patient Intervention Real-Time Intelligence for Fast Patient Interventions At your patient s side, developments

More information

Banking on Business Intelligence (BI)

Banking on Business Intelligence (BI) Banking on Business Intelligence (BI) Building a business case for the Kenyan Banking Sector The new banking environment in Kenya is all about differentiating banking products, increased choices, security

More information

IBM Predictive Analytics Solutions for Education

IBM Predictive Analytics Solutions for Education IBM Software White Paper Business Analytics IBM Predictive Analytics Solutions for Education Empower your institution to make the right decision every time 2 IBM Predictive Analytics Solutions for Education

More information

EXPERTISE FOR WHERE YOU RE HEADED

EXPERTISE FOR WHERE YOU RE HEADED EXPERTISE FOR WHERE YOU RE HEADED CREATING A ROADMAP FOR TOMORROW We offer a complete range of business technology services fueled by proven methodologies, process optimization and best practices. Whether

More information

MEDICAL DATA MINING. Timothy Hays, PhD. Health IT Strategy Executive Dynamics Research Corporation (DRC) December 13, 2012

MEDICAL DATA MINING. Timothy Hays, PhD. Health IT Strategy Executive Dynamics Research Corporation (DRC) December 13, 2012 MEDICAL DATA MINING Timothy Hays, PhD Health IT Strategy Executive Dynamics Research Corporation (DRC) December 13, 2012 2 Healthcare in America Is a VERY Large Domain with Enormous Opportunities for Data

More information

Get Plugged in: Defining Your Connectivity Strategy. CHIME College Live 17 April 2013

Get Plugged in: Defining Your Connectivity Strategy. CHIME College Live 17 April 2013 Get Plugged in: Defining Your Connectivity Strategy CHIME College Live 17 April 2013 Topics Introductions Drivers Strategies Imperatives Discussion Page 2 Copyright Kurt Salmon 2013 All Rights Reserved

More information

TRUSTED PATIENT EDUCATION FOR BETTER OUTCOMES. MICROMEDEX Patient Connect. Patient Education & Engagement

TRUSTED PATIENT EDUCATION FOR BETTER OUTCOMES. MICROMEDEX Patient Connect. Patient Education & Engagement TRUSTED PATIENT EDUCATION FOR BETTER OUTCOMES MICROMEDEX Patient Connect Patient Education & Engagement Trusted Patient Education for Better Outcomes All your training, experience, tools, and technology

More information