users Data - User Interaction Example

Transcription

1 2. Outline the steps for population health management 3. iscuss the importance of strategic interoperability 4. xplore the concept of engaged communities 5. escribe how analytics for action can improve population health creative partner for technology breakthroughs 35 years offices in 25 countries customers in over 100 countries $500 million in revenue value long-term relationships 1) Percentage of population over 65y 2) Role of the primary care physician 3) Care coordination efforts 4) Status of electronic health records Population: 62.2M Primary Care: first point of contact, gatekeepers to specialists Over 65y: 16.5% Care Coordination: NHS Health and Social Care ct 2012 HR Use: 97% Quality and Outcomes Framework 1

2 Population: 9.4M Primary Care: no formal gatekeeping, but first point-of-contact, Over 65y: 18.3% shift from inpatient to outpatient and day treatment facilities HR Use: 88% Care Coordination: rule to improve access and quality Population: 309.1M Primary Care: highly depends on insurance plan Over 65y: 13.1% Care Coordination: shift towards patient-centered and HR Use: 69% accountable care models that share costs and risk Population: 127.1M Primary Care: patients select physician under Free ccess Over 65y: 23% Care Coordination: financial incentives for post-discharge care HR use: 20% UK Sweden United States Japan lderly Population 16.5% 18.3% 13.1% 23.0% Primary Care Provider Yes Yes No No Primary Care as Gatekeeper Yes No No No Care Coordination fforts National National National National Status of HR Use 97% 88% 69% 20% Japan lderly Population 23.0% Primary Care Provider Primary Care as Gatekeeper No No 2. Outline the steps for population health management 3. iscuss the importance of strategic interoperability 4. xplore the concept of engaged communities 5. escribe how analytics for action can improve population health Care Coordination fforts National Status of HR Use 20% 2

3 Patients change Populations change 2. Outline the steps for population health management 3. iscuss the importance of strategic interoperability 4. xplore the concept of engaged communities 5. escribe how analytics for action can improve population health 3

4 Traditional nterfacing: a handshake between applications that focuses on synchronizing applications Strategic nteroperability: each application is unique with specific data requirements Five Rights of Strategic nteroperability: Right data Right amount Right person Right time Right action N ngl J Med 2007; 356: Prenatal Community Practices ffiliated Practices NSLJ Faculty Practices Labor & elivery Perinatal MR maging Centers verage patient sees 2 primary care physicians, 5 specialists, in 4 different practices npatient Postnatal npatient MR Post- Partum Community Practices ffiliated Practices NSLJ Faculty Practices 22 Prenatal ntersystems HealthShare maging Centers 2. Outline the steps for population health management 3. iscuss the importance of strategic interoperability 4. xplore the concept of engaged communities 5. escribe how analytics for action can improve population health Labor & elivery npatient Postnatal Post- Partum 4

5 ngaging Patient Population = Care Coordination 1. Connects patients to their health records 2. llows multiple caregivers to participate 3. nticipates medical needs 4. istributes relevant information 5. mpowers patients as consumers 5

6 nn ntern Med Feb 17;150(4): primary care provider needs to interact with 229 physicians and 117 different practices to care for entire panel of patients. ngaging Provider Community = Care Coordination 1. mprove patient care 2. Reduce costs 3. mprove population health 6

7 2. Outline the steps for population health management 3. iscuss the importance of strategic interoperability 4. xplore the concept of engaged communities 5. escribe how analytics for action can improve population health Retrospective data will only tell you where you have been. t will not keep you moving forward. Tracking the elta Prescription Written Prescription Filled/Refilled Compliance ppointment Scheduled Patient Registration Missed F/U ncillary Studies Scheduled Lab Result elivery Missed Study 7

8 2. Outline the steps for population health management 3. iscuss the importance of strategic interoperability 4. xplore the concept of engaged communities 5. escribe how analytics for action can improve population health 8