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

Size: px
Start display at page:

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

Transcription

1 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 Japan Germany United Kingdom Brazil Argentina Panama Mexico The World Bank Data for

2 US Health Care Unit Pricing Is Much Higher Non clinical Sources of Waste Exceed Clinical Sources US National Health Care Expenditures, By Year as % of GDP Source: Berwick, D. M. et al. JAMA April 11,

3 Supply Side Issues Cost System Inefficiency Pricing Fraud/Abuse Cost of Chronic Disease/Health Risks Many Preventable 84% of health care spending for 50% of the population with 1 or more conditions Heart disease/stroke 2010 $315B, $193B direct 2012 estimated cost for diabetes $245B ($175 direct/$69 indirect) Obesity costs 2008 $147B Cost of smoking $289B annually Cost of too much alcohol $223.5B or $1.90 a drink Source Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults Aged 18 Years or older Obesity (BMI 30 kg/m 2 ) No Data <14.0% % % % >26.0% Diabetes No Data <4.5% % % % >9.0% CDC s Division of Diabetes Translation. National Diabetes Surveillance System available at 3

4 LifeStyle and its Impact The United States Centers for Disease Control and Prevention has found that: 80% of Heart Disease and Type II Diabetes as well as 40% of Cancer are Preventable if people just:» stopped smoking,» ate healthy and» exercised The Triple AIM Improving the US health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an integrator ) that accepts responsibility for all three aims for the population. The integrator s role includes at least five components: partnership with individuals and families, redesign of primary care, population health management, financial management and macro system integration. Source Donald Berwick, Thomas W. Nolan, John Whittington, The Triple Aim: Care, Health and Cost, Health Affairs, Vol. 27, Number 3 (2008); p Movement in Payment Structures From Volume to Value 4

5 Population Health the health outcomes of a group of individuals, including the distribution of such outcomes within the group (Kindig and Stoddart 2003) One Definition of Population Health Management A population health management program strives to address health needs at all points along the continuum of health and well being through participation of, engagement with and targeted interventions for the population. The goal of a population health management program is to maintain or improve the physical and psychosocial well being of individuals through evidence based, cost effective and tailored health solutions. Source: Care Continuum Alliance, Outcomes Guidelines Report, Vol. 5, The Continuum of Care 5

6 Health is more expansive than Healthcare People believe personal and social behaviors shape health most Source Edelman Health Barometer 2011 Population Health Management Framework Source: Care Continuum Alliance, Outcomes Guidelines Report, Vol. 5, PHM Objectives in each of 6 Steps Example Provider Organization Source: A Population Health Guide for Primary Care Models Population Health Alliance publication 6

7 HIT Framework Regional Data Liquidity ACOs, HIEs, RHIOs* Systems and Person Level Databases EHR, Lab and Claims Processing Systems* Rules Engines, Decision Support Tools, Intervention Level Databases* Infrastructure and Services Home Health Hubs, PHR, Monitoring Devices* Communication Enabling Devices End User Medical Devices Cell Phones, Smart Phones, IVR, ipads, Personal Computers, Digital TVs* *Examples only, not meant to be all inclusive Source: Care Continuum Alliance, Outcomes Guidelines Report, Vol. 5, Touch the most people or the most cost? 4% 13% 60% Cost Complex Case Management High complexity patients Chronic Condition Management High risk patients 43% 40% (% of Population) 20% Cost 20% Cost Selt treatment Patients with moderate risk Wellness & Prevention Patients with low risk Source: Kaiser Permanente and La Fe Hospital data Can the Healthcare System fix this? 7

8 Some Other Issues Just 38% of US Hospitals and health systems indicated that population health tools were in place in their organization. (1) Are Providers the Right Leaders for Population Health? Total Population Health versus Population Medicine (Kindig) The Long Tail of Risk (1) 26 th Annual HIMSS Leadership Survey leadership survey The Next Phase of Population Health Engaging a population not a slam dunk 8

9 Assessment Mobile Technology Gathering real time data on an individuals health and activity Stratification Machine Learning and Big Data integrating social data with clinical and claims Not just stratified on clinical risk, but on behavior to create an impactable risk measure, in order to answer: Who is more likely to accept a home visit for an assessment Who is more likely to sign up for hospice Likelihood of hospitalization or 30 day readmit Interventions This area has incredible potential when leveraging big data machine learning and behavioral economics, but lagging the assessment and stratification innovations Examples: Using mobile technology for Geo fencing for a recovering alcoholic the app automatically calls their sponsor Avatar based counseling Gaming and gamification Tele monitoring Face to face 9

10 Creating Communities of Health Blue Zones Clinton Health Matters Initiative The Way to Wellville Prevention Partners Summary Population Health is part of the solution Early financial savings on improving the operations of the health care system True Population Health is much broader than just care Over the longer term total population health will have a large impact on providers and their success FRED GOLDSTEIN FGOLDSTEIN@ACCOUNTABLEHEALTHLLC.COM 10

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

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

Care and EHR Integration Connecting Physical and Behavioral Health in the EHR. Tarzana Treatment Centers Integrated Healthcare

Care and EHR Integration Connecting Physical and Behavioral Health in the EHR. Tarzana Treatment Centers Integrated Healthcare Care and EHR Integration Connecting Physical and Behavioral Health in the EHR Tarzana Treatment Centers Integrated Healthcare Outline of Presentation Why Integrate Care? Integrated Care at Tarzana Treatment

More information

Second Forum on Health Care Management & Policy November 28 30, 2012. Discussion Report. Care Management

Second Forum on Health Care Management & Policy November 28 30, 2012. Discussion Report. Care Management Second Forum on Health Care Management & Policy November 28 30, 2012 Discussion Report Care Management Thomas G. Rundall Henry J. Kaiser Emeritus Professor of Organized Health Systems School of Public

More information

PATHWAYS TO TYPE 2 DIABETES. Vera Tsenkova, PhD Assistant Scientist Institute on Aging University of Wisconsin-Madison

PATHWAYS TO TYPE 2 DIABETES. Vera Tsenkova, PhD Assistant Scientist Institute on Aging University of Wisconsin-Madison PATHWAYS TO TYPE 2 DIABETES Vera Tsenkova, PhD Assistant Scientist Institute on Aging University of Wisconsin-Madison Overview Diabetes 101 How does diabetes work Types of diabetes Diabetes in numbers

More information

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

NOUS. Health Management. Importance of Population. White Paper INFOSYSTEMS LEVERAGING INTELLECT NOUS INFOSYSTEMS LEVERAGING INTELLECT White Paper Importance of Population Health Abstract The revised healthcare regulations in US markets like the Affordable Care Act (ACA) law, the demands of providing

More information

A Population Based Risk Algorithm for the Development of Type 2 Diabetes: in the United States

A Population Based Risk Algorithm for the Development of Type 2 Diabetes: in the United States A Population Based Risk Algorithm for the Development of Type 2 Diabetes: Validation of the Diabetes Population Risk Tool (DPoRT) in the United States Christopher Tait PhD Student Canadian Society for

More information

An Overview: Consumer Facing Digital Health Technology: What Is It and What Are The Challenges?

An Overview: Consumer Facing Digital Health Technology: What Is It and What Are The Challenges? An Overview: Consumer Facing Digital Health Technology: What Is It and What Are The Challenges? Ted Vickey MSc, PhD (ABD) President FitWell LLC Institute of Medicine Roundtable on Health Literacy Washington,

More information

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 $19.2B $17.2B Provider Incentives $2B HIT (HHS/ONC) Medicare & Medicaid Incentives

More information

Patient Engagement Who, What, Why

Patient Engagement Who, What, Why Patient Engagement Who, What, Why REACH - Achieving - Achieving meaningful meaningful use of your use EHRof your EHR Philip Deering Regional Coordinator, REACH MN ehealth Summit June 13, 2013 Conflict

More information

Wasteful spending in the U.S. health care. Strategies for Changing Members Behavior to Reduce Unnecessary Health Care Costs

Wasteful spending in the U.S. health care. Strategies for Changing Members Behavior to Reduce Unnecessary Health Care Costs Strategies for Changing Members Behavior to Reduce Unnecessary Health Care Costs by Christopher J. Mathews Wasteful spending in the U.S. health care system costs an estimated $750 billion to $1.2 trillion

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

Engaging Employees in Wellness Using Wireless Technology

Engaging Employees in Wellness Using Wireless Technology Engaging Employees in Wellness Using Wireless Technology Kevin Schulman, MD, MBA Peter Tippett, MD, PhD DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do

More information

The Road Less Traveled: Applying Performance Measurement Concepts in Population Health

The Road Less Traveled: Applying Performance Measurement Concepts in Population Health The Road Less Traveled: Applying Performance Measurement Concepts in Population Health Michael A. Stoto Professor of Health Systems Administration and Population Health Georgetown University Presentation

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

Health & Wellness in the Big Green Gym

Health & Wellness in the Big Green Gym Health & Wellness in the Big Green Gym 1 Health & Wellness in the Big Green Gym 2 Health & Wellness in the Big Green Gym 3 Health & Wellness in the Big Green Gym 4 Health & Wellness in the Big Green Gym

More information

How To Make A Home Medical Care More Affordable

How To Make A Home Medical Care More Affordable Accountable Care Organizations and the DME Industry Alan Morris Director Alternate Care Programs The VGM Group Why are we here talking about accountable care??? This is why.. Federal Council of Economic

More information

Meaningful Use as the Foundation of the Medical Home

Meaningful Use as the Foundation of the Medical Home Meaningful Use as the Foundation of the Medical Home Thomas Novak Director of Delivery System Reform Health IT Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders

More information

Bridging the IT Functionality Divide in Care Coordination

Bridging the IT Functionality Divide in Care Coordination Bridging the IT Functionality Divide in Care Coordination April 15, 2015 Anne Meara AVP, Network Care Management Dave Kim Strategy Advisory Service Line Executive DISCLAIMER: The views and opinions expressed

More information

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY

A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY A STRATIFIED APPROACH TO PATIENT SAFETY THROUGH HEALTH INFORMATION TECHNOLOGY Table of Contents I. Introduction... 2 II. Background... 2 III. Patient Safety... 3 IV. A Comprehensive Approach to Reducing

More information

Key Performance Measures for School-Based Health Centers

Key Performance Measures for School-Based Health Centers Key Performance Measures for School-Based Health Centers As health care reform continues to take shape and additional provisions of the Affordable Care Act are implemented, there is an increasing demand

More information

Paul Glassman DDS, MA, MBA Professor and Director of Community Oral Health University of the Pacific School of Dentistry San Francisco, CA

Paul Glassman DDS, MA, MBA Professor and Director of Community Oral Health University of the Pacific School of Dentistry San Francisco, CA Paul Glassman DDS, MA, MBA Professor and Director of Community Oral Health University of the Pacific School of Dentistry San Francisco, CA pglassman@pacific.edu Disclosures Direct a research center at

More information

Health Informatics in the Cloud

Health Informatics in the Cloud Health Informatics in the Cloud Stormy Weather or Clear Sailing Ahead? Mark Braunstein, MD Professor of the Practice A Long Road Policy/Economics US Health IT Technology Psychology/Behavior Huge Spending,

More information

ACOs & ESCOs. Interdisciplinary Nephrology Conference. October 25, 2013

ACOs & ESCOs. Interdisciplinary Nephrology Conference. October 25, 2013 ACOs & ESCOs National Kidney Foundation of Illinois Interdisciplinary Nephrology Conference October 25, 2013 About Me Dan Viaches VP Corp. Development - DaVita 6 Years with DaVita - 5 Years center operations

More information

DRAFT. To Whom It May Concern:

DRAFT. To Whom It May Concern: DRAFT Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1345-P, P.O. Box 8013, Baltimore, MD 21244-8013 To Whom It May Concern: As a nonprofit, nonpartisan

More information

Student Success: What s School Employee Wellness Got To Do With It?

Student Success: What s School Employee Wellness Got To Do With It? Student Success: What s School Employee Wellness Got To Do With It? Todd Baughman, Dallas School District, Holly Spruance, OEA Choice Trust, Inge Aldersebaes, OEA Choice Trust Roadmap for This Morning!

More information

How To Prepare For A Patient Care System

How To Prepare For A Patient Care System Preparing for Online Communication with Your Patients A Guide for Providers This easy-to-use, time-saving guide is designed to help medical practices and community clinics prepare for communicating with

More information

UK Patients with Chronic Conditions Believe the Ability to Access Electronic Medical Records Outweighs Concern of Privacy Invasion

UK Patients with Chronic Conditions Believe the Ability to Access Electronic Medical Records Outweighs Concern of Privacy Invasion Insight Driven Health UK Patients with Chronic Conditions Believe the Ability to Access Electronic Medical Records Outweighs Concern of Privacy Invasion Accenture s research shows patients with chronic

More information

Access to Care / Care Utilization for Nebraska s Women

Access to Care / Care Utilization for Nebraska s Women Access to Care / Care Utilization for Nebraska s Women According to the Current Population Survey (CPS), in 2013, 84.6% of Nebraska women ages 18-44 had health insurance coverage, however only 58.2% of

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

Continuity of Care Guide for Ambulatory Medical Practices

Continuity of Care Guide for Ambulatory Medical Practices Continuity of Care Guide for Ambulatory Medical Practices www.himss.org t ra n sf o r m i ng he a lth c a re th rou g h IT TM Table of Contents Introduction 3 Roles and Responsibilities 4 List of work/responsibilities

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

Accountable Care Organization Workgroup Glossary

Accountable Care Organization Workgroup Glossary Accountable Care Organization Workgroup Glossary Accountable care organization (ACO) a group of coordinated health care providers that care for all or some of the health care needs of a defined population.

More information

Corporate Wellness Programs

Corporate Wellness Programs The StayFit Plan a division of Simplicity Health Plans Background The rising cost of healthcare has forced employers to look for a variety of alternative health and welfare solutions to improve the health

More information

Electronic Medical Record Access Outweighs Privacy Concerns for Chronic Patients in Norway

Electronic Medical Record Access Outweighs Privacy Concerns for Chronic Patients in Norway Insight Driven Health Electronic Medical Record Access Outweighs Privacy Concerns for Chronic Patients in Norway Accenture research shows persons with chronic conditions in Norway are more concerned about

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

Moving Toward Accountable Care Organizations in the States

Moving Toward Accountable Care Organizations in the States Moving Toward Accountable Care Organizations in the States Delivering on the Promise Medicaid Health Plans of America 2012 Annual Meeting Presented by Joyce Dubow October 24, 2012 Presentation overview

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

Utilizing Public Data to Successfully Target Population for Prevention

Utilizing Public Data to Successfully Target Population for Prevention AACOM 2012 Annual Meeting Building Healthy Behaviors Utilizing Public Data to Successfully Target Population for Prevention Ann K. Peton Director National Center for the Analysis of Healthcare Data (NCAHD)

More information

Corporate Wellness Programs A Guide to Strategic Design

Corporate Wellness Programs A Guide to Strategic Design Background The rising cost of healthcare has forced employers to look for a variety of alternative health and welfare solutions to improve the health of their employee population, improve productivity

More information

Henry J. Austin Health Center Kemi Alli, M.D. Chief Medical Officer kemi.alli@henryjaustin.org May 8, 2013

Henry J. Austin Health Center Kemi Alli, M.D. Chief Medical Officer kemi.alli@henryjaustin.org May 8, 2013 Henry J. Austin Health Center Kemi Alli, M.D. Chief Medical Officer kemi.alli@henryjaustin.org May 8, 2013 Henry J. Austin Health Center Presentation Outline 1. Henry J. Austin Health Center s Background

More information

Fact Sheet STATISTICS AND RANKINGS

Fact Sheet STATISTICS AND RANKINGS Fact Sheet HEALTH CARE IN NEVADA UPDATED BY MEGAN COMLOSSY DECEMBER 2015 RESEARCH DIVISION LEGISLATIVE COUNSEL BUREAU This fact sheet provides a quick look at health care and physical health data in and

More information

HealthCare Partners of Nevada. Heart Failure

HealthCare Partners of Nevada. Heart Failure HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with

More information

Aligning action with aims: Optimising the benefits of workplace wellness

Aligning action with aims: Optimising the benefits of workplace wellness Aligning action with aims: Optimising the benefits of workplace wellness Dr Michael McCoy Medibank Health Solutions Strategy & Corporate Development Health & Wellbeing September 2011 Aligning action with

More information

The benefits of prevention: healthy eating and active living

The benefits of prevention: healthy eating and active living The benefits of prevention: healthy eating and active living A Summary of Findings By increasing the proportion of the NSW population who are a healthy weight by 2018 (so that one in two adults are of

More information

How To Analyze Health Data

How To Analyze Health Data 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

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 Exchange in NYS

Health Information Exchange in NYS Health Information Exchange in NYS Roy Gomes, RHIT, CHPS Implementation Project Manager 1 Who is NYeC? 2 Agenda NYeC Background Overview and programs Assist providers transitioning from paper to electronic

More information

The Triple Aim. Two System Changes. PCMH Short Definition. Doctors Employed by Hospitals Exceed 100,000

The Triple Aim. Two System Changes. PCMH Short Definition. Doctors Employed by Hospitals Exceed 100,000 Doctors Employed by Hospitals Exceed 100,000 You May Be Hiring Physicians Is Your Primary Care Strategy Successful? 2004 64, 392 full time physicians were employed by hospitals In 2011 More than 100,000

More information

Technology and Hawaii s Independent Physician:

Technology and Hawaii s Independent Physician: Technology and Hawaii s Independent Physician: From EMR / EHR and Meaningful Use to Transformation Presentation for the Honolulu Subarea Health Planning Council Carl Barton, Director of Business Development

More information

Social inequalities in all cause and cause specific mortality in a country of the African region

Social inequalities in all cause and cause specific mortality in a country of the African region Social inequalities in all cause and cause specific mortality in a country of the African region Silvia STRINGHINI 1, Valentin Rousson 1, Bharathi Viswanathan 2, Jude Gedeon 2, Fred Paccaud 1, Pascal Bovet

More information

Next Generation Care Management: Total Health Support

Next Generation Care Management: Total Health Support Next Generation Care Management: Total Health Support 1 Next Generation Care Management: Total Health Support Synopsis Total Health Support is an innovative and holistic approach designed to confront the

More information

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama Selected Health Status Indicators DALLAS COUNTY Jointly produced to assist those seeking to improve health care in rural Alabama By The Office of Primary Care and Rural Health, Alabama Department of Public

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

Against the Growing Burden of Disease. Kimberly Elmslie Director General, Centre for Chronic Disease Prevention

Against the Growing Burden of Disease. Kimberly Elmslie Director General, Centre for Chronic Disease Prevention Kimberly Elmslie Director General, Centre for Chronic Disease Prevention Chronic diseases are an increasing global challenge Most significant cause of death (63%) worldwide 1 Chronic diseases cause premature

More information

Easy Read. How can we make sure everyone gets the right health care? How can we make NHS care better?

Easy Read. How can we make sure everyone gets the right health care? How can we make NHS care better? Easy Read How can we make NHS care better? How can we make sure everyone gets the right health care? What can we do to make the NHS good now and in the future? How can we afford to keep the NHS going?

More information

9 th Annual Governor s Public Health Conference. Connecting the Dots

9 th Annual Governor s Public Health Conference. Connecting the Dots 9 th Annual Governor s Public Health Conference Connecting the Dots THANK YOU! Public Health in Kansas ASTHO 8X14 Challenge Get Active Kansas Accreditation QI Plan Health Workforce Partnership KHIT KHEL

More information

SOA Annual Symposium Shanghai. November 5-6, 2012. Shanghai, China. Session 4b: Health Insurance Market in China. Jesse Song

SOA Annual Symposium Shanghai. November 5-6, 2012. Shanghai, China. Session 4b: Health Insurance Market in China. Jesse Song SOA Annual Symposium Shanghai November 5-6, 2012 Shanghai, China Session b: Health Insurance Market in China Jesse Song Jesse Song, FSA, MAAA Agenda China health insurance market overview US health insurance

More information

Pushing the Envelope of Population Health

Pushing the Envelope of Population Health Pushing the Envelope of Population Health Timothy Ferris, MD, MPH Senior Vice President, Population Health Management, Partners HealthCare May 15, 2014 DISCLAIMER: The views and opinions expressed in this

More information

Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility

Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility Rising Health Care Costs, Prevention & Primary Care, and Personal Responsibility Marcia Nielsen, Ph.D., MPH Executive Director July Advisory Council Meetings Objectives To explore evidence regarding rising

More information

Toward Meaningful Use of HIT

Toward Meaningful Use of HIT Toward Meaningful Use of HIT Fred D Rachman, MD Health and Medicine Policy Research Group HIE Forum March 24, 2010 Why are we talking about technology? To improve the quality of the care we provide and

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

Self Care in New Zealand

Self Care in New Zealand Self Care in New Zealand A roadmap toward greater personal responsibility in managing health Prepared by the New Zealand Self Medication Industry Association. July 2009 What is Self Care? Self Care describes

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

Leveraging Big Data for the Next Generation of Health Care Ken Cunningham, VP Analytics Pam Jodock, Director Business Development

Leveraging Big Data for the Next Generation of Health Care Ken Cunningham, VP Analytics Pam Jodock, Director Business Development Leveraging Big Data for the Next Generation of Health Care Ken Cunningham, VP Analytics Pam Jodock, Director Business Development December 6, 2012 Health care spending to Reach 20% of U.S. Economy by 2020

More information

BEYOND CITIUS, ALTIUS, FORTIUS A LEADERSHIP ROLE FOR THE SPORTS MEDICINE PHYSICIAN TO IMPLEMENT EXERCISE AS MEDICINE FOR POPULATION HEALTH

BEYOND CITIUS, ALTIUS, FORTIUS A LEADERSHIP ROLE FOR THE SPORTS MEDICINE PHYSICIAN TO IMPLEMENT EXERCISE AS MEDICINE FOR POPULATION HEALTH BEYOND CITIUS, ALTIUS, FORTIUS A LEADERSHIP ROLE FOR THE SPORTS MEDICINE PHYSICIAN TO IMPLEMENT EXERCISE AS MEDICINE FOR POPULATION HEALTH Written by Felipe Lobelo, USA Physical inactivity is a fast-growing

More information

MERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D.

MERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D. MERCY-CR/UI HEALTH CARE ACCOUNTABLE CARE ORGANIZATION Dan Fick, M.D. Timothy Quinn, M.D. November, 2012 Accountable Care Organization An ACO is a group of health care providers who agree to take on a shared

More information

IHI Triple Aim Improvement Community

IHI Triple Aim Improvement Community IHI Triple Aim Improvement Community A 10-Month Collaborative Learning Opportunity September 2013-June 2014 Executive Summary The concept of better health, better health care, and lower per capita cost

More information

Data Driven Healthcare: the Canadian experience June 3, 2015

Data Driven Healthcare: the Canadian experience June 3, 2015 Data Driven Healthcare: the Canadian experience June 3, 2015 Presentation Overview What is Health Analytics? Why is HA important? Where are we at now in Canada? Who is doing this? What are the benefits?

More information

We ve got the measure of good health

We ve got the measure of good health We ve got the measure of good health Capture valuable self-reported data from patients Integrate countless health apps and devices Get a macro view of health data across your entire practice Use our secure

More information

Galen Healthcare Solutions Dragonfly

Galen Healthcare Solutions Dragonfly Galen Healthcare Solutions Dragonfly Remote Patient Monitoring / Patient Engagement Platform Steve Cotton / Product Manager Copyright 2011 Allscripts Healthcare Solutions, Inc. 1 Company Information Company

More information

Personalization, Communication, Decentralization, Collaboration

Personalization, Communication, Decentralization, Collaboration Innovation in Healthcare: The Changing Landscape Megatrends and CEO 360 Degree View Greg Caressi Sr VP, Healthcare & Life Sciences Personalization, Communication, Decentralization, Collaboration A modern

More information

Bela T. Matyas, MD, MPH Health Officer, Solano County

Bela T. Matyas, MD, MPH Health Officer, Solano County Bela T. Matyas, MD, MPH Health Officer, Solano County Electronic submission of community health and other public health data From EMRs, labs, point-of-use devices and other relevant sources To inform community

More information

Care Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed

Care Coordination. The Embedded Care Manager. Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed Care Coordination The Embedded Care Manager Presented by Thomas Decker, MD Mary Finnegan, BSN, M.Ed Goals of Care Management The goals of care Management are consistent with the Triple Aim: Improve population

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

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

Uncovering Value in Healthcare Data with Cognitive Analytics. Christine Livingston, Perficient Ken Dugan, IBM

Uncovering Value in Healthcare Data with Cognitive Analytics. Christine Livingston, Perficient Ken Dugan, IBM Uncovering Value in Healthcare Data with Cognitive Analytics Christine Livingston, Perficient Ken Dugan, IBM Conflict of Interest Christine Livingston Ken Dugan Has no real or apparent conflicts of interest

More information

Physical activity: a major public health priority. Professor Brian Oldenburg School of Public Health & Preventive Medicine, Monash University

Physical activity: a major public health priority. Professor Brian Oldenburg School of Public Health & Preventive Medicine, Monash University Physical activity: a major public health priority Professor Brian Oldenburg School of Public Health & Preventive Medicine, Monash University What is health? Health is a state of complete physical, mental,

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

9/17/2014. Accountable Care Organizations and Population Health Management. The Affordable Care Act

9/17/2014. Accountable Care Organizations and Population Health Management. The Affordable Care Act u Accountable Care Organizations and Population Health Management Tom Pianta, MPT Director, AAMC Collaborative Care Network The Affordable Care Act The ACA, CMS, the MD HSCRC and other payers are shifting

More information

Testimony of Susan R. Cooper, MSN, RN Commissioner, Tennessee Department of Health

Testimony of Susan R. Cooper, MSN, RN Commissioner, Tennessee Department of Health Testimony of Susan R. Cooper, MSN, RN Commissioner, Tennessee Department of Health Before the Senate Health, Education, Labor and Pensions Subcommittee on Children and Families Childhood Obesity: The Declining

More information

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM Connect4 Patients CCCM Primary Care Community Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM September 17, 2015 Objectives: Describe innovative care management

More information

Improving Diabetes Care for All New Yorkers

Improving Diabetes Care for All New Yorkers Improving Diabetes Care for All New Yorkers Lynn D. Silver, MD, MPH Assistant Commissioner Bureau of Chronic Disease Prevention and Control Diana K. Berger, MD, MSc Medical Director Diabetes Prevention

More information

Connie Davis, MSN Executive Director Cherokee Nation Health Services

Connie Davis, MSN Executive Director Cherokee Nation Health Services Overview of the Cherokee Nation Health System & Efforts to Eradicate Diabetes and Obesity through Culturally Appropriate Treatment, Education, & Prevention Connie Davis, MSN Executive Director Cherokee

More information

HL7 Mobile Health Standards Transforming Healthcare

HL7 Mobile Health Standards Transforming Healthcare HL7 Mobile Health Standards Transforming Healthcare Mobile Health Work Group 1 Copyright HL7 Mobile Health Work Group The HL7 Organization Founded in 1987, Health Level Seven International (HL7), with

More information

Clinical Health Informatics: An Overview for Nurses Chapter 4

Clinical Health Informatics: An Overview for Nurses Chapter 4 Clinical Health Informatics: An Overview for Nurses Chapter 4 W R I T T E N B Y D O N N A O V E N S, C M A A, C T T, H I T P R O E D I T E D B Y : V A L E R I E F I S H E R, R N, M A H E A L T H W O R

More information

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric

More information

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat?

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? After eating, most food is turned into glucose, the body s main source of energy. 1 Normal Blood

More information

Rising Costs of Health Care

Rising Costs of Health Care Rising Costs of Health Care Testimony before United States Senate Finance Committee Field Hearing Missoula, Montana October 21, 2008 Fred Olson, MD Chief Medical Officer, Blue Cross and Blue Shield of

More information

Medical Home Overview May 6, 2014 Noon-1:00pm EST

Medical Home Overview May 6, 2014 Noon-1:00pm EST Medical Home Overview May 6, 2014 Noon-1:00pm EST Paul Klintworth, Medical Home Lead Office of the National Coordinator for IT U.S. Department of & Human Services Meaningful Use as a Building Block Office

More information

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,

More information

Pension & Health Benefits Committee California Public Employees Retirement System

Pension & Health Benefits Committee California Public Employees Retirement System California Public Employees Retirement System Agenda Item 8 ITEM NAME: Population Health Management Initiative PROGRAM: Health Benefits ITEM TYPE: Information EXECUTIVE SUMMARY This information item provides

More information

Electronic Health Record Systems Public Health Functionality

Electronic Health Record Systems Public Health Functionality Electronic Health Record Systems Public Health Functionality Mat Kendall Director of Operations Primary Care Information Project (PCIP) NYC DOHMH mkendall@health.nyc.gov TCNY 10 Priority Health Interventions

More information

NAHU. The Role of the Health Insurance Professional in Educating America. by Scott Leavitt. NAHU President

NAHU. The Role of the Health Insurance Professional in Educating America. by Scott Leavitt. NAHU President NAHU The Role of the Health Insurance Professional in Educating America by Scott Leavitt NAHU President Introduction To help licensed agents, brokers & consultants understand that they have a serious responsibility

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

If all public agencies provide Health & Welfare benefits and all employees are covered by Workers Compensation

If all public agencies provide Health & Welfare benefits and all employees are covered by Workers Compensation If all public agencies provide Health & Welfare benefits and all employees are covered by Workers Compensation Why do current (and long term WC Tail and OPEB) costs continue to escalate? As workforces

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 at a Glance: Europe 2014

Health at a Glance: Europe 2014 Health at a Glance: Europe 2014 (joint publication of the OECD and the European Commission) Released on December 3, 2014 http://www.oecd.org/health/health-at-a-glance-europe-23056088.htm Table of Contents

More information

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment

Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health

More information