WHAT BIG DATA MEANS TO A HOSPITAL
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- Percival Rogers
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1 WHAT BIG DATA MEANS TO A HOSPITAL FOR PLANNERS AND MARKETERS Presented by: Dr. Brad Bowman, Chief Medical Officer Corey Smith, Sr. Director, Enterprise Solutions Presenter Title
2 Vilfredo Pareto Colin Powell 80/20 Rule 40/70 Rule
3 What to expect 1. Big Data looks like 2. Your Big Data Ask 3. What to Do with the Answers 4. Future view
4 WHAT DOES BIG DATA LOOK LIKE FOR PLANNERS AND MARKETERS
5
6 For Healthcare Planners and Marketers What does Big Data look like Your Population Database Encounter data Market data Claims data Financial data Demographic data
7 WHAT SHOULD YOU ASK OF YOUR BIG DATA
8
9 The, which patients with highest risk and greatest need Predictive models help target the right patients, with the right messages, at the right time Patient Model Consumer Model
10 Northeast System Scored File Have Event Midwest System Merged Database West Coast System Northwest System Do Not Have Event Data File
11 WHAT SHOULD YOU DO WITH THE ANSWERS
12 Value of Knowing the Future Promote joint replacement capabilities to those most likely to need a knee replacement VOLUME Invite the most at risk patients to heart health screenings Make sure patients likely to be admitted for asthma are connected to a PCP VALUE
13 BIG DATA IN THE FUTURE * * the future may be sooner than you think
14 Now is the time when your hospital needs to keep patients more compliant and healthy than ever before
15 as well as align physicians that support population health needs
16 or risk losing market share, referrals and appropriate utilization
17 Total Health Deficit Healthy Frontier Health 1. Maximal Health 2. Actual Health 3. Health Gap 4. Total Health Deficit Time Pamela Peele, Ph.D, Chief Analytics Officer, Insurance Services Division, University of Pittsburgh Medical Center, 2014 HealthShare Symposium
18
19 Population Health 1. Rank Order 2. Groups Source: AHRQ Healthcare Costs, 2011 That is 80/20
20 Population Health Who What Source: AHRQ Healthcare Costs, 2011 Source: AHRQ Healthcare Costs, 2011
21 % 2012 Total Direct Costs Who - Future Cost Prediction % Direct Cost Prediction 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0% % Patients with visit in past 3 years DC_2011 Predictor PDI Predictor DC_2012 Actual
22 What - MOAA Mother of All Algorithms Evidence-based, prioritized To Do list Personalized to each individual Based on THEIR most import health issues Holistic whole-person approach Sharable across care network
23 MOAA Patient POV (Care Promise) Dear Mary Patient Here are some of your most important current health issues that I would like to work on with you. 1. Improve your blood sugar control 2. Keep a close watch on your blood pressure 3. Work on decreasing your joint pain 4. Help you get better sleep 5. Increase your physical endurance Sincerely, M Smith MD
24 Population Health Unaddressed Needs Individual needs (To-dos) Choices -> 75% healthcare spending/morbidity Limited access x 15min Inter-visit care (363) Source: AHRQ Healthcare Costs, 2011 Source: AHRQ Healthcare Costs, 2011
25 The Opportunity Influence people to make more good choices and fewer bad choices. Persuade people to do things that they don t want to do. Help people accomplish things that they want to do but for which they have not been successful Help people accomplish things that they have no idea how to do.
26 Our Approach The Healthgrades Population Health Platform is a care coordination and messaging system that creates and maintains patient engagement by: establishing an ongoing dialogue with each member via the of delivery personalized health information and provider recommendations, in the most cost-efficient channels (multi) on behalf of their providers to improve patient choices and behaviors.
27 Virtual Case Management Peter Paul Mary 57, White Male CHF 62, Hispanic Male Hep C Cirrhosis 65, White Female Venous Insufficiency Diabetes 27
28 Virtual Case Management Peter Paul Mary 28
29 Virtual Case Management Peter Paul Mary Lisinopril 20mg po qd Spironolactone 100mg po qd Furosemide 40mg po bid 29
30 Virtual Case Management 30
31 Virtual Case Management 31
32 Big Finish Slide Here
33 Nothing happens until something moves. - Albert Einstein
34 5 Moves You Should Make 1) Plan Communications 2) Identify 3) Reach Specific Patients 4) Motivate Behavior 5) Measure Results
35
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