HealthEC

Health Data Management - - GROUP PRACTICES -

HealthEC is a KLAS-rec­og­nized Pop­u­la­tion Health Man­age­ment Com­pany im­prov­ing pa­tient out­comes, man­ag­ing costs and op­ti­miz­ing pa­tient qual­ity of life for in­de­pen­dent physi­cians, provider or­ga­ni­za­tions and health plans. An ar­ray of con­sult­ing ser­vices sup­ple­ment in­house re­sources and de­velop or re­fine value-based care ini­tia­tives. Ad­vanced an­a­lyt­ics and work­flow man­age­ment tools guide pa­tient care in­ter­ven­tions for bet­ter care co­or­di­na­tion and max­i­mum re­im­burse­ment. Arthur Kapoor, Pres­i­dent and CEO, HealthEC

What tech­nolo­gies do health­care or­ga­ni­za­tions need to im­ple­ment to suc­ceed un­der value-based care?

The con­flu­ence of tech­nol­ogy and Big Data in the dig­i­tal age is trans­form­ing the health IT in­dus­try; and, as or­ga­ni­za­tions tran­si­tion to value-based mod­els, pop­u­la­tion health man­age­ment (PHM) tools are lead­ing the charge. With sim­pleto-nav­i­gate, in­ter­ac­tive dash­boards, these plat­forms pro­vide un­par­al­leled op­por­tu­ni­ties for health­care pro­fes­sion­als to an­a­lyze data and for­mu­late holis­tic strate­gies for im­prov­ing pa­tient out­comes and costs – par­tic­u­larly for the small amount of high-risk and ris­ing-risk pa­tients within a pop­u­la­tion who uti­lize the bulk of the re­sources.

Quite sim­ply, PHM so­lu­tions are rein­vent­ing how provider or­ga­ni­za­tions man­age and ad­min­is­ter ser­vices – achiev­ing clin­i­cal and op­er­a­tional out­comes that were un­heard of just five years ago.

Per­haps the most amaz­ing func­tion of cer­tain PHM so­lu­tions is the abil­ity to ac­cess data from any dis­parate sys­tem, in any set­ting and in most any for­mat – thereby al­low­ing or­ga­ni­za­tions to ag­gre­gate, nor­mal­ize and an­a­lyze decades of in­for­ma­tion us­ing a sin­gle plat­form.

How does ar­ti­fi­cial in­tel­li­gence im­pact health IT?

Ar­ti­fi­cial in­tel­li­gence is not a new phe­nom­e­non, but the con­ver­gence of AI and Big Data is likely to trans­form medicine. Health­care-based AI pairs deep learn­ing with mas­sive amounts of data from mul­ti­ple sources, such as claims, hos­pi­tal, health sys­tem, physi­cian prac­tice. and lab­o­ra­tory sys­tems. The clin­i­cal and fi­nan­cial in­for­ma­tion can be ag­gre­gated and pro­cessed in mean­ing­ful ways by ap­ply­ing pow­er­ful al­go­rithms to mil­lions of data points.

AI, in turn, finds a cor­re­la­tion. The more in­for­ma­tion ca­pa­ble of be­ing pro­cessed by ma­chine -based-learn­ing, the more in­sight­ful and ben­e­fi­cial are the ap­pli­ca­tions that in­te­grate and use the data for high per­for­mance an­a­lyt­ics.

Es­sen­tially, AI rec­og­nizes and an­a­lyzes chang­ing pat­terns in the pa­tient’s health and care, which gives physi­cians more time to re­act to and treat life-threat­en­ing dis­eases, for ex­am­ple.

How can the de­liv­ery of health­care un­der a value-based care pro­gram be im­proved by an­a­lyz­ing so­cial de­ter­mi­nants of health?

So­cial de­ter­mi­nants of health, which in­clude fac­tors such as a pa­tient’s so­cioe­co­nomic sta­tus, phys­i­cal en­vi­ron­ment and ed­u­ca­tion, are an in­creas­ing con­sid­er­a­tion of or­ga­ni­za­tions tran­si­tion­ing to new care de­liv­ery and re­im­burse­ment mod­els. Us­ing PHM so­lu­tions de­signed to au­to­mate pa­tient in­ter­ven­tions and ac­tiv­i­ties, physi­cians along with care co­or­di­na­tors can tackle bar­ri­ers block­ing op­ti­mal health to im­prove pa­tient out­comes and re­duce costs.

For ex­am­ple, a provider armed with rel­e­vant data can help a di­a­betic pa­tient ad­dress health lit­er­acy chal­lenges. The di­a­betes ed­u­ca­tor can point to healthy, low- cost food choices dur­ing a gro­cery store walkthrough. The phar­ma­cist can also meet with the pa­tient to re­view the med­i­ca­tion list and pro­vide ed­u­ca­tion, and bilin­gual sup­port staff can bridge lan­guage gaps.

Im­proved pa­tient en­gage­ment is an im­per­a­tive for health­care or­ga­ni­za­tions. How do you en­vi­sion health­care or­ga­ni­za­tions us­ing smart de­vices and other con­sumer­fac­ing tools to more fully en­gage pa­tients in their care?

Some ob­servers have noted anec­do­tally that we re­ceive more com­mu­ni­ca­tion from our den­tists and ve­teri­nar­i­ans than our doc­tors! With that, a tremen­dous amount of ac­tion can be taken em­ploy­ing smart de­vices and other con­sumer-fac­ing tools, in­clud­ing: • Send­ing out­bound mes­sages such as e-re­minders for up­com­ing ap­point­ments and sug­gest­ing pre­ven­tive care ser­vices such as in­fluenza vac­cines. • Com­mu­ni­cat­ing se­curely with pa­tients to fol­low-up af­ter ap­point­ments and pro­ce­dures, or stay­ing in touch with high-need pa­tients to avoid ex­ac­er­ba­tion of ill­ness. • Sup­port­ing data en­try by pa­tients with chronic ill­nesses to more closely mon­i­tor weight, blood sugar and other vi­tal signs. • De­liv­er­ing re­in­force­ment of ed­u­ca­tion and healthy be­hav­iors through pushe­d­u­ca­tion and knowl­edge as­sess­ment.

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