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Introducing the Health Catalyst Population Health Foundations Solution: A Data- and Analytics-first Approach to PHM

June 11, 2019

Article Summary


Introducing the Health Catalyst Population Health Foundations solution, which draws on integrated claims and clinical data, and provides essential, extensible tools and machine-learning capabilities for optimizing results in value-based risk arrangements.
Accompanying solution services ensure that the strategic value of data is maximized to improve performance in risk contracts—and provide side-by-side subject matter expert partnership for establishing short- and long-term goals for population health management.

Medical professional holding a clipboard and smartphone looking at a chart

As healthcare costs continue to soar, organizations ranging from health systems to large employers increasingly assume a greater share of the financial risk for managing the health of populations. Most of these organizations, however, struggle to attain the optimum balance of high-quality care and cost containment—the building blocks of success in the new world of value-based care (VBC).

Population Health Foundations Solution Delivers Real Results

With its industry-leading data- and analytics-first approach, Health Catalyst® delivers real population health success by drawing on a wealth of data sources, domain knowledge, and adaptable tools and applications to lay the groundwork for a modern, data-enabled, digital healthcare system that is equipped to take on risk for the populations it serves. This approach is designed to accommodate the full breadth and complexity of an organization’s population health needs today—and to allow organizations to adapt and evolve their data and analytics investments to meet emerging needs in the decades to come.

The Population Health Foundations solution draws on integrated claims and clinical data, and provides essential, extensible tools and machine-learning capabilities for optimizing results in value-based risk arrangements. Accompanying solution services ensure that the strategic value of data is maximized to improve performance in risk contracts— and provide side-by-side subject matter expert partnership for establishing short- and long-term goals for population health management.

As organizations target specific improvement opportunities and grow in their ability to respond to the unique needs of their populations, the Population Health Foundations solution provides a solid basis of data and analytics on which to build with additional Health Catalyst technology in the future.

Built on Health Catalyst’s foundational technology and supported by the nation-wide experience and perspective of its experts, the Population Health Foundations solution also helps organizations leverage multiple data sources to understand their patient populations and create meaningful views of financial and clinical quality performance. With a flexible starter set that organizations can build on based on their needs, the solution compensates for the known failures of “black box” population health applications that, by not revealing the “why” of analytics insights, exacerbate the challenges of transforming quality, cost, and care delivery.

Delivering the Essentials for Success

The Population Health Foundations solution delivers the following essentials for success under value-based risk arrangements:

  • Claims and clinical datato provide a comprehensive, cross-continuum view of each patient and the care they are receiving.
  • Flexible, transparent tools for ad hoc analysisto open the black box of PHM analytics and provide fast access to deeper insights.
  • Web-based patient stratification and registry buildingthat start with predefined PHM populations, standard risk scores, and machine learning models. The Population BuilderTM: Stratification Module exports these population-health focused elements directly into their analytic environment.
  • Quality and financial performance metricscombined into a single executive dashboard to allow clients to choose, measure, track, and manage the metrics that matter most for success in their contracts.
  • Side-by-side partnership with population health专家提供基于价值的护理的不同背景的团队成员的经验,以最大化客户数据的价值,并获得未来方向的战略见解。
  • Broader population health needswith the ability to integrate and add other Health Catalyst tools onto the Foundation, including tools to support:
    • Contract performance modeling.
    • 措施和护理差距分析。
    • 护理管理工作流程支持。
    • Risk adjustment and hierarchal condition category (HCC) coding gap identification.
    • Cost accounting and management.
    • Care variation analysis.
    • Patient safety identification and reporting.

凭借数据源和分析专业知识的广度和深度,Health Catalyst在提供PHM成功所需的数据、分析和服务方面具有独特的能力和经验。世界杯葡萄牙vs加纳即时走地该公司基于云的数据平台,健康催化剂数据操作系统(DOS™),从世界杯厄瓜多尔vs塞内加尔波胆预测超过5000家诊所和500家世界杯葡萄牙vs加纳即时走地医院服务的1.25亿名患者获取数据。DOS集成了40万亿事实,包括来自300多个源系统的临床、分子和财务数据元素,包括ehr、成像系统、企业资源规划和患者满意度应用程序。

The Population Health Foundations solution leverages not only Health Catalyst’s unprecedented data infrastructure but also the company’s expertise in helping healthcare organizations across the country use data and analytics to improve clinical, financial, and operational outcomes, as documented in over 1502022年世界杯预赛分组.

Three Common Problems Population Health Foundations Solution Solves

  1. A limited view across the patient care continuum: Population health and risk-bearing models present a more challenging set of use cases than traditional fee-for-service models, requiring data aggregation, data enhancement, and data analysis. Many point solutions lack these capabilities. The Population Health Foundations solution aggregates both claims and clinical data to enable population stratification, registry creation, and performance monitoring across multiple care settings, with advanced dashboard functionality.
  2. Singular point solutions: Healthcare is rapidly evolving. Organizations need to make investments that leave them open to future technologies and strategies that can accommodate the inevitable need for data integration and the specific insight their current circumstances require. The Population Health Foundations solution acts as an analytics starter set, upon which an organization can add additional relevant tools in a modular capacity, and over time, as their needs evolve. Gaps in HCC coding? Patient safety needs? Desire to identify clinical variation in congestive heart failure management? The solution is a foundation for organizations to build on based on their dynamic opportunities and goals.
  3. Gaps in domain expertise:一项有效的人口健康管理战略需要跨多个VBC类别的领域专业知识,包括临床和索赔机会分析和优先排序、政府和商业付款人的参与和合同管理以及自我保险的雇主成本控制。世界杯葡萄牙vs加纳即时走地Health Catalyst拥有一批实力雄厚的团队成员,他们曾领导过aco、CINs和雇主赞助的计划,可以为在这些领域存在差距的组织提供服务和战略支持。

接下来是什么?

Population health work can seem overwhelming and risky, but the transition to value is imperative for survival as success is based on improved patient outcomes rather than volume. The Population Health Foundations solution enables payers, providers, and employers to execute on the population health work they need to be successful, with the help of industry-leading analytics solutions and a partner with over 10 years’ experience improving outcomes for the nation’s leading healthcare organizations.

Additional Reading

Would you like to learn more about this topic? Here are some articles we suggest:

  1. Introducing Population Builder: Stratification Module
  2. Why Patient-Reported Outcomes Are the Future of Healthcare—and the Key to Ruth’s Independence
  3. Identifying Vulnerable Patients and Why They Matter
  4. Care Management Analytics: Six Ways Data Drives Program Success
  5. Measuring the Value of Care Management: Five Tools to Show Impact
Engaging Health System Boards of Trustees in Quality and Safety: Six Must-Know Guidelines

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