health data analytics: context is king
TRANSCRIPT
Health Data Analytics:Context is KingPresented by Mandi Bishop
@MandiBProLead, Health Analytics Innovation & ConsultingDell Healthcare & Life Sciences
#KingContext at #AHIPDigital
2Dell - Internal Use - Confidential
Meet “Sandy”
3Dell - Internal Use - Confidential
Sex: FemaleAge: 39Location: Orlando, FLMarital Status: DivorcedDependents: 1 female, 13 yearsEmployer: ACME EnterprisesSmoking Status: Non-Smoker
Sandy’s Stats
4Dell - Internal Use - Confidential
Sandy, Health Plan ViewGroup: ACME (National VIP)
Network: ACO Roadrunner
Attributed PCP: Dr. Wile E. Coyote
CM/DM Program: Diabetes
CM/DM Status: Inactive
ED Utilization: 4
IP Utilization: 3
Ambulance: 4
Ambulatory Utilization: 1
Annual Wellness Visit: Not filed
5Dell - Internal Use - Confidential
Sandy Gets CAHPS Survey
In the last 12 months, how often did your health plan’s customer service give you the information or help you needed?
In the last 12 months, how often did your health plan’s customer service staff treat you with courtesy and respect?
In the last 12 months, how often were the forms from your health plan easy to fill out?
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How Confident Are You?
…that the information provided throughout the year was useful and relevant to Sandy?
…that she felt she was treated with courtesy and respect?
…that she understood how to properly complete the forms you provided to her?
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How Confident Are You?
…that Sandy will even respond?
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Life IS Health: Context Matters
Race
Ethnicity
Language
Education
Occupation
Living situation
Lifestyle
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Lifestyle Context
Exercise habits
Nutrition habits
Sleep habits
Habit awareness
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Location ContextAre preventive services available, in timely manner, within convenient distance of Sandy’s home? What about Sandy’s work?
Is public transportation available near Sandy?
Do you know if Sandy has access to her own transportation?
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Financial ContextIncome – household sole source?
Credit – good? Bad?
Debt-to-income ratio?
Home – own? Rent?
Car – own? Lease?
School – private?
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Family Context
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Mental Health Context
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Why Invest In Context?Health plans want to be partners in member/patient care. Partnerships require trust. Trust is earned.
Build trust by knowing the person behind the membership number.
Members who trust you are more likely to engage, achieve Triple Aim goals.
15Dell - Internal Use - Confidential
Diabetes:Pop Health + ContextDiabetes Population Health
•Data sources today: medical and ancillary claims, labs•Propensity to develop co-morbidities•Prioritize outreach (by number care gaps)•Discover variations in care
Diabetes Population Health - Enhanced Context
•Enhanced data sources: above + behavioral health claims, EHR, HRA, public data sets (CMS, FDA, HHS, census, climate, transportation, education, crime), social media
How would additional data change the way you do population health?
16Dell - Internal Use - Confidential
Each Region, Family, PersonHas a Story that Guides Choices.
Know the Story to Meaningfully Engage.
17Dell - Internal Use - Confidential
Context is King.
we are templates.
Without it,
