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Healthcare Benchmarks and Metrics July 2014
www.hin.comThe Healthcare Intelligence Network • 800 State Highway 71, Suite 2 • Sea Girt, NJ 08750
888-446-3530 • [email protected]
Population Health Management in 2014:Surge in ‘Big Data’ Tools
Transforms Care Coordination
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July 2014 • Population Health Management in 2014
Population Health Management in 2014: Surge in ‘Big Data’ Tools Transforms Care Coordination
As population health management (PHM) finds its footing in value-based healthcare, PHM program focus, support tools and key players continue to shift, according to the latest Population Health Management Survey by the Healthcare Intelligence Network.
In the two years since HIN last administered this survey, PHM teams have narrowed their approach, targeting individuals with moderate and complex health risks more closely than two years ago. The same period reflects a dramatic surge in the use of data analytics tools barely on PHM’s radar in 2012: the use of health risk assessments (HRAs), registries and biometric screenings more than tripled in the last 24 months, while electronic health record (EHR) applications increased five-fold for the same period.
PHM team composition has also shifted to reflect a greater reliance on primary care: primary care physicians (PCPs) appeared on 86 percent of respondents’ PHM teams, versus 60 percent in 2012. The presence of case managers has grown more than 15 percent; registered dieticians and social workers also have more skin in the PHM game in 2014.
Confident in their investment in human and technological capital, 96 percent of PHM respondents indicate they believe a population-based health management approach is sustainable.
Survey Highlights
�� The prevalence of population health management programs remained relatively stable from 2012 to 2014, with just over half of respondents reporting PHM initiatives.
�� Almost two-thirds of 2014 respondents—64 percent—identified the HRA as the primary tool for determining appropriate PHM intervention levels, replacing claims data, the preferred stratification tool in 2012.
�� PHM for Medicare and Medicaid populations jumped at least 20 percent in the last two years, while PHM offerings for commercial populations dropped from 85 to 71 percent from 2012 to 2014.
�� Almost one-third of responding PHM programs—31 percent—belong to a medical neighborhood, a new metric derived from this year’s survey.
�� Patient engagement remains the chief PHM challenge, but dropped in intensity from 42 to 29 percent.
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Buy the Complete ReportNeed more data from this survey? The Healthcare Intelligence Network has produced 2014 Healthcare Benchmarks: Population Health Management, a comprehensive set of metrics from 129 healthcare companies on PHM program components, professionals on the PHM team, incentives, challenges and ROI, and much more.
For more information on this report, please visit: http://store.hin.com/product.asp?itemid=4926
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July 2014 • Population Health Management in 2014
Program Components�� The inclusion of health promotion and wellness elements in PHM programs
dropped from 83 percent in 2012 to 71 percent this year.
�� The use of remote patient monitoring in PHM nearly tripled from 2012 to 2014, from 13 percent to 38 percent.
�� One-quarter of PHM programs use social media to engage members, a new metric derived from the 2014 survey.
�� In a PHM metric new for 2014, 43 percent of PHM programs incorporate home visits into population health management plans.
Results and ROI�� Patient satisfaction is the key metric to evaluate PHM success, say 79 percent of
respondents.
�� Seven percent of this year’s respondents report PHM ROI between 2:1 and 3:1.
�� Forty percent of 2014 respondents reported an increase in provider satisfaction associated with population health management. In a related metric, fewer 2014 respondents faced barriers in aligning physicians with PHM: 14 percent of this year’s respondents identified this as a challenge, versus 21 percent in 2012.
3.4%
22.4%
24.1%
27.6%
34.5%
36.2%
50.0%
56.9%
58.6%
63.8%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%
Other
Chart
Registry
Biometrics
Self-Ref.
Predict. model
MD referral
EHR
Claims
HRA
How do you determine the appropriate PHM intervention level?
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July 2014 • Population Health Management in 2014
Successful Work Flows, Processes and Tools
Here is a sampling of successful population health management tools from respondents:
�� “Interdisciplinary conversations regarding patient status and recommendations for care and process management.”
�� “Filtering data to prevent care coordinator overload and allowing care coordinators to interact with the patient.”
�� “Motivational interviewing techniques with patients. Identification of care gaps and technical assistance to providers to close those gaps.”
�� “Practice-based case managers follow a cohort of high-risk patients.” �� “We use the Geisinger screening assessment to identify those at risk for
readmission.”
About the SurveyThe 2014 Population Health Management survey was administered in June 2014 via the Healthcare Intelligence Network Web site at http://www.hin.com. Respondents were invited to take the survey via e-mail, e-newsletter and social networking reminders throughout the month. A total of 129 healthcare companies responded to the survey, which asked 24 questions on population health management, with multiple responses possible on some questions. Some questions were open-ended, inviting write-in responses. Not all surveys were fully completed. Data is qualitative, and results were compiled by the Healthcare Intelligence Network.
Respondent DemographicsResponses to the June 2014 survey on population health management were submitted by 129 organizations. Of 89 respondents identifying their organization type, 34 percent were hospital/health systems, 13 percent were health plans, 12 percent were disease management or health coaching organizations, 7 percent were physician practices, and 35 percent categorized their organization type as ‘Other.’
Industry Experts Weigh In...
Managing Risk in Population Health
Elizabeth Miller, VP of care management,
Adventist Health.
Improving Population Health with Embedded
Case Managers
Annette Watson,
senior VP of community transformation, Taconic IPA.
Registries and Population Health
Jim Bellows, PhD, senior director of evaluation and
analytics, Kaiser Permanente
More Population Health Podcasts
in Our Archive
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July 2014 • Population Health Management in 2014
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About the Healthcare Intelligence NetworkThe Healthcare Intelligence Network (HIN) curates high-quality information on the business of healthcare. Healthcare executives can receive exclusive, customized real-time news and data in their preferred format in five key areas: healthcare and managed care, hospital and health system management, health law and regulation, behavioral healthcare and long-term care.
Contact Us: Healthcare Intelligence Network800 State Highway 71 Sea Girt, NJ 08750Phone: (888) 446-3530 Fax: (732) 449-4463E-mail: [email protected]
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Option 1: Buy the Full ReportDownload the PDF instantly ($107) or order a print copy ($117) of 2014 Healthcare Benchmarks: Population Health Management, a comprehensive set of metrics from 129 healthcare companies on PHM program components, professionals on the PHM team, incentives, challenges and ROI.For more information on this report, please visit: http://store.hin.com/product.asp?itemid=4926
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