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The Necessity of a Value Chain Model for Health Analytics

by Robert Tholemeier | April 04, 2016

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The industry’s ongoing shift away from its fee-for-service (FFS) business model requires HCOs to provide high-value and not high-volume healthcare services for the communities they serve. Concurrent with this shift is the further digitization of care processes to improve the patient experience and optimize services. This requires a heavy reliance on data analytics to garner a deep understanding of how the HCO operates and the patients it serves.

Compounding this challenge is that the analytics platforms in place in today’s HCOs focus largely if not entirely on clinical data when social, environmental, and behavioral factors comprise up to 90 percent of a patient’s determinants of health. Leading HCOs are only just beginning to incorporate these datasets into their analysis of patient/population health but will need to move aggressively forward to truly capture the complete determinants of health for their patients to guide care coordination and patient activation across the entire care delivery chain – from preventive services to diagnosis and treatment to ongoing self-care in the home.

In many cases, this process is easier said than done, as data resides in disparate clinical, claims, laboratory, pharma, public health and patient-generated systems. Integrating these data sources is complicated and costly, but doing so gives HCOs greater insight into the services that patients have already received and still need – which helps avoid the duplicate tests, unnecessary services, and readmissions that the VBC model punishes.

The Chilmark Research Value Chain Model will help HCOs adopt a step-by-step process to identifying the stakeholders, processes, and outcomes that are key to a 360-degree analytics strategy in a VBC model. The report provides strategic insight and guidance to anyone interested in the role that a defined analytics strategy and robust analytics platform can play in accelerating an HCO’s ability achieve the goals of VBC. HCOs, payers, healthcare IT vendors, consultants, investors, and others will all benefit from this in-depth report.

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