BIG DATA & HEALTHCARE ANALYTICS: A HIMSS EVENT
SAN FRANCISCO, CA - MAY 15-16, 2017
Population Health permeates health care initiatives today, but gleaning improvements and effectiveness from data is exceedingly complex. UCSF Health’s IT and Population Health teams partnered to bring together patient care and Payor data to gain new insights and provide better care for vulnerable populations in UCSF’s commercial Accountable Care Collaborations (ACOs).
UCSF collaborated with multiple payors to receive raw ACO member data and custom reports. Data included eligibility files and claims, while delayed, was more accurately representative of utilization. A clinical data warehouse was leveraged to store payors data alongside UCSF’s timelier and more accurate, patient data. Significant efforts were made to match patients among all data sets, serving as the lynchpin to the patient population at UCSF through our ACOs. Furthermore, a sophisticated analytic tool was created to collate and display data to provide insight on various populations and characteristics. Results were two-fold. Clinically, new insights informed strategic interventions, such as improved communication around urgent care use with observed increased ED utilization. Technically, the project informed IT of data requirements, including standardization, crucial to successful data analysis of multiple payors.