The hospital of tomorrow will focus on population health

The rate of change in health care seems to be accelerating each year, and provider organizations such as Aurora Health Care are challenged to keep pace with the change. Aurora’s Sylvia Meltzer, MD and Laura Spurr MS will be discussing at the U.S. News Hospital of Tomorrow Forum how their organization is using big data to transform for the future.

Aurora is one of the many organizations combining data from clinical sources such as electronic medical records with claims data, socio-demographic data and other data types to gain a complete view of their patient population. These organizations use this data to risk-stratify their patients with chronic illness, analyze predictive data, and improve quality of care through making the data actionable. Aurora views looking at this use of data—specifically by applying the data to population analytics—as the next step in improving quality of care.

“Our mission statement is ‘Helping Patients Live Well,’ and we wanted to do that with a broader population as opposed to one individual patient at a time,” Dr. Meltzer said. Ms. Spurr points out that “One of the key driving forces [is] to be able to look at populations in different ways to help drive organizational efficiency and to better prepare us for the shift that’s coming from volume to value in healthcare.”

Aurora has used population analytics to identify significant care improvement needs, then has implemented clinical programs to improve patient health.

One area of focus is with high-risk congestive heart failure (CHF) patients. In a pilot project, Aurora identified the top 20% of their population for likelihood of a CHF-related admission within the next 6 months. By proactively engaging these CHF high-risk patients, the care teams worked to prevent future admissions and exacerbation of these patients’ CHF condition. The organization saw significant clinical successes through this initiative:

  • 60% reduction in Heart Failure admissions from 2012 to 2013
  • Decrease in ER utilization
  • Increase in patient wellness (i.e., patients moved down in their percentile risk score in the predictive model over time)
  • Enhanced care coordination model with expanded primary care delivery team
  • 20% decrease in all-cause readmissions from 2012 to 2013

Don’t miss Dr. Meltzer and Ms. Spurr’s presentation at the U.S. News Hospital of Tomorrow Forum, Tuesday, October 7, from 10:45 a.m. to 12:00 p.m. The event will be streamed live at the U.S. News website.

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