When making a move to population health management, identifying high-need, high-cost patients is a crucial first step. But on its own, it may not enough to help providers prioritize care management services.
If you start by identifying the top 5 percent of your highest-utilizing patients, you may generate a list with hundreds, if not thousands, of names.
While some might respond positively to blanket outreach efforts, not all of them will.
To determine which patients are ready to engage, providers can use the same types of analytics tools that identify patients with high clinical risk or chronic illness. They just need to apply the tools to additional data sets.
Using data to review demographic and socioeconomic factors along with patient preferences, opinions and values can help providers discover to which patients will benefit most from interventions.
For example, clues in the data could include frequency of outpatient visits, emergency admissions, pharmacy refills, and patient communication preferences.
Once providers have this data, they can work to develop targeted communication strategies that support and align with clinical strategies.
Prepare for some trial and error. But that will diminish as more data is collected.
Learn more about behavior change strategies in the latest #5in5 episode: Target super-utilizers.
The article explores the role of patient interactions in care management and offers solutions on tracking whether your efforts are working.
About the Author:
Jay Levine, MA, MBA, is the Vice President of Provider Population Health Management Solutions for Optum’s Consumer Solutions Group. He has over 20 years of experience supporting healthcare leaders and provider organizations in areas such as strategic planning, marketing, business development, physician practice management, and hospital operations.
Jay currently serves as a subject matter expert and strategic advisor to provider organizations establishing population health management capabilities to transition their clinical operations to a risk bearing entity. He has been featured in publications including Healthcare Executive and Healthleaders.com and presented at national conferences on the topics of healthcare strategy and marketing.