Medicare Accountable Care Organizations (ACOs), the Bundled Payments for Care Improvement program, and value-based contracting in general have driven the health care industry to invest in population health management (PHM) applications and services. But it turns out that it takes more to succeed in value-based care than purchasing technology or engaging in a short-term consulting […]
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Health care has come a long way in its use of data and analytics to improve the quality of care and better utilize resources and dollars. But the full potential of good data still has not been realized. Electronic medical records (EMRs) opened the floodgates for collecting, managing, and leveraging patient data. A next logical […]
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In earlier posts, we discussed that good data is data that spurs action — on the part of both providers and patients. This is no truer than for the patient-centered medical home (PCMH) model, where primary care is organized in a way that emphasizes care coordination and communication. Patients get higher quality care and providers […]
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There’s a story of a group of doctors who were measured on how well they controlled patients’ blood pressure. When the scorecard came out, a physician was at the bottom and a nurse practitioner was near the top. Talk about a wake-up call. No doctor wants to be last on any clinical measurement. Physicians want […]
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Most health care organizations have terabytes of patient data at their disposal. But without the right analytics programs, all that information is just words and numbers. “Big data” doesn’t always equal “good data.” Providers now know that to get a full picture of patients’ health status they need data from many sources, including claims, clinical, […]
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Take a look at the Oakland Athletics baseball team today and it may not seem like much of a success story. The team hasn’t won a World Series since 1989 and has made the playoffs only eight times in the past 17 years. They aren’t that good, right? Peer deeper and you’ll discover that the […]
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Today’s health systems live in two realities: traditional, fee-for-service reimbursement and value-based care payment models. The latter reality requires health systems to take on more clinical and financial risk — all while finding ways to maximize payment in the former reality. To do so, they must find ways to optimize performance as costs rise, reimbursements […]
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Billy Beane, the man made famous by Moneyball, didn’t turn the Oakland Athletics into contenders by following standard measurables — home runs, RBI, etc. — for professional baseball players. Instead, he focused on little-used metrics that made a big difference in wins and losses. He created a plan and stuck to it. And he changed […]
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Statistical analysis used by Billy Beane to mold the Oakland Athletics of the early 2000s into winners wasn’t new by any means. The Brooklyn Dodgers hired a statistician in 1947 who advocated using players adept at getting on base. It took Major League Baseball more than half a century to embrace the use of data […]
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In the early 2000s, the Oakland Athletics were the measuring stick for how to win ballgames. The A’s won more than 100 games in both 2002 and 2003. They made the playoffs four consecutive years. And the team did it with the sixth-smallest payroll in Major League Baseball. General manager Billy Beane was the mastermind […]
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