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KLAS Population Health
Webinar
BRADLEY HUNTER
RESEARCH DIRECTOR, POPULATION HEALTH
KLAS RESEARCH
© Copyright KLAS 2017 1
2
Aggregation Layer Care Coordination
Health
Improvement
Patient
Engagement
Clinician
Engagement
Administrative
Financial
...
3
2016 Keystone Summit: Population Health
4
Firm DNA – Value Base Care Report 2016
5
How are Providers attacking Value based Care
Engaging a third party for
VBC managed services:
Some organizations engage
...
6
Where is most of energy focused?
Managed Services VBC Consulting PHM Technology
90%
Mindshare
6%
Mindshare
4%
Mindshare
...
Opinion Poll
When do you think managing your patient
population's health will surpass fee-for-service as
your organization...
Riding the
VBC Waves
When do you think managing your
patient population's health will surpass
fee-for-service as your orga...
9
No Vendor Can Do Everything
We evaluated 12 different pop health vendors and we
narrowed it down to 3 and ended picking ...
10
What is KLAS hearing?
Where are providers getting value?
- There are many place that providers are getting value, but t...
Opinion Poll: Where are you on the football field?
Respondents: 167
How far developed are solutions?
Providers
said 35%
Vendors said
67%
13
Aggregation: Vertical 1
Basic Functionalities
• Ability to incorporate data using common industry
standards
• Timely ag...
14
Population Health Perception 2016
15
2016 Population Health Performance study
• Healthcare Provider reported
16
2016 Population Health Performance study
17
2016 Population Health Performance study
18
2016 Population Health Performance study
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KLAS Population Health Management Journey

As population health management goes mainstream, providers need robust, integrated software solutions to aggregate and analyze data, coordinate care, engage patients and clinicians, and provide full administrative and financial functionality. Population Health Management is a journey, and the number of approaches to population health are varied.

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KLAS Population Health Management Journey

  1. 1. KLAS Population Health Webinar BRADLEY HUNTER RESEARCH DIRECTOR, POPULATION HEALTH KLAS RESEARCH © Copyright KLAS 2017 1
  2. 2. 2 Aggregation Layer Care Coordination Health Improvement Patient Engagement Clinician Engagement Administrative Financial Analyze Layer Climbing the Population Health Mountain of Success P4P Shared Savings Bundled Payments Shared Risk Capitation Provider Sponsored Health Plan
  3. 3. 3 2016 Keystone Summit: Population Health
  4. 4. 4 Firm DNA – Value Base Care Report 2016
  5. 5. 5 How are Providers attacking Value based Care Engaging a third party for VBC managed services: Some organizations engage managed services firms, which offer a suite of end- to-end solutions to manage the transformation and provide ongoing support for VBC initiatives. Engaging a third party for VBC consulting/advisory services: Some organizations engage firms in an advisory capacity to support them as they learn the skills needed to sustain their own VBC initiatives. Tackling the transition in- house: Some advanced organizations may have the necessary experience and capabilities to make the transition to VBC independently. Managed Services VBC Consulting PHM Technology
  6. 6. 6 Where is most of energy focused? Managed Services VBC Consulting PHM Technology 90% Mindshare 6% Mindshare 4% Mindshare 22% Growth Year over Year 384% Growth Year over Year 688% Growth Year over Year
  7. 7. Opinion Poll When do you think managing your patient population's health will surpass fee-for-service as your organization's standard mode of operation? Respondents: 225 A: 1-2 years – 11% B: 3-5 years – 40% C: 6+ years – 24% D: Unsure – 25%
  8. 8. Riding the VBC Waves When do you think managing your patient population's health will surpass fee-for-service as your organization's standard mode of operation? Value Based Care Timing Report 2016
  9. 9. 9 No Vendor Can Do Everything We evaluated 12 different pop health vendors and we narrowed it down to 3 and ended picking the one that met our current needs and that is to do care management. One thing we learned was that no one can do everything. They all had their various strengths and weaknesses. We were looking for a tool that can pull data from other EMR’s outside our core EMR. We will still leverage our EMR’s Pop Health tools, but none of the tools out there can do everything that we need them to do. So we will likely continue to use multiple tools. - VP of Population Health
  10. 10. 10 What is KLAS hearing? Where are providers getting value? - There are many place that providers are getting value, but there is variability that is contingent on what the providers expectations were. The most value comes from strong partnerships, aligned with provider needs that drive outcomes. What are providers still missing? - This varies as well, but missing product functionality is the largest gap. Two key drivers in satisfaction here are integration, and having data available at the point of care. Providers still ask for these pieces. Providers report that getting the data is the hardest challenge. What are the 2 or 3 things that would make a difference? 1. Partnership: Strive toward deeper partnerships between providers and vendors working together focused on provider identified tangible outcomes. 2. Provider Readiness: a look in the mirror and assessing the support from the top to the skill sets of the front line, and the facilitation ability of the middle management. 3. Usability: Drive deep adoption with end users through: • Provider-led training to enhance usability. • Best practice leadership from the vendor.
  11. 11. Opinion Poll: Where are you on the football field? Respondents: 167
  12. 12. How far developed are solutions? Providers said 35% Vendors said 67%
  13. 13. 13 Aggregation: Vertical 1 Basic Functionalities • Ability to incorporate data using common industry standards • Timely aggregation/incorporation of ADT feeds • Pharmacy, prescription data • Claims/payer data • Inpatient clinical (EMR) data • Outpatient clinical (EMR) data • Aggregation of data from multiple, disparate sources • Incorporation of platform-generated data (such as assignments to registries) • Ability to normalize and clean incoming data • Reliable MPI (including duplicate record merging/deletion) • Compilation of a longitudinal record (multi-sourced longitudinal summary of all clinical activity, including clinical, claims, and care management interventions) Compilation of disparate clinical/administrative data sources to support population health. Advanced Functionalities • Integration with other organization MPIs • Advanced data quality monitoring tools (automated recognition and flagging) • Data quality monitoring tools • Aggregation of Patient-sourced data • Social determinants of health/community health data • Nontraditional data sets (i.e. public data sets, genomics, bio-market structures, etc.) • Imaging data
  14. 14. 14 Population Health Perception 2016
  15. 15. 15 2016 Population Health Performance study • Healthcare Provider reported
  16. 16. 16 2016 Population Health Performance study
  17. 17. 17 2016 Population Health Performance study
  18. 18. 18 2016 Population Health Performance study

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