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Note: This is an authorized excerpt from 2014 Healthcare Benchmarks: Population Health Management. To download the entire report, go to http://store.hin.com/product.asp?itemid=4926 or call 888-446-3530.

2014 Healthcare Benchmarks: Population Health Management In this second comprehensive survey, 129 healthcare organizations describe

advances in population health management, including populations served,

stratification tools and technologies, program sustainability, results and ROI,

and much more.

“We are creating a needs assessment to identify clinical, social, financial needs

and barriers to ongoing treatment and compliance to improve transitional care

and patients’ preparation for discharge.”

> Hospital/Health System

“[A success achieved with PHM] is increased patient satisfaction. We are now

using a blended approach of disease management and case management, which

is much better.”

> Independent Practice Association

“[A success achieved with PHM] is our assessment by a registered nurse specially

trained in motivational interviewing/intrinsic coaching.”

> Third-Party Administrator

“ For our practice, we determine success if a patient who once was unmotivated

to improve their health not only becomes motivated but makes the necessary

changes to do so. To measure care management success by numerical values

isn’t providing a clear picture of what all this role entails and can accomplish.”

> Physician Practice

© 2014, Healthcare Intelligence Network — http://www.hin.com 2

2014 Healthcare Benchmarks: Population Health Management

This special report is based on results from the Healthcare Intelligence Network’s third comprehensive industry survey on population health management conducted in June 2014.

Executive EditorMelanie MatthewsHIN executive vice president and chief operating officer

Project EditorPatricia Donovan

Document DesignJane Salmon


Table of Contents

About the Healthcare Intelligence Network ............................................................. 6

Executive Summary ................................................................................................. 6

Survey Highlights ..................................................................................................... 7

Key Findings ............................................................................................................ 7

Program Components .............................................................................................. 7

Results and ROI ........................................................................................................8

Successful PHM Work Flows, Processes and Tools ..................................................8

About the Survey .................................................................................................... 8

Respondent Demographics ...................................................................................... 9

Using This Report .................................................................................................... 9

Responses by Sector ...............................................................................................10

The Hospital/Health System Perspective ............................................................... 13

The Health Plan Perspective .................................................................................. 14

Year-Over-Year Survey Data .................................................................................... 16

Respondents in Their Own Words .......................................................................... 19

Most Effective Tool, Process or Workflow ............................................................. 19

Successes Achieved with Population Health Management ...................................20

Plans for Population Health Program Expansion ................................................... 21

Conclusion ..............................................................................................................23

7 Ways to Identify Candidates for PHM ..................................................................23

Figure 1: All - Existing Population Health Management Program .......................... 25

Figure 2: All - Plans for Future PHM Program ........................................................ 25

Figure 3: All - Areas Covered by PHM Program .....................................................26

Figure 4: All - Populations Served by PHM Program .............................................26

Figure 5: All - Health Risk Levels Served ................................................................ 27

Figure 6: All - Health Professionals on PHM Team ................................................ 27

Figure 7: All - Tools to Determine PHM Interventions ...........................................28

Figure 8: All - PHM Program Components .............................................................28

Figure 9: All - PHM Program Delivery Modalities ..................................................29

Figure 10: All - NCQA Wellness & Health Promotion Accreditation ......................29

Figure 11: All - Participation in Value-Based Delivery Models ................................30

Figure 12: All - PHM Program ROI ..........................................................................30

Figure 13: All - Metrics Measuring Program Effectiveness ..................................... 31

Figure 14: All - Sustainability of PHM Approach .................................................... 31

Figure 15: All - Impact of Population Health Management ................................... 32

Figure 16: All - Challenges of Population Health Management ............................. 32

Figure 17: All - Organization Type ........................................................................... 33

Figure 18: Hospital - Existing Population Health Management Program ...............33

Figure 19: Hospital - Plans for Future PHM Program .............................................34

Figure 20: Hospital - Areas Covered by PHM Program ..........................................34

Figure 21: Hospital - Populations Served by PHM Program ................................... 35

Figure 22: Hospital - Health Risk Levels Served ..................................................... 35


Figure 23: Hospital - Health Professionals on PHM Team......................................36

Figure 24: Hospital - Tools to Determine PHM Interventions ................................36

Figure 25: Hospital - PHM Program Components .................................................. 37

Figure 26: Hospital - PHM Program Delivery Modalities ....................................... 37

Figure 27: Hospital - NCQA Wellness & Health Promotion Accreditation .............38

Figure 28: Hospital - Participation in Value-Based Delivery Models .....................38

Figure 29: Hospital - PHM Program ROI ................................................................39

Figure 30: Hospital - Metrics Measuring Program Effectiveness ...........................39

Figure 31: Hospital - Sustainability of PHM Approach .......................................... 40

Figure 32: Hospital - Impact of Population Health Management ......................... 40

Figure 33: Hospital - Challenges of Population Health Management .................... 41

Figure 34: Health Plan - Existing Population Health Management Program ......... 41

Figure 36: Health Plan - Areas Covered by PHM Program .....................................42

Figure 37: Health Plan - Populations Served by PHM Program .............................43

Figure 38: Health Plan - Health Risk Levels Served ...............................................43

Figure 39: Health Plan - Health Professionals on PHM Team ................................44

Figure 40: Health Plan - Tools to Determine PHM Interventions ..........................44

Figure 41: Health Plan - PHM Program Components .............................................45

Figure 42: Health Plan - PHM Program Delivery Modalities .................................45

Figure 43: Health Plan - NCQA Wellness & Health Promotion Accreditation .......46

Figure 45: Health Plan - PHM Program ROI ........................................................... 47

Figure 46: Health Plan - Metrics Measuring Program Effectiveness .....................47

Figure 47: Health Plan - Sustainability of PHM Approach .....................................48

Figure 48: Health Plan - Impact of Population Health Management ....................48

Figure 49: Health Plan - Challenges of Population Health Management ..............49Appendix A: 2014 Population Health Management Survey Tool ............................... 50


56% of survey respondents

have a program

to manage population

health.

About the Healthcare Intelligence Network

The Healthcare Intelligence Network (HIN) is an electronic publishing company providing high-quality information on the business of healthcare. In one place, healthcare executives can receive exclusive, customized up-to-the-minute information in five key areas: the healthcare and managed care industry, hospital and health system management, health law and regulation, behavioral healthcare and long-term care.

Executive Summary

As population health management (PHM) finds its footing in value-based healthcare, PHM program focus, support tools and key players continue to shift, according to the latest Population Health Management Survey by the Healthcare Intelligence Network.

In the two years since HIN first administered this survey, PHM teams have narrowed their approach, targeting individuals with moderate and complex health risks more closely than two years ago. The same period reflects a dramatic surge in the use of data analytics tools barely on PHM’s radar in 2012: the use of health risk assessments (HRAs), registries and biometric screenings more than tripled in the last 24 months, while electronic health record (EHR) applications increased five-fold for the same period.

PHM team composition has also shifted to reflect a greater reliance on primary care: primary care physicians (PCPs) appeared on 86 percent of respondents’ PHM teams, versus 60 percent in 2012. The presence of case managers has grown more than 15 percent; registered dieticians and social workers also have more skin in the PHM game in 2014.

Confident in their investment in human and technological capital, 96 percent of PHM respondents indicate they believe a population-based health management approach is sustainable.

“Most effective tool: Filtering

data to prevent care coordinator

overload and allowing care

coordinators to interact with the

patient.”


86% of health plan PHM

programs include health risk

stratification.

“Most effective tool: We use the Geisinger

screening assessment to identify those

at risk for readmission.”


Respondent Demographics

Responses to the June 2014 survey on population health management were submitted by 129 organizations. Of 89 respondents identifying their organization type, 34 percent were hospital/health systems, 13 percent were health plans, 12 percent were disease management or health coaching organizations, 7 percent were physician practices, and 35 percent categorized their organization type as ‘Other.’

Using This Report

This benchmarking report is intended as a resource for healthcare organizations searching for comparable data and means to measure implementation and progress. It is also a helpful planning tool for organizations readying initiatives in this area.

The initial charts and graphs presented here represent results from all respondents; images in subsequent sections depict data from high-responding sectors. (Figure titles begin with the segment they represent; for example, All, Health Plans, Hospitals, etc.)

Often, one of the largest responding sectors is composed of respondents identifying their organization type as “Other.” In general, we do not depict results from this segment because it represents a wide range of organization types, including consultants and product vendors. However, you will always find a graph indicating the demographics of respondents.

Here are some additional tips for using this report:

9 See how you measure up: Scan this report for your sector, and see how your program compares to others. Note where you are leading and where you are behind.

9 Evaluate your efforts: Think about where you have been focusing your efforts in this area. Look for trends in the data in this report. Look for benchmarks set by your sector and others.

9 Set new goals: Use the data in this report to set new goals for your organization, or to raise the bar on existing efforts.

9 Use it as a reference book: Keep this report accessible so you can refer to it in your work. Use these data to support your efforts in this area.

If you have questions about the data in this report, or have feedback for our team,

don’t hesitate to contact us at [email protected] or 732-449-4468.


5.4%

25.0%

28.6%

32.1%

37.5%

51.8%

67.9%

78.6%

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

Other

Social media

Texts

Apps

Remote monitoring

Print

Patient portal

Telephone

18.2%

81.8%

YesNo

Figure 9: All - PHM Program Delivery Modalities

© 2014

Figure 10: All - NCQA Wellness & Health Promotion Accreditation

© 2014

Which modalities are supported in program delivery?

Has your program achieved NCQA Wellness and Health Promotion accreditation?

HIN Population Health Management SurveyJune, 2014

HIN Population Health Management SurveyJune, 2014

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Note: This is an authorized excerpt from 2014 Healthcare ... · providing high-quality information...

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