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HIMSS Panel on Population Health, CEO Mansoor Khan of Alere Analytics Shares his Insights on Chronic Care Management

October 22, 2014

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On October 21, 2014, CEO Mansoor Khan of Alere Analytics participated on an industry panel at the HIMSS New England chapter event addressing the topic of population health.

Topics included during the panel were:

  • How do strategies differ to address population health vs. care for individual patients?
  • The importance of population health is clear for accountable care organizations.  Is there a value to population health strategies for organizations that are receiving fee-for-service payments?
  • What are the data analytics tools needed to address population health?
  • How can population health strategies help reduce health disparities (race/ethnicity/gender)?
  • Can you give any examples/case studies of clinical organizations that helped develop innovative approaches to population health?

CEO Mansoor Khan addressed several key issues on population health, especially around chronic care management.

Regarding population data, I see two sides to how best to get patient data organized:

  • Business Challenge: There is a need to analyze utilization across your network. Including demographics, social aspects of your patient.

  • Clinical Challenge: Risk stratification tools are needed to identify gaps in care and prioritize high-risk patients for readmission. Population Health is one tool that not only helps identify high-risk populations, but also provides the necessary analytics to show how best to care for these patients.

The landscape of chronic care continues to shift away from fee-for-service. As of January 1, there will be new incentive payments for physicians to track and manage patients with two or more chronic diseases, which requires patient monitoring of at least 20 minutes by a physician in a non-facing patient meeting.

With these new incentive payments and shift to non-facing patient care, there will be a larger healthcare need to truly address home care, social care and cultural issues.  We need to incorporate home care and long term care along with behavioral health information into managing patients with chronic illnesses. By incorporating home care, we have seen a trend of  patients with chronic diseases have positive results with having home monitoring and clinician touch points. For example, tracking weekly weight measurements can provide a 26% reduction in patient visits, and anti-coagulation monitoring in the home can aide in a 15% reduction in admissions.  The EMR systems provide some of this information, but we need patient’s social data and patterns to be incorporated – especially for chronic care management.

For more information about Alere Analytics’ population health manage, please visit www.alereanalytics.com.

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