INTEGRATE CLINICAL AND CLAIMS DATA TO ENABLE POPULATION HEALTH MANAGEMENT INSIGHT
Technology-enabled population health initiatives have traditionally relied solely on either clinical data or claims data. While this method has value, there is a tremendous opportunity for healthcare organizations to take population health efforts to the next level by integrating both clinical and claims data. Integrating clinical data from electronic medical records with claims data can help develop a more complete patient view and improve overall care. Merging clinical and claims data provides healthcare organizations with a more complete picture and delivers the insights needed to address their most complex challenges.When combined, clinical and claims data can be used to:
- Compare recommended care against evidence-based practices
- Improve overall care management and population health efforts
- Reduce unnecessary clinical procedures
- Help patients avoid hospitalization by identifying early risk factors
The integration of clinical and claims data empowers healthcare providers to delivery higher quality and more proactive care for their patients.
Healthcare organizations should leverage insights generated from clinical and claims data to drive greater coordination of care and provide robust reporting to enhance population health initiatives. Population health is a big focus for the healthcare industry, and there are many different programs, resources, and technologies available to support this initiative. Robust healthcare data is becoming more readily available as healthcare provider organizations and health plans recognize the importance of sharing patient data to improve outcomes and reduce costs. Organizations that leverage the combination of clinical and claims data will have a strong foundation for population health management. However, those that maximize the value of this data by transforming it into meaningful and actionable insights to help meet quality, cost and patient satisfaction objectives will thrive in the quickly evolving ecosystem.
This is just one of the healthcare analytics trends for 2016. In our new guide, we take a look at ten analytics trends healthcare executives need to be thinking about in 2016 and beyond. We identify technology strategies and solutions that will help healthcare organizations succeed in a data-driven, digital world.