Future Cognitive Healthcare

Future Cognitive Company

Thomas Davenport in his article “AI for the Real World” describes how the “Future Cognitive Company” would use Artificial Intelligence and Machine Learning to help find answers to the key strategic questions for the firm. He writes: “Most cognitive tasks [performed by AI algorithms] do work that wasn’t done by humans in the first place, such as big-data analytics.”

Healthcare providers are Cognitive Companies — today and in the future. And as Value-Based Care continues to grow, the various reimbursement and incentive models make care delivery increasingly complex, adding to the need to be [...]

Health Services Platform Consortium

Where Progress Comes Together Last week I attended the annual meeting of the HSPC – the Health Services Platform Consortium. HSPC is a group of Healthcare Provider Organizations, Health IT firms, Implementation and Services Organizations working together toward a platform of interoperability, where health data is accessible to applications and systems outside the single-EHR walls.

HSPC is uniquely positioned to help push the Interoperability goal forward because:
  • It is primarily driven by Health Provider Organizations – not just Health IT vendors
  • Some of the large specialty organizations are members of HSPC (ACOH, AAFP, ACS) — with [...]

Using Social Determinants Wisely

A SDoH Recap In May 2018 this blog (Social Risk Adjustment for Provider Quality Measures), reviewed how Social Determinants of Health (SDoH) (data on a person or household’s income, education, housing, environment, transportation etc.) can be used to adjust performance scores for practices that serve disadvantaged populations.

In October 2018, our follow-up (A New Idea for Financing Key Investments in Healthy Communities) reviewed a paper proposing a funding and implementation structure to involve all the healthcare stakeholders (including insurers, government agencies, and [...]

Paper: A New Idea for Financing Key Investments in Healthy Communities

Social Determinants as Public Goods Taking Social-Risk Adjustment Beyond Care Quality-and-Performance Metrics In our May 2018 blog (Social Risk Adjustment for Provider Quality Measures), we addressed the need consider adjustments to healthcare-provider performance scores so that medical practices that serve disadvantaged populations don’t get penalized because diet, location, wealth, education level and environmental factors depress the wellness of these patients.

A recent paper published in the August 2018 issue of Health Affairs, Social Determinants as Public Goods, by Len M. Nichols and Lauren A. Taylor – takes [...]

Population Health Needs a Tight Definition to Succeed

populations of colorfully illustrated people, arranged as upward arrows on white background, representing population health definition The Jefferson College of Population Health (JCPH) celebrated its 10th anniversary last week – Congratulations!! That means that the concept of Population Health is now well established, not the novelty and the experiment that it was a decade ago. But, in my travels and meetings with healthcare providers and health IT firms in the Pop Health space, I notice that there’s a lot of variation in what people mean by the term Population Health – and this variation [...]

HealthShare Exchange Hackathon Brings New Insights to Health Data Integration

Hacking teams competed to demonstrate how patients and consumers, as well as care providers and payers, can be direct beneficiaries and users of the Health Information Exchange (HIE) infrastructure

Social Risk Adjustment for Provider Quality measures

Physicians have two classic responses to quality or performance reports:

  1. My patients are sicker, or
  2. Your data is wrong.
We use risk-adjustment and data quality checks to address these concerns and to ensure that quality reports are accurate and fair.
But there is a third concern, very significant and real:
My patients…
  • …are poorer, less educated
  • …live in challenging neighborhoods
  • …don’t have access to healthy food, or for other reasons don’t eat healthy food
  • …don’t exercise, breathe unhealthy air or drink unhealthy water
  • …in short, are more “difficult”
We need to apply social risk adjustment to quality and performance metrics. This is not a [...]

Population Health Intelligence

Thomas Jefferson University’s College of Population Health is starting a new graduate degree program in Population Health Intelligence. As an adjunct faculty member in the program, I’m working on preparing one of the foundational courses, called Health Data Acquisition and Management. Multiple connotations surround the word “Intelligence,” and I think it’s important to realize what this term means and what it’s trying to achieve. The meaning can vary depending on context and intention. Here are three examples of current uses of the word intelligence, and how I believe these connotations will apply to our Population Health Intelligence curriculum. Business [...]

How fast are we moving to Value-Based Payments?

Two of our Jefferson College of Population Health students presented on the progress of Value-Based Payments. Their chart is the blue line, and it’s based on CMS data. According to CMS targets, 30% of payments will be tied to quality or value in 2016, with a target of 50% in 2018. For these targets and updates, see CMS’ Healthcare Payment Learning and Action Network.

 » Read more about: How fast are we moving to Value-Based Payments?  »

Alvin Toffler, inspiring futurologist

Alvin Toffler passed away last week, June 27 2016. He was author of Future Shock, The Third Wave, and Powershift. I read his books while I was doing my rotations in med school, and Toffler’s vision helped motivate my move into Health IT.

His futurist books deal with the move into the information age. The Third Wave (1980) describes the information age, after the first (agriculture) and second (industrial) waves. Similarly, Powershift (1990) describes the move from muscle power (first wave), capital power (second), to knowledge as source of power in the third wave, the information age.

What [...]

Harm Scherpbier
Despite large investments in analytics, BI, and data warehouses, many organizations don’t use their “Data Analytics Asset” to help solve big problems for the organization.
Harm Scherpbier
Healthcare Provider Organizations, Health IT firms, Implementation and Services Organizations come together to create a platform of interoperability — Improving secure data access and sharing.
Harm Scherpbier
It's Not Personal Data If It's De-Identified
Harm Scherpbier
Taking Social-Risk Adjustment Beyond Care Quality-and-Performance Metrics
Harm Scherpbier
Stakeholders Need An Agreed Population Health Definition to Avoid Poorly Focused Goals
Harm Scherpbier
Positive, Productive Programming Competition With A Wide Range of Innovative Approaches