Using Regulations and Mandates as a Catalyst for Innovation
Chronic Disease in the US per the CDC
6 in 10 Adults have a chronic disease
4 in 10 Adults have two or more
Source: CDC
If you were involved in the meaningful use requirements or you are responsible implementing the CMS (Centers for Medicare & Medicaid Services) payer mandate, you might look at this as additional work to be done. More government requirements. But, if you look at it from a broader perspective these initiatives can drive innovation and be part of your value based care initiatives.
A colleague (@Beth Spears) and I spoke to this last week at the WEDI National Conference. Our talk was ‘Playing with FHIR? to Improve Interoperability and Drive Innovation’. You can use your FHIR and interoperability solutions as a catalyst to innovate within your organization.
Let me briefly describe one idea – predicting Acute Asthma events. Everyone knows someone that has been affected by Asthma. It is the #1 chronic condition among children and the #1 cause of school absenteeism among children (>13 million total missed days of school/year). Emergency Room visits – 1 out of 4 are due to asthma, folks that is 1.75 million a year. It is estimated to cost $82B in the US and 10 people die from it every day.
What if you could reduce ten percent of any of those statistics? It would be more kids making it to school, it would be a cost savings of $8.2B per year! It would be almost two hundred thousand less ER visits!
Predicting the likelihood of an acute asthma event (attack) is a very interesting problem because the triggers of asthma are largely due to environmental and social factors. Most of the related data are not held in clinical systems – it is ancillary, environmental and ‘disparate data’. What if we could source all of that data? But wait, we can. Beyond the traditional thinking of clinical researchers pulling data from charts and medical records, what if we could source data from the following sources (weather, air quality, health and demographic surveys; and more??) What if we could put together this architecture?? We can, we are TIBCO, and we can.
Via public and private APIs with data integration, validation and cleansing we can extend the science and service of healthcare. We can use non-traditional sources of data (information) and use it at will with visualization, machine learning and AI to predict asthma related events.
This is a new era, we can turn FHIR + API data into insights that can drive down healthcare costs.
Once we aggregate all this data and create predictive models for acute events of asthma that might make a student or employee miss school or work – we can act in 3 ways. We can provision these models back into the system to:
1) Create visual dashboards for care or case managers
2) Forecast patients coming into ERs (remember 1 of 4) to staff and resource needs
3) Alert patents via apps or SMS texts
We live in a time of uncertainty. It is not the event itself that keeps us from living out normal lives, but the uncertainty, the likelihood of the event that paralyzes us to fall back and live lesser lives. With predictive and prescriptive analytics, TIBCO can help us live more fulfilled human experience. Please let me know what you think - https://www.dhirubhai.net/in/scott-burk-phd/ and check out our book, https://www.amazon.com/Its-All-Analytics-Foundations-Professionals/dp/0367359685
References
CDC (Centers for Disease Control and Prevention) https://www.cdc.gov/chronicdisease/resources/infographic/chronic-diseases.htm
#MeaningfulUse, #ValueBasedCare ##CMSMandate #ChronicDisease #Asthma #Analytics