shc intro slides rev 12.19.2016
TRANSCRIPT
SHC Capabilities
The National Minority Quality Forum and the Data Warehouse
• Founded in 1998, NMQF is a non-profit Washington-based, health care research and education organization.
• Seeks to eliminate the disproportionate burden of premature death and preventable illness in racial and ethnic minorities and other special populations through data-driven initiatives.
• Has developed a comprehensive database with over 2 billion patient records used to define disease prevalence, costs, and outcomes for demographic subpopulations at the zip code level.
Sustainable Healthy Communities, LLC
• For-profit extending NMQF outreach• Exclusive publishing rights for NMQF databases, including 15
years+ of analyzed Medicare and Medicaid studies• Mission is to translate data into tools for patients,
community leaders, policy-makers, clinicians, researchers, and innovators to achieve health equity and the triple aim—better care, outcomes, and value.
Health Indices: Map disease by prevalence, cost, outcomes, co-morbidities, socioeconomic status, Rx drug use, payer, environmental/social factors
Advisory Groups: Gain input of leading experts, policy-makers, innovators, and community representatives on data use
Research Support: Examine trends, correlates, and test hypotheses using health index data
Education: Help clinicians, community groups, and patients put health index data into use for better
outcomes – minority-serving clinician networks
Clinical Trial Support: Join nation’s top campaign to encourage diversity in clinical trials—I’M IN, plus trial recruitment services informed by health index data
SHC Products
Examples of Health Indices
Some of Our Partners
Our Leadership Team: Decades of Health Policy, Research, Education, and Quality Accomplishment
Gary Puckrein, PhD, SHC founder and CEO
May-Lynn Andresen, BSN-RN, SHC VP for Patient Engagement
Bernard M. Rosof, MD, MACP, SHC President
Laura Lee Hall, PhD, SHC COO
What Have We Learned? Health Care Market Has Predictable Structure to Guide Resource Management
• Geography Matters: Stable health care consumption patterns exist in specific geographic locales over time
• Predictable Forces Shape the Market: Consumption patterns reflect disease prevalence, patient response to those diseases, practice variation, and health care system structure and function
• Critical Intelligence: This knowledge is stable and predictable, and algorithms can be built that can anticipate consumption patterns.
• The Value Proposition: An understanding of these consumption patterns can improve management of health care resources.
Big Data: Challenges and Solutions
•Volume
•Rapidly changin
g
•Complex
technology
platforms
•Different data sets
•Expert
analysis
required
•Outputs not
always actionable
, understan
dable
CHALLENGES
A SOLUTION
•MAKE IT VISUAL
• Maps provide demographic intelligence about acute and chronic disorders at the zip code level – segmented by age, gender, race/ethnicity – to:
• Map any index disease by prevalence, cost, outcomes, comorbidities, socioeconomic status or other data type for any state, MSA, congressional and state legislative districts
• Define where the unmet needs exist• Forecast trends using predictive analytics• Produce customized reports to support
educational, advocacy and policy efforts
GIS-based Data Visualization
Confidential: For Advisory Board Use Only
Health Index Data in Action: Real-world Examples
Americans Live in 38,000 Zip CodesMost Minorities Live in 7,500
50%of Asian Live in 1,500 Zip Codes 70%of Hispanics Live in 2,500 Zip Codes
70%of Blacks Live in 2,500 Zip Codes 70%of Other Minorities Live in 1,000 Zip Codes
Adult Immunization Index
U.S. Diabetes Index
Zip code Level Identification of PatientsInvestigators, Points of Care, and Trial Sites
Targeting is key
Which Doctors Serve Patients with Diabetes? A Health Index-ACP Member Map
Understand Specific Physicians’ Patient Profile
2013229 Multiple Sclerosis Patients
Ruth Kellum Fredericks, M.D.Neurology971 Lakeland Dr.Suite 657 Jackson, Mississippi 39216-4643Telephone 601-200-2780Fax Number 601-200-5929
BENE_RACE # BENE % Bene All Cause Cost % All Cause Cost All Cause Bene Out of Pocket
% All Cause Bene Out of Pocket
Average Bene Out of Pocket
White 146 64% $1,559,361 64% $494,570 69% $3,387.47Black 81 35% $859,276 35% $220,891 31% $2,727.05Asian 2 1% $17,924 1% $4,122 1% $2,061.14 229 $2,436,562 $719,584
BENE_RACE # BeneMedicare Part B
Payments% Medicare Part B
PaymentsBeneficiary Part B Out of
Pocket% Beneficiary Part B Out
of PocketAverage Beneficiary Out of
PocketWhite 146 $166,947 61% $41,985 60% $1,143.48Black 81 $108,956 39% $27,645 40% $1,345.13Asian 2 $37 0% $10 0% $18.71 229 $275,941 $69,640 $1,204.98
BENE_RACETysabri
intravenous
Pro-C-Dure 5
injection
Solu-Medrol
(PF) injection
dexamethasone sodium phosphate injection
Celestone Soluspan injection
Depo-Medrol
injection
triamcinolone acetonide injection
80 mg IM
Methylprednisolone acetate
20 mg
# of Part B
Medications
# Bene % of Part B Medications
White 51 39 35 24 21 18 10 8 1 207 146 73%Black 36 1 15 5 3 1 11 72 81 26%Asian 3 3 2 1%Total 282 229
Part D Beneficiaries # %
Blacks with CHF On Insulin SMBG 50,902 67%
Blacks with CHF On Insulin No SMBG* 25,326 33%
Total Blacks with CHF On Insulin 76,228 * DME Reimbursements Under $200 per Year
The Power of Data, Research, and Advocacy: Are African Americans with Diabetes and HF Accessing Needed Care with Policy Change?
Beyond Claims Data: National Surveys
Environmental Factors
Advocacy and Resource Distribution
Narrow Your Focus… by the Individual
Patient Characteristics• Age• Gender• Race/ethnicity• Diagnosis• Comorbidity• Health insurance
Provider Characteristics• Demographics• Billing zip code• Patient profile• Rx• Reimbursement profile
Narrow Your Focus… Geographically
• National • State/county• MSA• Zip code• Legislative or school
districts• Individual clinic/provider
Narrow Your Focus… By Social Demographic Clusters
Narrow Your Focus… Key Statistics
• Incidence• Prevalence• Quality of care• Cost• Outcomes
