When success in a fee-for-value reimbursement framework calls for a care coordination vision focused on the highest-risk, highest-cost patients, an organization must be able to identify this critical population.
2016 Healthcare Benchmarks: Stratifying High-Risk Patients captures the latest tools and practices employed by healthcare organizations across the care continuum as they risk-stratify patients and health plan members in preparation for care management.
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This 40-page report, based on responses to HIN's second comprehensive industry survey on health risk stratification, assembles a wealth of metrics on indexing individuals by health severity before matching them to risk-related interventions—case management, health coaching, home health monitoring, or more intensive management.
And as organizations acclimate to segmenting populations by health risk levels, this report also documents the emerging trend of targeting 'rising risk' patients with the goals of encouraging behavior change and heading off adverse and costly health events and utilization.
Respondents also describe in their own words their most effective workflows, most significant successes from health risk stratification, and future program plans.
Supported with dozens of graphs and tables, this 2016 market research delivers a compendium of best practices and benchmarks in health risk stratification and its impact on clinical, financial and operational metrics.
New metrics for 2016:
- Comorbidities as attributes in high-risk populations;
- Inclusion of enterprise data warehouses in risk stratification infrastructure;
- Consideration of patient activation level and gaps in care during risk stratification;
- Application of the Patient Activation Measure® and BOOST® indices to assess risk;
- Prevalence of social worker referrals for stratification;
- Stratification of oncology patients;
- Availability of multidisciplinary care planning and e-clinical decision support to individuals stratified as high risk;
- Ranking of key risk stratification challenges, including data integrity, staffing, effecting behavior change, identifying social determinants, and more;
- Impact of risk stratification on patient engagement levels; and
- Availability of programs that identify and target 'rising risk' populations.
2016 Healthcare Benchmarks: Stratifying High-Risk Patients, which breaks down findings by high-responding industry sectors, includes the following data sets:
and much more.
Prevalence of current and future programs to identify and risk-stratify high-risk, high-cost individuals;
Attributes of high-risk patients;
Elements of risk stratification infrastructure;
Patient data considered during stratification;
Additional inputs considered, including provider and case manager referrals;
Indices and screens employed to assess risk;
Health professional with primary responsibility for risk stratification;
Most prevalent health conditions among high-risk populations;
Interventions available to high-risk individuals;
The most successful tools, process or workflows employed in risk stratification programs, in respondents' own words;
Impact of risk stratification on healthcare cost, quality, utilization, care plan adherence, patient engagement, and other key metrics;
ROI, successes and challenges related to health risk stratification;
The complete 2016 Stratifying High-Risk Patients survey tool;
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This benchmark report is designed to meet business and planning needs of health plans, employers, health coaching and disease management, case management, managed care organizations, physician organizations, health systems, health IT companies and others by providing critical benchmarks in stratifying high-risk patients.
If you are already a Healthcare Benchmark series member, then this report is FREE for you.
Available in Single or Multi-User Licenses
A multi-user license will provide you with the right to install and use this information on
your company's computer network for an unlimited number of additional workstations within
your organization for a one-time fee. To have this valuable resource on your network,
or to inquire about ordering bulk copies in print or Adobe PDF, please e-mail firstname.lastname@example.org or call 888-446-3530.
P.S. -- You may also be interested in these health risk stratification resources: