Big merger of big data

September 3, 2013 in Medical Technology

Carolinas HealthCare System is one of the first health systems without a provider-sponsored health plan that will integrate payer and provider data to improve the health of people across the Southeast United States.

The Charlotte, N.C.-based health system is using one of Verisk Health’s population management solutions in Premier’s PopulationAdvisor suite, which manages and analyzes both claims and clinical information to help providers make financial, operational and clinical decisions. The population health management suite can help improve wellness and reduce costs associated with gaps in care, such as preventable procedures, readmissions and emergency department visits, according to Premier officials.

Premier is one of the nation’s largest performance improvement alliances. It is made up of approximately 2,900 U.S. community hospitals and 100,000 alternate healthcare sites.

[See also: Premier steps up on population health.]

“Carolinas HealthCare System is committed to using data to improve patient care by providing physicians the information they need to anticipate outcomes and intervene early with care designed to better control chronic conditions,” said Michael Dulin, MD, medical officer for Analytics and Outcomes at Carolinas HealthCare System, in a news release. “Being able to integrate clinical and claims data provides a 360-degree view of the patient that helps physicians take specific actions, such as encouraging patients to take their prescription medications, which can improve overall health and help reduce hospital readmission rates.”

The PopulationAdvisor suite is accessible on the PremierConnect integrated technology and social networking platform. The Verisk Health solution aggregates risk-based payer analytics that are used by more than 450 healthcare and employer organizations. This enables providers like Carolinas HealthCare System to view a more complete picture of patient care with a better understanding of outcomes and total cost, including care delivered outside the health system.

According to Keith J. Figlioli, senior vice president of healthcare informatics for Premier, “Carolinas HealthCare System is making impactful changes to support population health. Connecting this data, providers can incorporate predictive modeling of patient risk to better profile an entire population, not just those who they have treated.”

“See also: QA: Keith Figlioli.]

Premier aligned with the healthcare risk management solutions, to enhance their product offering so health systems could:

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