Accountable Care Organization

Analyzing the complexities of delivering healthcare is impossible without data, analytical tools, and experience. A lot of different companies market themselves as having what it takes to help an ACO collect and manage data. However, not all companies can really meet an ACO’s needs for data-driven improvement. The questions to ask about any such solution are these: Do they have a data warehouse architecture that can meet the evolving needs of an ACO? Do they have the flexibility to meet the unique needs and configuration of one particular ACO? How agile is this solution? How quick is the time-to-value?

The best solution for leveraging data to drive clinical and financial improvement in an ACO environment is a healthcare enterprise data warehouse (EDW). We can help you achieve the following:

1. Define and refine populations. Interact with physicians to determine the mix of diagnosis and procedure codes that best defines a particular population of members. Drill into this population and understand the cost of caring for these members. Analyze comorbidities to identify common characteristics that drive higher costs. This process quickly enables an ACO to build flexible, accurate, sophisticated registries that can be adapted based on physician input.
2. Prioritize improvement efforts. Analyze each population and prioritize them by disease severity, utilization of healthcare resources, and other factors. By identifying which population holds the most clinical and financial risk for the ACO, leaders can target the best opportunities for quality and cost improvement.
3. Empower clinicians. Publish a community dashboard that enables clinicians to see near-real-time data about their member panel.