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Healthcare Analytics

Healthcare analytics involves systematically analyzing healthcare data to examine patterns and determine how to improve clinical care while reducing costs, using data from sources like medical records, claims, research, and patient behaviors. Analytics helps healthcare managers make better decisions by providing real-time insights on operations, treatment effectiveness, disease prevention, and more. A variety of tools can be used to perform descriptive, diagnostic, predictive, and prescriptive analytics to continually enhance healthcare delivery and outcomes.

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K Anantha Krishnan
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18 views

Healthcare Analytics

Healthcare analytics involves systematically analyzing healthcare data to examine patterns and determine how to improve clinical care while reducing costs, using data from sources like medical records, claims, research, and patient behaviors. Analytics helps healthcare managers make better decisions by providing real-time insights on operations, treatment effectiveness, disease prevention, and more. A variety of tools can be used to perform descriptive, diagnostic, predictive, and prescriptive analytics to continually enhance healthcare delivery and outcomes.

Uploaded by

K Anantha Krishnan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Healthcare Analytics

What is it?
• Systematic analysis of data collected from
health care domains

• Allows for the examination of patterns in


various healthcare data in order to determine
how clinical care can be improved while
limiting excessive spending
Healthcare data
– Claims and cost data
– Pharmaceutical and research and development
(R&D) data
– Clinical data (collected from electronic medical
records (EHRs))
– Patient behavior and sentiment data (patient
behaviors and preferences)
Why analytics?

• Helps healthcare managers to operate better


– by providing real-time information that can
support decisions and deliver actionable insights.

Operational
Efficiency
How analytics?
• Business intelligence suites and data
visualization tools in healthcare analytics
How it helps?
• Claims and cost data
– Assists administrators with identifying areas to
streamline operations and increase savings in a
concrete fashion
• Pharmaceutical and research and development
(R&D) data
– providing new innovative solutions and treatments
that can be properly tracked, measured, and analyzed.
• Data from wearable devices for monitoring vital
signs
How it helps?
• Clinical data (collected from electronic medical
records (EHRs), Wearable devices)
– Determine what areas of their service need to
improve, and offer more granular information
regarding treatment effectiveness, success rates, and
more.
• Patient behavior and sentiment data (patient
behaviors and preferences)
– understanding what patients and clients are feeling
and how they react to service and treatment is critical
when working towards extending ever-improving
services
Applications
• Advancements in telemedicine
• Enhanced patient engagement
• Wearables that provide real-time alerts
• Disease prevention/population health
• Improving/refining treatment standards
• Improved staffing efficiency
Impact on other domains
• Epidemiology: Health care analytics professionals are
experimenting with data visualization to identify and more quickly
control disease outbreaks.
• Clinical trials: Health data analytics is expected to help researchers
go to market faster with important new drugs.
• Genomics: Advanced understanding of how diseases affect
different people will enable medical researchers to develop
personalized medicine based on individual DNA makeups.
• Social factors: Heightened ability to analyze data about the social
determinants of health (such as where patients live, work and shop,
what they eat, conditions related to their environment, etc.) opens
new possibilities to better predict disease trends and to develop
health and disease prevention programs.
Gartner’s Data Analytics Maturity
Model
Descriptive Analytics
• Tells you what is happening in your practice
• Example:
– Increase in denied claims over the past several
months.
• Has a negative impact on the financial performance of
the organization.
• Reveals that the increase in denials is specific
to a particular denial code. (code not enrolled
in the Medicare system)
Diagnostic Analytics
• Allows you to identify the root cause
• Example:
– Identify why the referring provider is not enrolled
in the system.
• would help to identify new referring providers.
• would prompt to identify whether these new referring
providers are enrolled in the system.
Predictive Analytics
• Allows you to learn from historical trends to
predict what will happen in the future.
• Example:
– will tell you the expected denials associated with
the claims in future.
Prescriptive Analytics
• Assists in determining the best course of
action from the information gathered from
descriptive, diagnostic and predictive
analytics.
• Example:
– contact the new referring provider
– express appreciation for the new referrals
– Evidence that the provider’s referrals are resulting
in denied claims due to lack of enrollment.
Inferential Statistics
• Use a random sample of data taken from a population
to describe and make inferences about the population
• Example:
– To measure all the patients (whole population) with a
symptom (e.g. hypertension) is usually not possible.
– You can measure the data on a representative random
sample of patients with the symptom.
– You can use the information from the sample to make
generalizations about the whole population of patients
with the symptom (e.g. hypertension).
• Inferential statistics is about hypotheses testing.
Inferential Statistics
• Is there is a significant difference in the mean
flight time for trauma and nontrauma patients?
(T-test)
• Is there is a significant difference in mean systolic
blood pressure for the control group, the group
with drug A, the group with drug B, or the group
with both drugs A and B? (ANOVA)
• Is there is a positive relationship between scene
time and flight time? (Correlation)
Inferential Statistics
• Is there a relationship between intubation
success and use of neuromuscular blockade?
(Chi-square test)
• Do weight, height, and smoking status
influence resting pulse rate? (Prediction)

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