Health Analytics

JASON BURKE is founder of Burke Advisory Group, an executive consulting firm focused on helping health leaders pursue transformational programs using data, technology, and analytics. He holds an adjunct faculty appointment with the University of North Carolina at Chapel Hill School of Medicine, where he focuses on the development of new health informatics capabilities for health practitioners, researchers, and patients.

• Foreword xiPreface xvAcknowledgements xixChapter 1 A Changing Business for a Changing Science 1The Gathering 1How Can Medicine Become Smarter? 3Complexity Exceeding Cognition 4Learning from Other Industries 6Nancy 7Characterizing Health Analytics 8The Gathering Revisited 10Chapter 2 Convergence and the Capability Map 11Nice Job, But . . . 11Fifty Flashlights 12Convergence Defined 13Is Convergence Really Required? 14The Rush to Health It 17The Capability Map 18Putting the Capability Map to Use 21Health Analytics as a Discipline 23Notes 25Chapter 3 The Four Enterprise Disciplines of Health Analytics 27Heresy 27Health Analytics for the Nonanalytical 29Information Management 30Statistics 36Information Delivery 39High-Performance Computing 41Maturation and Scale 42Enterprise-Class Analytics: Putting it All Together 44Chapter 4 Dealing with Data 47Callimachus 47Not a Drop to Drink 48Defining Data 48Big Data 49Growth in Data Provisioning 52The Excuses Every Leader Needs to Know 54Building for Tomorrow 58Conclusion 60Chapter 5 BEST Care, First Time, Every Time 63By Dr. Graham Hughes, Chief Medical Officer, SAS Center for Health Analytics and InsightsMedicine: Art, Science, or Both? 63Leveraging Evidence to Deliver Improved Outcomes 66What are Clinical Outcomes? 68Supplementing the Unaided Human Mind 72Health Care’s Dark Fiber 74Identifying Hidden Patterns 75Chapter 6 Financial Performance and Reimbursement 79Goals 79Structures and Models 80Many Names, Common Attributes 83What is Needed 86Surviving and Thriving 91Chapter 7 Health Outcomes Analysis 95No Leeches Necessary 95Orientation 96The Big Seven + One 97Timing is Everything 98Groupers 100The Population-Patient Pivot 101Patients Like this One 104One Model, Many Beneficiaries 107The Role of Rules Engines 109Challenges in Health Outcomes Analytics 110Health Outcomes Analytics in Practice 113The Marvelous Leech 114Note 115Chapter 8 Health Value and Cost 117An Asymmetrical Industry 117Kaplan and Porter’s Stand 120The Elusive Health Value 121Dissecting Value 123Linking Costs to Risk 132Value Innovation 133Note 134Chapter 9 The New Behavioral Health 135Dangerous Portals 135The Health-Mindedness Gene Experiment 136Engel’s Model 137The New Evolving Science of Behavioral Health 138What You Are 140What You Experience 142What You Do 143What You Believe 145Influencing Change 145Putting Into Practice 146Outcomes 148Notes 149Chapter 10 Customer Insights 151The Consumerized Patient 151Will the Real Customer Please Stand Up? 151What are Customer Analytics? 154A Framework of Customer Analytics 155Sharing Insights 161Adherence 163Beyond Commercial 165Chapter 11 Risk Management 167Risky Business 167Why are Risks So Hard? 168Recharacterizing Risk Factors 169The Example of Customer Segmentation 170Risk Interdependencies 171Everybody in the Pool 173The Catch 175Risk Adjustment 176Borrowing from Other Industries 178Growing Risks 179Chapter 12 Quality and Safety 181Defining Quality 181Not Your Father’s Toyota 184On Track 185Avoiding the Obvious 187We Just Have to Do This 188The Growing Inventory 189Strategy and Performance Management 191Transparency and Benchmarking 192Setting Quality Targets 195Drug Safety 197The Burden of Insight 198Notes 199Chapter 13 The New Research and Development 201Returning to Alexandria 201The End of Theory 202Goals of a New Research Model 205Characteristics of a New Research Paradigm 207Target Improvement Areas 209The Data Conundrum 216The Big Four 219One That Does What It Should 221Notes 223Chapter 14 Conclusions 225Taking on Research 227Five Phases of Value-Based Analytical Innovation 230Phase 0: The Plan 232Managing Capability Maturity 233Wisdom and Health 237About the Author 239Index 241

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