Can digital roadmaps offer higher quality patient care?

By and Todd Gottula | 3 minute read | June 5, 2018

If you or a loved one has ever had a serious medical condition, you’ve likely felt that our healthcare system can be quite fragmented, confusing, and at times frustrating.

All too frequently, patients are forced to wait 45 to 90 minutes in a medical office, only to spend a few minutes with their clinician, who gives them partial instructions about their care. No next steps or long-term plan. Not only does this approach frustrate patients and their families – it’s enormously inefficient.

What’s needed is a way for physicians to confidently provide patients with an end-to-end roadmap of care on the first visit, paving the way for a much more streamlined and efficient approach for managing care.

If physicians could immediately match patients to a digital roadmap at the outset of their care journey, patients could use that knowledge to plan ahead, care for themselves, and reduce overall anxiety. Providers, too, would benefit from a care map that recommends an optimized service process, helping to orchestrate the work of the care team and dramatically reduce unnecessary variation.

Optimizing the patient care journey

At Clarify Health we are developing solutions to these challenges. Our digital platform delivers insights to optimize the clinical workflows that underpin episodes of care. By seamlessly integrating advanced analytics, machine learning, real-time patient navigation and smart workflows, we empower physicians, health systems and payers to guide patients through dynamically updated care journeys.

Patients and family members appreciate greater transparency, personalization and better ways to engage in the care process. Clinicians, in turn, gain efficiency by focusing on the highest-need patients, while the platform streamlines workflows and simplifies tasks.

What makes the Clarify platform unique? Our team. When we founded the company, we deliberately brought together three core elements: healthcare leadership and operating experience, Silicon Valley big data software engineering, and cutting-edge data science. So, yes, our team has a clinical background, but we also have folks from financial services and logistics – industries far ahead of healthcare in technology innovation.

From financial services, we’ve incorporated the ability to profile customers in a granular way to predict their likely behavior and their ability to follow a physician’s instructions. From logistics, we’ve incorporated workflow optimization and parcel-tracking analytics capable of directing a patient step-by-step through a care journey. Bringing these capabilities into healthcare leads to innovations in patient care, allowing us to treat and track patients in real time.

Data is the secret sauce

The secret sauce of our predictive analytics lies in our ability to link disparate and siloed data sources to create a rich database of over 1 billion interactions, including clinical, administrative, and consumer data covering more than 100 million lives over five years. The IBM Cloud helps us efficiently process these terabytes of data 20 percent more cost effectively than the competition. Our models provide actionable insights for providers by accurately predicting how patients are likely to perform across a certain episode of care or time period, as in capitated arrangements. This data can also be used to compare physician, hospital, facility and post-acute partner performance on a fully case-mix adjusted basis.

When working with physicians, we often hear the objection, “But my patients are different.” We respond by giving clinicians the tools to drill down into the data of their case-mix and how they compare to their peers and other providers across the country. We consider social determinants, such as educational and marital status, income level, housing situations, dietary preferences and more. These help to predict whether patients will be able to adhere to what they’ve been “prescribed” – not just taking their medications but following their care roadmap. This depth of analysis helps physicians better accept predictive insights and therefore act on them.

If we can show physicians that their peers are 25 percent more efficient in performing a procedure or treating a condition – relative to their case-mix – we’re likely to gain their attention and, more importantly, their trust. These insights not only help providers give the best possible care but also compete in today’s healthcare environment where reimbursements are increasingly tied to value.

We aim to become the industry standard for the personalization and optimization of every care journey. Our mission is to deliver what patients and their caregivers really want: a delightful patient experience with high quality outcomes at reduced cost.

Watch the following video to see the authors discuss predictive analytics in healthcare:

Most Popular Articles