5. We would like to Enable our partners
Take Track 2 With our Trusted
Analytical Insights
6. What Does the Regulator Say
A critical foundation of the proposed rule is its
unwavering focus on patients. We envision that
successful ACOs will honor individual preferences and will
engage patients in shared decision making about
diagnostic and therapeutic options. Information
management — making sure patients and all health
care providers have the right information at the
point of care — will be a core competency of ACOs.
Held to rigorous quality standards, ACOs will be expected
to be proactive in their orientation and to regularly
reach out to patients to help them meet their needs for
preventive and chronic health care.
7. What Do Analysts Say
Two dominant market vectors: 1) Changes in reimbursement and associated risk. 2) Regulatory
requirements (MU attestation, quality reporting etc.)
Analytics using clinical data is in its infancy.
Clinical datasets are typically a mess and very difficult to
work with.
For foreseeable future, most healthcare organizations will need to rely on claims data to
ascertain risk.
We may be years away from doing true real-time analytics
with clinical data.
Most healthcare providers do not have well-trained informatists on staff (particularly problematic for
smaller healthcare organizations) and thus “analytic offerings” will have a high service component.
Business intelligence (BI) tools are not well-developed (either
too simplistic or too complex for average clinician) and thus
clinicians are unable to run their own reports. This has led to IT
departments being completely overwhelmed with clinicians asking for various reports.
Those pretty dashboards that are based on clinical data which you see at trade shows and in
PowerPoint presentations can rarely be replicated at a client site – lots of smoke and mirrors.
Most EHR vendors are just getting started in this area and
their solutions are rudimentary.
8. Market Opportunity
Accountable Care Analytics Solutions/Products (ACS) Focuses
on selling Analytics Consulting & technology to support the
transition to ACO i.e. Performance/Metric based value proposition
for Providers and Patients. The ACO service market is expected to
range from ~$12B to ~$20B in 2016, with ~750 ACOs in
some stage of development by that time.
We would like to partner with Provider Organizations taking the
leap and also payers that are taking baby steps in this space
9. Consulting Proposal – Improved
Health Outcomes
Our ACO Optimization Tool Kit will encompass the
following Analytical Capabilities:
Preliminary
Predicting Revisits
Clustering of High Risk Population for Outreach
and monitoring
Care Process Optimization Opportunity
Identification
& Selection
Clinical Analytics/Epidemiology – Population
Health Management
Solution
Post Discharge and Acute Care Outreach Operations
Risk and Design
Requireme
nt
Manageme
nt
Solution Solution
Testing and Implementat
Deployment ion
10. Product Proposal – Improved Care
Outcomes by Decision Support
Our ACO-ASK™ Solution would be a next generation
Decision Support System built with following capabilities :
Holds Repository of all Medical Dictionaries/Medical Journals
Data Model can import Claim/Clinical data for any new
population
Uses Text Mining and Bayesian Belief Networks
Built with Machine Learning Paradigm
Supports Voice and Text Interface
13. TECHNIQUES to be USED
Techniques Error / Measure
Consulting -
Improved Health KNN Root Mean Square
Outcomes Neural Net Bench Mark Error
Text Mining Cosine Distance
ACO-ASK™ - Bayesian Belief
Improved Care Network
Outcomes Neural Net
Decision Tree
Patient Satisfaction Sentiment Analysis
17. International School of Engineering
2-56/2/19, Khanamet, Madhapur, Hyderabad - 500 081
For Individuals: +91-9177585755 or 040-65743991
For Corporates: +91-9618483483
Web: http://www.insofe.edu.in
Facebook: http://www.facebook.com/insofe
Twitter: https://twitter.com/INSOFEedu
YouTube: http://www.youtube.com/InsofeVideos
SlideShare: http://www.slideshare.net/INSOFE
LinkedIn: http://www.linkedin.com/company/international-school-
of-engineering
This presentation may contain references to findings of various reports available in the public domain. INSOFE makes no representation as to their accuracy or that the
organization subscribes to those findings.
The best place for students to learn Applied Engineering http://www.insofe.edu.in
