Freed Associates

Triple Aim and Healthier Data: Envisioning a Better Healthcare System

TOPIC: Triple Aim and Healthier Data

In 2015, more attention will be given to improving the patient care experience, managing population health, and reducing the costs of healthcare. The simultaneous pursuit of these is defined by the Triple Aim, which underlies most of the programs and initiatives in which healthcare organizations are involved. The improved quality and availability of electronic data will help bring these goals closer to reality. We see organizations joining more accountable care initiatives, identifying and eliminating waste, and putting greater focus on population management and their patients’ experience of care.

“The greatest challenge for providers going forward is understanding, preparing for, and succeeding in meeting the challenges of moving from volume-based care (i.e. fee-for-service) to value-based care. Value-based care is beginning to drive virtually all payment programs and requires dual focus on cost and quality. To minimize penalties and maximize payments, the quality of care delivered — particularly patient outcomes and patient experience — must be improved. Most importantly, higher quality of care benefits the patients.” – Susan Merrill

“Scalability is a major challenge. Organizations are struggling with:

  • How to develop evidence-based staffing models to reach broader population
  • How to consolidate and deliver data from disparate systems to care delivery staff to support point-of-care decision
  • How to measure and report cost savings or total cost of care to justify the ongoing funding or expansion of population health initiatives

As the healthcare needs of the population grow, organizations need to determine how to transform manual processes and tools that lack sophistication (that worked within the confines of pilot or start-up programs) into more mature, technologically advanced, and wide-reaching ones.” – Kam Reams

“In 2015, clients will be challenged with transitioning their businesses to new payment models, as we move away from fee-for-service to fee-for-value or value-based purchasing models. They’ll need to clean up their revenue cycle processes, apply technology aggressively, develop new value-based contracts, implement these new payment models, and use healthcare analytics to monitor and drive change.” – Mark Jahn

“In the behavioral health space, organizations will accelerate operational functionality through the expansion of EHR feature sets (including document management, data capture, and electronic data interchange). Clients are also seeking to standardize workflows where possible, regardless of the type of facility. They will attempt to set up a pragmatic portfolio/ program office to manage resources between strategic (revenue), mandates and maintenance (service level) projects.” – Jim Larente

“Population health management is a big trend and organizations will be looking at what they are doing to deliver comprehensive care across the continuum and how to engage the population in new and innovative ways. Tactics may include developing predictive models to identify patients for intervention, forming unlikely collaborations with teams they’ve never worked with in the past or non-healthcare organizations (e.g., religious organizations). They will also focus on streamlining data capture and researching, understanding and customizing best practices from other industries to meet health industry complexities.” – Kam Reams

“With EHR systems in place and more data sharing, data governance and management will continue to be a major trend in healthcare. Clients are starting to take the time to define their meta data, define data governance disciplines, and promote good data retention habits.” – Laika Kayani

Read more Freed perspectives on 2015 on the following topics:

Fresh Insights and Perspectives on the Affordable Care Act

Competitive Marketplace: The Need for Innovation and Flexibility

Health Information Exchanges: Using Gathered Data to Improve Healthcare

Scalability and Optimization: Identifying Improvement Opportunities