"We are in a very exciting moment where, all of a sudden with you guys at Arcadia, we're looking at HIE claims and EMR data in the same database. That's huge. We are engaging specialists, ASCs, hospital facilities — it takes a village. We're starting to bring everybody to bear on the seniors. And it's no longer, 'Don't send them to the hospital.' It's, 'Send them to the right hospital.'"
— Frank Ingari, CEO, Tandigm Health
It’s not all bleak. The turning point from what Ingari deems "Population Health 1.0" to "Population Health 2.0" represents a major shift in the way healthcare organizations treat patients, moving from a scattered, piecemeal system to care that takes the whole person into consideration.
When Ingari began working in population health in 2007, he describes a field that was totally reliant on claims data. EMRs were just emerging, and no matter what medical issue arose, it was paramount to keep patients away from the hospital. Patient data was lacking and diffuse.
Now, instead of this hard and fast rule, the landscape has changed. Value-based care is one of many levers that have made specialists an asset instead of a liability, steering vulnerable populations — like ailing Baby Boomers — to the places where they’ll receive the best care, not just the cheapest. Sometimes, the two are one and the same.
Where challenges loom large, data can help