Dissecting the Power of Medical and Pharmacy Data – Risk Stratification Analytics Part 3

Dissecting the Power of Medical and Pharmacy Data – Risk Stratification Analytics Part 3

Pharmacy and medical

Advanced analytics have come a long way since the introduction of using administrative data to measure the quality of care. Insights derived from medical and pharmacy data can change how well conditions are identified and managed, whether that is based on data from claims and/or clinical sources, there are powerful analytics that can contribute to the success of value-based care and population health initiatives.

Clinicians struggle to reconcile patient information from different sources to create a high-quality care experience. Reconciling a patient’s medication list is challenging enough, how can we give more time and confidence back to clinicians? We do this not by sharing every data point available as we know clinicians do not have time and do not want every piece of medical history, just the essential information that is needed to deliver high-quality care.  

Delivering Better Analytics

Medical history is complex – with no definition that holds true across cases, thus creating challenges for clinicians. Over the years, the Johns Hopkins ACG® System has developed a methodology for empowering clinicians to provide better care by combining medical and pharmacy data to identify untreated conditions, medication adherence risks and flagging care gaps. Let’s look at specific analytic insights where KPI Ninja can help you make more informed, better care decisions for your population.

These types of insights are used to identify and manage over twenty different chronic conditions that are commonly selected for care management, like: diabetes, depression, congestive heart failure, immunosuppression, etc.


Renee Towne

About the Author
Renee Towne
Director of Quality Programs at KPI Ninja, Inc.
Renee provides operational leadership of quality initiatives at KPI Ninja. Towne has a background in occupational therapy, education and experience in operational excellence across a variety of healthcare domains. Based on prior experience as a clinician that drove outcomes patient by patient, she is leaving a larger footprint by improving health care more comprehensively, population by population.


About KPI Ninja
KPI Ninja is a data analytics company that helps healthcare organizations accelerate their quality, safety, and financial goals with a unique combination of software and service. We are differentiated by our signature mix of technology, performance management consulting and healthcare expertise. We don’t merely offer software solutions but work shoulder to shoulder with clients to help them draw on the power of analytics and continuous improvement methodologies to become more efficient. In harmony with our data-centered ethos, we truly believe that our success is strongly co-related with yours.

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