Category: Population Health

Identifying Frailty – Risk Stratification Analytics Part 7

Frailty, while sometimes referred to as the normal aging process, is not always seen in geriatric patients. Rather, frailty as part of risk stratification is defined as a set of health characteristics that are associated with poor health outcomes, no matter the age. While there is no standard definition or formal diagnosis of frailty, identification…
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Making Laboratory Data Useful for Population Health Efforts – Risk Stratification Analytics Part 6

Providers are familiar with using laboratory test results to assist in the diagnosing and monitoring of a patient’s health condition. Performing this work for an entire population is challenging, as providers and care teams simply do not have time to jump from system to system to review test results, reconcile it with other health data…
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Moving Beyond Condition Cohorts – Risk Stratification Analytics Part 5

Many providers and care teams head down population health paths by targeting conventional, condition-based cohorts.  Yet, research has proven that the clustering of morbidity is a better predictor of health care service resource use than the presence of specific diseases. Condition cohorts are one approach. Patient-centered morbidity cohorts are another. When combined, the result is…
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Gratitude Underlies Our 2020 HIE Reflections

While the pandemic exposed many vulnerabilities in our health care system, we here at KPI Ninja like to remain positive – and there were so many great things that happened this year! The best part of our 2020? Health organizations of all sizes now have a greater appreciation for the critically important role that Health…
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NCQA’s Emerging Data Aggregator Validation (DAV) Targets Interoperability and Could Revolutionize the Value of the HIE for Health Plans

Using HIE data without the added primary source verification burden is what makes the DAV so attractive. Did you know one of the leading healthcare quality organizations is evolving their programs to permit better use Health Information Exchanges (HIE) data? That is how valuable the HIE is. As we talk about the future of quality…
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