Dr. Hank Gardner's Stanford MedX Human Capital Risk Index (HUI) Presentation -- HCMS Group
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Dr. Hank Gardner's presentation from the Stanford Medicine X (MedX) Conference 2014. The presentation focuses on population health's connect to patient-centric care, the 5% problem (5% of an employee population driving over 50% of benefit costs), the prevalence of comorbid health conditions, telehealth, and a predictive and comprehensive risk index--Human Capital Risk Index (HUI)--which allows providers and patients to better understand the whole person that is being treated.
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Dr. Hank Gardner's Stanford MedX Human Capital Risk Index (HUI) Presentation -- HCMS Group
- 1. TELEHEALTH APPLICATION OF PREDICTIVE ANALYTICS TO DRIVE PATIENT-CENTRIC CARE: A Solution for the 5% Problem Dr. Harold (Hank) Gardner HCMS Group CEO
- 2. The 5% Problem Population That Drives Over 50% of Health Benefit Costs • Risky overutilization of medications, testing, and specialists • Poor access & utilization of primary medical care & prevention • Significant utilization of lost time and workers’ compensation benefits • Typically at out-of-pocket maximum, so utilization is free • Higher utilization with family members • Over 20% migration into and out of the 5% each quarter 5% of people driving 56% of costs $ People #5PercentProblem
- 3. Human Capital Risk Index® (HUI) – Patent Pending Unique HUI Features: • Econometric (Versus Actuarial) • Predictive Index (Versus Lagging) • Person-Centric (Versus Disease-Centric) • Comprehensive – Medical, Pharmacy, and Lost Time • Uses More Than 300 Weighted Risk Variables #HUIRisk
- 4. 5% Person: Individual Health HUI Risk Profile VARIABLE WEIGHT Lung Cancer 4.50 Asthma 0.15 Respiratory Agent 0.05 Anti-Infectives 0.05 Short-Term Disability 1.35 Workers’ 2.25 Compensation Total HUI Score 8.35 #HUIRisk
- 5. Population Health Risk Analysis: Cost and HUI 0.5 Average HUI = 1.3 1.4 2.8 5.2 6.0 5.0 4.0 3.0 2.0 1.0 0.0 1,200 1,000 800 600 400 200 0 50% 30% 15% 5% Average HUI Score Population Percent of Population $465 5% of people drive over 50% of costs Average Cost = $5,987 $2,987 $11,927 $61,751 $70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 1,200 1,000 800 600 400 200 0 50% 30% 15% 5% Average Medical Cost Population Percent of Population HUI risk is predictive of cost = Population = Population = Cost = HUI #PopulationHealth #HUIRisk
- 6. 5% Population: Annual Health Benefits Utilization Analysis Bottom 95% Top 5% Medications 3 10 Providers 4 11 Diagnoses 4 13 Tests 7 33 Average Individual Integrated Cost $2,383 $40,729 Human Capital Risk Index® (HUI) 0.86 4.06 Health Risk Assessment (HRA) Self-Report Risk Score 90.3 89.5 #5PercentProblem #HUIRisk
- 7. 5% Population: Disease Cluster Comorbidity Analysis #Comorbidities #HUIRisk
- 8. HUI Telehealth Clinical Decision Support Model Secure Internal Network Benefits Sponsor Clinical Service Documentation Patient-Centered Care Electronic Health Record Clinical Decision Support Provider Data • HR • Compensation • Medical • Pharmacy • Lost Time/STD • Workers’ Comp On-Demand Clinical Decision Support iHUI #HUIRisk HIPAA-Compliant Data Warehouse & Predictive Analytic HUI
- 9. Telehealth 5% Solution Results Right services to the right person at the right time Waste Specialty Care & Prescription Drug Cost Person-Centric Primary Care & Prevention Health As Human Capital Cost Savings & Resource for Worker Wages #HUIRisk
- 10. Learn More About HUI & The 5% Problem Visit Our Website And Subscribe To Our Blog www.hcmsgroup.com Visit Us On LinkedIn https://www.linkedin.com/company/hcms-group Follow Us On Twitter (@hcmsgroup) https://twitter.com/hcmsgroup
Editor's Notes
- Motivation & Buy-in Track “Application of Predictive Analytics (Human Capital Risk Index|HUI) to drive patient-centric Care” Technology Driven Solutions for the Healthcare Cost & Quality Problem|.5 Harold (Hank) Gardner, MD, CEO Human Capital Management Services
- The5|50 Problem Light to find a solution The real problem is the 5%, and to address it you need to know who they are.
- HUI shines light into that darkness, here’s what it is and how it works.
- Predictive Analytic
- Why Econometric based HUI verses HRA
- Now that we know who the 5% are and have a useful risk metric, here’s how to use that knowledge: Treat the whole person with clinical prevention, smarter primary care, COE, etc.
- The 5|50 Problem Light to find a solution The real problem is the 5%, and to address it you need to know who they are.
- The 5|50 Problem Light to find a solution The real problem is the 5%, and to address it you need to know who they are.