Isolating a hospital's highest-risk patients means that you can avoid
costly complications, drive better resource allocation, and protect your organization from revenue impacts
Within every hospital patient population, there are a small percentage of patients who - because of their illness and condition - require the highest levels of care and resources. These patients have at least one complex illness, multiple comorbidities, and possible psychosocial problems.
While treating these individuals is an imperative, it often comes at a cost to the provider.
Using Jvion's solution and the advanced Clinical Patient Pod technology that underlies the solution, we are able to predict and pin point high-risk patients. Moreover, we can predict the complications that compound existing conditions and lead to poor outcomes for patients and the providers who serve them. The resulting predictive outputs help hospitals deliver intensive, comprehensive, and proactive health management while trading high-cost, acute care for low-cost interventions.
High-risk, high-cost patients use disproportional healthcare resources compared to the larger population. Estimates show that 1% of the population uses approximately 30% of total healthcare resources. When the population is expanded to 5%, the total amount of resources jumps to nearly half all expenditures. This concentration of resources is likely to increase as the U.S. population ages and more baby boomers enter the high-risk category.
Defining the high-risk patient is tricky. Different specialties have different views on what it means to be "high-risk." In general terms, a high-risk patient is one who has multiple, complex illnesses and compounding factors such as age that put the individual at risk for adverse health outcomes. For providers, identifying these individuals is critically important because of the number of resources they tend to consume and the potential complications that could result in a longer hospital stay, potential financial penalties, or even death of the patient.
Of equal concern are "rising-risk" patients. These are individuals who are not necessarily high-risk by definition but are on a trajectory that will lead them to a high-risk classification if interventions are not applied. For these individuals, care management and early preventions are critical in ensuring better health outcomes and lowering costs.
For both rising and high-risk patients, resource and care management are paramount to ensuring positive outcomes for the patient and the provider. And as at-risk models of care become more prevalent, controlling the costs associated with caring for these risk groups will come under greater scrutiny.
Find out how Jvion's solution can help you save the lives of those patients who need the most. Contact us at firstname.lastname@example.org.
- The Concentration Of Health Care Spending; NIHCM Foundation Data Brief July 2012. http://www.nihcm.org/pdf/DataBrief3%20Final.pdf