Founded in 2016, Precision Driven Health is a research partnership between New Zealands health IT sector, health providers and universities, aimed at improving health outcomes through data science. Ahead of the HIMSS20 conference, Kevin Ross, CEO of the organization, talks about the significance of data in delivering value-based care and the real challenges of collaboration between different stakeholders in data.
What are your thoughts on value-based care (vs the traditional fee-for-service model) and what can be done with healthcare data to create more value and personalized care for patients?
Value-based care is far preferable to a fee-for-service model, as long as we agree on value, and can be transparent in our approach. At its extreme, a fee-for-service model rewards someone who takes many attempts to get it right, whereas value-based care rewards the delivery of what matters in the most efficient way. Data has a huge role to play in this, particularly in helping to define and analyze the most appropriate metrics for value.
Data allows us to use a common language for value, and can make transparent the link between the activities undertaken in healthcare, and the value that is received by consumers. When data can be shared, people can see more clearly what they are receiving, and what is having the greatest impact. A fee-for-service tends to lead toward giving the same care for everyone, as we get good at efficiently delivering a particular procedure or program.
Data science allows us to analyze what works for different people, and if the objective is to deliver value, then the world of possibilities opens up. One person may benefit from medication, while another benefits from improvements to their living circumstances; value-based care gives us a framework to consider these in a common way.
As CEO of Precision Driven Health, what are some of the lessons learnt through coordinating collaborations between health professionals and data scientists in applying data science to enable precision health to become a reality?
Everyone is keen to collaborate and learn from each other, but there is often a lot of work up front to establish common language and understanding. We come with our biases, and are often unaware of how much they influence our thinking and expectations. I find that most people oversimplify the role of another collaborator and assume that it will fit into their own way of viewing the world.
For example, a data scientist thinks of a clinician as having a very transactional role of translating data into a diagnosis or next decision. While this may describe some of the core information exchange in clinical care, it is in reality only a small part of what happens and much of what happens is not captured in tidy data science language. Similarly, our clinicians often think that data science is one of two extremes either magic (just throw some data into a pot and out will come an answer), or predictable (the data will show that if we change X then Y will be improved). A good data science process involves a lot of workshopping, trial and error, human input and compromise.
What are your observations on the development of precision health in New Zealand? What opportunities do you see?
New Zealand has excellent quality data, enabled through a single identifier per person, known as the National Health Index. This allows twenty years of digital records to be linked and analyzed for historical patterns. Combining this data about a diverse population with excellent data scientists, clinicians and software developers, New Zealand is well positioned to be a testbed for innovations in precision health. Having a single-payer health system also helps to ensure that the best care for an individual usually corresponds with economic benefits to the whole system.
However, despite all of these advantages, the task is still very difficult. Healthcare changes slowly, and we must build public trust for/in new uses of data, and new ways of delivering care. Our clinical carers are not trained in data science, and our data scientists are new to healthcare so the changes that are readily seen in other industries have not yet taken hold on a large scale.
How do you think the use of healthcare data has led to better health outcomes in New Zealand? Could you give us some examples?
New Zealand has linked healthcare data to other government service data, including housing, education, justice. This has allowed us to understand the link between health and other social circumstances. As one example, a local health board has invested in improving the quality of homes in the neighborhood, to reduce the rates of respiratory issues caused by mold.
At the other end of the system, we have developed a localized calculator for the outcomes from elective surgery, developed based on all surgeries in the past ten years. We can now use this information for anyone considering a procedure, and explain what the outcomes are like for people like them. For minority groups who are not represented well in international studies, this allows a much better-informed conversation between surgeon, patient and family that helps to make the best long-term decisions.
Kevin Ross is a panelist at the HIMSS20 AsiaPac Summits Panel Discussion titled Preparing Data and Redesigning Metrics for Value-Based Care, scheduled for Wednesday, March 11 from 8.30am to 9.30am in room W240C. Additional registration is required click here for more details on the HIMSS20 AsiaPac Summit.
He is also the speaker for the session titled Ethical Machine Learning scheduled for Tuesday, March 10 from 1.30pm-2.30pm in room W207C.
Originally posted here:
Extracting data to deliver value-based care - Healthcare IT News
- How good is fish for your diet? - November 8th, 2009 [November 8th, 2009]
- What foods have both fiber and protein? - November 8th, 2009 [November 8th, 2009]
- Is There Evidence That Acupuncture Works? - November 8th, 2009 [November 8th, 2009]
- What are some good fiber foods? - November 8th, 2009 [November 8th, 2009]
- Can Green Tea fight HIV infection? - November 8th, 2009 [November 8th, 2009]
- Quality of GNC Supplements - November 8th, 2009 [November 8th, 2009]
- The Gene Smart Diet - November 8th, 2009 [November 8th, 2009]
- Tips for eating in a vegetarian lifestyle - November 8th, 2009 [November 8th, 2009]
- Regarding the Starting of a new diet regimen - November 8th, 2009 [November 8th, 2009]
- Thoughts on Dropping Weight - November 8th, 2009 [November 8th, 2009]
- What do doctors think about vitamin E supplements? - November 8th, 2009 [November 8th, 2009]
- What herbs or supplements are commonly used for depression? - November 8th, 2009 [November 8th, 2009]
- Is there a safe way to lose a lot of weight? - November 8th, 2009 [November 8th, 2009]
- Diets that promise you will lose weight - November 8th, 2009 [November 8th, 2009]
- Are Fish Toxins Linked to Diabetes? - November 8th, 2009 [November 8th, 2009]
- Can Plastic Surgery Help Migraines? - November 8th, 2009 [November 8th, 2009]
- Weight Loss Surgery Eradicates Diabetes Symptoms - November 8th, 2009 [November 8th, 2009]
- Found: A Gene That Controls Fat Cells - November 8th, 2009 [November 8th, 2009]
- Sugars and Starches, what's the difference? - November 8th, 2009 [November 8th, 2009]
- Improving your health with a serving of nuts? - November 8th, 2009 [November 8th, 2009]
- Is Your Diet Causing You To Be Depressed? - December 13th, 2009 [December 13th, 2009]
- Placebo Effect: Magnetic Bracelet Therapy - December 13th, 2009 [December 13th, 2009]
- Does serotonin promote sleep? - December 13th, 2009 [December 13th, 2009]
- Decreased energy levels - Overeating, Sleep, Nutrition - February 1st, 2010 [February 1st, 2010]
- When will the body begin to cannibalize muscle tissue? - February 7th, 2010 [February 7th, 2010]
- Foods that are high in antioxidants - February 7th, 2010 [February 7th, 2010]
- Editorial: Reduce health care costs by cutting administrative overhead - April 1st, 2012 [April 1st, 2012]
- Health Care Winners: Centene, Onyxx - April 25th, 2012 [April 25th, 2012]
- Dan Morain: Nurses union puts politics ahead of health - April 25th, 2012 [April 25th, 2012]
- What's next if Obamacare falls? - April 25th, 2012 [April 25th, 2012]
- Global Managed Health Care Services Industry - April 25th, 2012 [April 25th, 2012]
- Immigration Fight Echoes Health-Care Case at High Court - April 25th, 2012 [April 25th, 2012]
- Medical Centers Lead Workplace Wellness Effort - April 25th, 2012 [April 25th, 2012]
- The next health care overhaul? Look to employers - April 25th, 2012 [April 25th, 2012]
- Capital BlueCross Hosts Community Health Care Forums Focused on Managing Costs While Maintaining Quality - April 25th, 2012 [April 25th, 2012]
- County committee to look at area health care - April 25th, 2012 [April 25th, 2012]
- President Obama Calls on Students to Tell Congress: #DontDoubleMyRate - Video - April 25th, 2012 [April 25th, 2012]
- Sen. Coburn: Competition in Health Care to Allocate Resources - Video - April 25th, 2012 [April 25th, 2012]
- Jesse Kelly health care - Video - April 25th, 2012 [April 25th, 2012]
- PHC Vision Statement (short version) - Video - April 30th, 2012 [April 30th, 2012]
- The Bioeconomy Blueprint Panel - Video - April 30th, 2012 [April 30th, 2012]
- Providence Health Care's Vision Statement - Video - April 30th, 2012 [April 30th, 2012]
- Department of Health and Human Services: Minority Health Blogger Townhall - Video - April 30th, 2012 [April 30th, 2012]
- Health care worker accused of stealing identities of brain i - Video - April 30th, 2012 [April 30th, 2012]
- Health Care Reform, Part 1 of 3 | KYVE Insiders Roundtable - Video - April 30th, 2012 [April 30th, 2012]
- Health Care Reform: The ACA and Beyond - Video - April 30th, 2012 [April 30th, 2012]
- Is Broccoli Like Health Insurance? - Video - April 30th, 2012 [April 30th, 2012]
- Did Obama make a mistake on health care? - Video - April 30th, 2012 [April 30th, 2012]
- How Democrats Lie About Health Care - Video - April 30th, 2012 [April 30th, 2012]
- Toobin on Health Care: This was a "judicial hissy-fit" - Video - April 30th, 2012 [April 30th, 2012]
- President Obama says health care law will stand - Video - April 30th, 2012 [April 30th, 2012]
- Obama Defends Health Care Law From 'Judicial Activism' - Video - April 30th, 2012 [April 30th, 2012]
- Obama Healthcare Individual Mandate - Video - April 30th, 2012 [April 30th, 2012]
- President Obama attacks Supreme Court on health care - Video - April 30th, 2012 [April 30th, 2012]
- Raw Audio: High Court Dissects Health Care Act - Video - April 30th, 2012 [April 30th, 2012]
- Health care on trial - Video - April 30th, 2012 [April 30th, 2012]
- Final Day of Health Care Law Arguments Before Supreme Court - Video - April 30th, 2012 [April 30th, 2012]
- Feds to put up $1.9B for Oregon health overhaul - May 4th, 2012 [May 4th, 2012]
- Scuttling health care act will freeze Medicare, White House warns - May 4th, 2012 [May 4th, 2012]
- U.S. Health Care Spending High, But Quality Lags: Report - May 4th, 2012 [May 4th, 2012]
- Yes, the Health-Care Mandate Is About Liberty - May 4th, 2012 [May 4th, 2012]
- Health center gets $1M federal grant - May 4th, 2012 [May 4th, 2012]
- Health-care reform panel considers exchange options for Va. - May 4th, 2012 [May 4th, 2012]
- Hmong health care gap focus of Healthy House dinner - May 4th, 2012 [May 4th, 2012]
- Walsh-led health bill to be unveiled - May 4th, 2012 [May 4th, 2012]
- Ontario health system confusing for ailing seniors, study finds - May 4th, 2012 [May 4th, 2012]
- 'Health Care Deserts' More Common in Black Neighborhoods - May 5th, 2012 [May 5th, 2012]
- With federal money, Oregon kicks health care reform into high gear - May 5th, 2012 [May 5th, 2012]
- Nurse practitioners tackling more 'doctor' tasks - May 5th, 2012 [May 5th, 2012]
- Konza Prairie Health Center Receives $4.5 Million Grant - May 5th, 2012 [May 5th, 2012]
- Alberta wages hurting Sask. health care - May 5th, 2012 [May 5th, 2012]
- House releases plan to cut growth of Massachusetts health spending in half - May 5th, 2012 [May 5th, 2012]
- Mass. House Will Unveil Bill Seeking To Rein In Health Costs - May 5th, 2012 [May 5th, 2012]
- President Obama Welcomes the Kentucky Wildcats - Video - May 5th, 2012 [May 5th, 2012]
- President Obama Speaks on College Affordability - Video - May 5th, 2012 [May 5th, 2012]
- My First Job: Gene Sperling - Video - May 5th, 2012 [May 5th, 2012]
- Health-care costs worry near-retirees - May 7th, 2012 [May 7th, 2012]
- Massachusetts Institutes Health-Care Price Controls. Is America Next? - May 7th, 2012 [May 7th, 2012]
- Massachusetts Moves Toward Health-Care Price Controls. Is America Next? - May 7th, 2012 [May 7th, 2012]
- GOP plan boosts Pentagon, cuts social programs - May 7th, 2012 [May 7th, 2012]