Today's Practice: Changing the Business of Medicine National Edition Q1 2018 | Page 35

POPULATION HEALTH SERIES Why Effective PHM Requires a Real-Time Clinical Perspective By Pranam Ben, founder and CEO, The Garage Clinical laboratories have been an essential component of safe and effective care delivery since at least the early 20th Century. Yet only in recent years have healthcare providers begun to explore ways to leverage that clinical lab data, along with numerous other types of information, to manage populations of at-risk patients — even prevent potential adverse health events. Effectively managing patient populations is important for clinical integrated networks (CINs) not just because it is in the best interest of patients, but also because it can deliver financial dividends to the organization. As hospital and health system profit margins continue to shrink, driven by greater expenses, CINs and other provider organizations need to explore new methods to deliver care efficiently and reduce costly care interven- tions. The key is to capture the widest scope of available timely data from multiple sources, especially clinical labs, and then analyzing that information to monitor populations and intervene when a potential negative outcome is identified. When properly deployed, organizations can decrease costly emergency department care and readmissions while improving adherence to providers’ treatment plans. Both of these population health management improvements can drive increased reimbursement under value-based payment models. TODAY’S PRA C T I C E: C HA NGI NG T HE BUS I NES S OF M EDI CINE 34