On Impactibility

This is the first of a proposed series of pieces on population health and patient Impactibility models — defined broadly as a way of understanding which groups of patients will be the most amenable to specific health and care interventions — and the resulting implications for managers and clinicians.

There are a number of well-established reasons why the use of predictive models alone may not be sufficient to identify the patients at high risk of unplanned admission. Read More…

Integrated Care Systems and the Importance of Population Segmentation

When focusing on population health systems we should never lose sight of the fact that the starting point should be the acquisition of knowledge and insight, and that the quest for knowledge starts with an understanding of the needs, wants and desires of the population to be served. Our long-standing relationship with the NHS tells us that insights are derived from data and health analytics expertise.

For those working with population-based planning for healthcare, it is important to harness the power of population segmentation. Population segmentation uses multiple health and care data sources to divide populations into distinct groups with different characteristics, for which intervention programmes can be designed. Read More…

Relationship between Frailty and Risk

This analysis explores the relationships between high degrees of frailty, risk of emergency admission in the next 12 months, and risk of being in the top 2% of most expensive patients in the next 12 months. The risk data is derived from the predictive models calculated by the Johns Hopkins ACG System. The frailty data is calculated by the electronic Frailty Index (eFI), which is also incorporated into the ACG System.
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The Journey to Successful Health and Care Integration

There is a common consensus growing that if we are to deliver a sustainable health and care system for the future, then service transformation needs to happen at scale and at pace.

If nothing else Sustainability and Transformation Plans are a means of ensuring that the health and care system works in a collaborative and integrated manner, its focus being how best to utilise the collective resources of a health economy — or place — to deliver better outcomes and improved patient experiences at a reduced cost to local communities. Read More…

Introduction to Population Health Management

Sollis believes patient-centred care strategies based on the needs of local populations provide the key to better population health management. A range of tools and processes available to commissioners and clinicians provide the evidence base and the insights (those lightbulb moments) to inform service transformation and monitor value through outcomes. Read More…