Title

Healthcare Analytics Leadership: Clinical & Business Intelligence Plan Development

Document Type

Presentation

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Publication Date

4-30-2020

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Ms. Karen Walsh is an experienced statistician and methodologist with over 18 years of industry experience and able to successfully implement and manage strategic healthcare initiatives, proof of concepts, and consulting engagements. Prior to joining the faculty of the Jefferson College of Population Health, Ms. Walsh was a leader in the Informatics Department at Independence Blue Cross (IBC) where she successfully implemented Pay for Performance Programs and fraud detection through provider assessment strategy for hospitals, specialists, and primary care providers. She was also the business lead for implementing Phase I of Blue Cross Blue Shield Association Blue Health Intelligence National project for IBC, a Blues only data warehouse for benchmarking, modeling, and national account reporting.

At Optum Ms. Walsh served as Director of Research and Methods within the Informatics and Data Science area. She executed on various predictive models for product research and analytical projects that are complex in nature and cross a wide range of issues that deal with measuring health care services including cost, utilization, quality and risk. Ms. Walsh received her MS from Northwestern University in Predictive Analytics and has an MBA from Pennsylvania State University. She has also taught courses in Decision and System Sciences Department at Saint Joseph’s University in Philadelphia.

Dr. Couch has almost 40 years of accomplishments in healthcare delivery and management with an emphasis on evaluating and managing health IT systems to improve the demonstrable quality, safety and value of health care delivery. His work in value based purchasing, and what is now called accountable care, dates to the 1980s.

His most notable accomplishments have been in the use of Advanced Clinical Analytic, Care Management and Population Health Management Analytics Systems. He conceived and led an unprecedented prospective, double blind, randomized controlled clinical trial which demonstrated the 707% ROI of an advanced clinical decision support and care management fulfillment system for the reinsured health plan of a leading academic health system (the University Hospitals Case Medical Center and Health System in Cleveland). Three months following publication of this study in a leading peer-reviewed journal, Aetna purchased the company owning this system for $400 million. He also helped to introduce, to present, and to position the company possessing the particular technological products which now serve as the core analytics engine for optimizing the quality of care delivered to 12 million Humana members.

He has taught health policy, quality improvement, patient safety, medical risk management and value based purchasing at Penn’s Medical and Wharton Schools, Johns Hopkins,Cornell, NYU’s Business and Public Policy Schools, SUNY’s Watson School of Engineering, UConn, Jefferson’s College of Population Health, Harvard, Yale and Oxford Universities (Wolfson and Green-Templeton Colleges). Since 2010, Penn has awarded at Commencement each year the James B. Couch, M.D. Prize to the Senior Medical Student who has made the greatest academic, professional and scholarly research contributions in the joint fields of Medicine and Business.

Dr. Couch’s education includes a BA Degree awarded Summa Cum Laude from the Social and Behavioral Sciences Honors Program at the Ohio State University, a JD (Doctor of Jurisprudence) from the Maurer School of Law at Indiana University (where he also completed pre-med studies), and an MD from the University of Pennsylvania’s Perelman School of Medicine.

Abstract

Future healthcare leaders require expert knowledge and practical capabilities in the evaluation, selection, application and ongoing oversight of the best types of analytics to create continuous learning healthcare systems. These systems may result in continuously improving the demonstrable quality, safety and efficiency of healthcare organizations.

Data is an asset for organizations. However, many companies do not know how to establish analytical road maps for future action.

Population Health Intelligence describes a new discipline whose role is to collect, organize, harmonize, analyze, disseminate and act upon the data available to clinicians, health system leaders, the pharmaceutical and biotechnology industry, and healthcare payers.

This webinar on Analytics Leadership will demonstrate how to create and implement Clinical & Business Intelligence Plans that transform data into actionable organizational insights.

Agenda

  • Introduction
  • Healthcare Analytics Leadership: Clinical & Business Intelligence Plan Development
  • Population Health Intelligence

Presentation: 53:30

Language

English

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