1. Connecting Communities for Better Health PHDSC / eHealth Initiative Annual Conference The Population Health Perspective Track 3 Financing Lawrence P Hanrahan, PhD MS Chief Epidemiologist Bureau of Health Information and Policy Wisconsin Division of Public Health Adjunct Associate Professor Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health PHDSC Board Member May 26, 2005 Washington DC

2. Population Health - Agenda u Definitions – Public Health, Population Health, Business Intelligence u Developing sustainable models for health information exchange - Population Health is Business Intelligence (BI) of Health System – The Key Value Proposition u Navigating emerging pay for performance initiatives – Population Health Domain is the Metric u Individual physician HIT financing strategies – ROI / Optimization Analyses; RHIO Service Providers

3. Population Health u "Population Health" may be defined as 'the health of a population as measured by health status indicators and as influenced by social, economic and physical environments, personal health practices, and individual health capacity and coping skills, human biology, early childhood development and health services.' (Young 2000).

4. Public Health u The science and art of promoting health, preventing disease and prolonging life through organized efforts of society u For Example, it is the science and practice of protecting and improving the health of a community, through preventive medicine, health education, control of communicable diseases, application of sanitary measures, and monitoring of environmental hazards

5. Business Intelligence u Business Intelligence Information Technology is the tools and systems that integrate large, disparate data bases and information systems to support organizational decision making and strategic planning. It is how industry determines evidence based practices through data derived customer profiling, customer support, market research, market segmentation, product profitability, statistical analysis, and inventory and distribution analysis to name a few.

6. Population Health + Public Health = Business Intelligence Population Health – Aggregate Health Information / Informatics Science / Modeling Cause & Effect Public Health – Acting on Findings – Informed Policy Business Intelligence: Enterprise Information Integration – Statistical and Modeling Sciences - to Drive Decision Making Population Health Domain Function in RHIOs

7. Population Health + Public Health = Business Intelligence Business Intelligence – or Data Analysis & Aggregation on the Population Domain – to Develop Evidence Based Practices Informs Entire Medical Informatics Spectrum (Cellular, Imaging, Clinical) Essential to Achieve ROI, Reduce Medical Errors, Improve Efficiency, Quality, Optimize business processes for all stakeholders

8. Intelligence Business Value Health Enterprise Expertise Optimization Predictive Modeling Forecasting Reporting / OLAP Data Management Data Access Business Intelligence What’s the best that can happen? How much and where? What will happen next? What happened? How many, how often? Population Health Informatics

9. Pay for Performance u Population Health Domain is the Metric u Business intelligence provides modeling / relative rate ratios (relative performance) u Uniform system to drive optimization and continuous improvement

10. Individual physician HIT financing strategies u Build it and they will come u ROI / Optimization Analyses; u Data shows improved efficiency; increased throughput & revenues; reduced payment times & lost payments. u HIT Maturity – Risk Reduction u Application Service Providers (WWW RHIO Data Exchange Function?)

11. Connecting Communities for Better Health PHDSC / eHealth Initiative Annual Conference Questions? Lawrence P Hanrahan, PhD MS Chief Epidemiologist Wisconsin Division of Public Health hanralp@dhfs.state.wi.us 608-267-7173 May 26, 2005 Washington DC