More definitions on Patient Paths

Idea Center Question/Checklist

Response

Is this a product enhancement/web, data adjustment, or new metric?

Product enhancement

Name and description of metric.

n/a

Who would use this (New or Current MSSPs or DCE's, physician group, health plan, specific client, etc.)?

Internal users as well as all customers who navigate to Strategize > Patient Paths

Who's requesting this (internal idea or specific client)?

What is the client trying to solve? What is the problem they are facing?

They are confused about definitions and instructions for most beneficial use of Patient paths

Why do they need this?

Patient Paths is confusing to many users (internal and external)

Do we have a form of this today (readmission rate vs risk adj, is it in Marketscape)?

Definitions are not clear

What benefits would this bring? (i.e. Enhance performance, Customer Retention/Value, New Business, New Industry/Market, Competitive Differentiator, etc.)

Clarity, customer retention, enhance performance

What provider types need this metric (Physicians, Hospitals, ACO's, etc.)?

All provider types

Where does this data need to be reflected in the product (Explore, Analyze, etc.)?

Strategize > Patient Paths

What patient population should this be for (All FFS, Attributed to current ACO/DCE, Assigned bene's to an ACO or DCE, Attributed to new ACO/DCE, DCE population, etc.)

FFS Patients

What timeframe of data do they need - date range and type of data (latest complete performance year, rolling 12 months, quarterly, etc)?

No change in time frame from existing patient paths

Does this metric need to be risk adjusted, unadjusted, or both?

n/a

Are there assumptions we should account for (i.e. For metrics that cross over years 2019 Assigned and 2020 Assigned Bene's to respective Quarters)?

n/a

Are there any exceptions (Exclude ACO's not active in 2018, providers no longer active, etc.)?

n/a

Indicate how to handle values where there is insufficient data or PHI (exclude all providers with <11 readmissions or replace all <11 with avg readmission rate)?

no change - request is to make definitions more clear

If going in explore, what EAV category tag should this show up under?

N/a

What is the impact of not doing this (client retention, lose a sale, etc.)?

Patient paths will continue to confuse customers and some internal users

Is this a high, medium, low priority (must have, compliance requirement, etc.)?

Medium - high

Is there a defined date when this is needed by?

N/a

Additional Notes:

N/a