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Population healthiness INDEX℠ (PHI, Φ)

For Providers


A Game Changer in Healthcare


Transform Care Delivery - Scenario

Situation

Sally has seen better days as the hospital CEO.  To her, running a hospital is becoming very complicated with conflicting demands coming from all directions:

  • Patient surveys are not as stellar as they used to be, pointing to several operational challenges to enhance their experience.
  • Payers are not only demanding higher quality of service at progressively lower payments but also adding penalties for under-performance.
  • Competition is forcing huge resource commitments in several initiatives to provide better services, enhanced outcomes at competitive prices.
  • Professional hiring and retention costs are escalating due to severe shortages in a number of critical areas.
  • Physicians are demanding greater investments in the latest equipments and technologies to stay competitive.
  • Bankers and financiers are demanding better operating performance, cash flow and balance sheet for continuing operations and debt servicing. 
  • Board is pressuring to explore opportunities for expansion and consolidation in the market.


 Insight

Hospital as a centralized multi product and service operation, with each product and service a discrete entity having its own measures and performance criteria is by definition a highly complex and unwieldy system that is virtually impossible to optimize and manage effectively. With ever increasing complexity of the healthcare system, unless addressed, management of hospital would continue to be a very challenging task for Sally and her peers.

Lack of a holistic SINGLE measure is the core to Sally and her peers’ challenges.  Their hospital operations have become very complex due to multiple measures and multiple measurement systems mandated by multiple payers requiring enormous resources and investments, resulting in huge waste in terms of time, quality of services and overall cost.

PHI (Φ) Difference

Measurement of the Whole Person with a SINGLE measure including both clinical and non-clinical dimensions and factors would provide an elegantly simple yet powerful tool to cut through the complexity, significantly streamlining operations and leading to reduced cost, improved quality, better outcomes and excellent patient experience.


Using PHI (Φ) model, the following are multiple ways for Sally to dramatically improve performance of her hospital:


Accelerate ACO’s and other value based models through a true performance based payment model

  • Set unambiguous targets for PHI (Φ) improvement with the ability to measure impact of every point change in ΦScore℠ and thus provide the clearest basis for performance based payment.


 Simplify revenue systems - dramatically

  • Cut through a slew of low to intermediate, confusing and often conflicting measures to a holistic SINGLE measure of health and vitality.


 Increase dollar velocity and return on investments

  • Simplified payment systems could significantly accelerate revenue creation and recognition, increase cash flow, reduce capital needs and greatly improve the returns on investments made.


 Reduce operating costs and increase profitability

  • Simplified performance measurement, payment and care delivery processes etc., would dramatically reduce operating and other related costs.


 Reduce readmissions and adverse episodes

  • SINGLE, holistic measure that focuses on multiple non-clinical dimensions critical for health and vitality would significantly reduce post-op relapses, readmissions and other similar episodes; minimize penalties and revenue loss; and increase quality, credibility and rankings. 


 Improve quality and care

  • SINGLE holistic measurement system would significantly refocus quality efforts in the areas that matter the most to improve health and vitality of a patient and help dramatically improve quality and care delivered.


 Deliver faster service and better experience to physicians and service providers

  • Eliminate conflicts, confusion and complaints and focus on providing outstanding experience.


 Manage strategic costs and investments with fine-tuned population based strategies

  • With over 50 factors and dimensions that influence health and cost, a pin-point focus on factors that have the highest influence.


 Build deeper and longer engagement with the patients and consumers

  • Engage and motivate individuals and groups with the Whole Person view that includes multiple dimensions and factors, into proactively managing their vitality and health, thereby building a trusting and lasting relationships.


 Facilitate collaborative relationships with payers

  • Co-develop and co-execute finely targeted population based strategies with payers and measure their impact on cost, efficacy of care and productivity in real-time. 


 Measure effectiveness of treatments faster

  • Reduce time to measure the impact of a treatment, therapy and other interventions in improving overall health and vitality of a patient and speed feedback to change or improve for greater effectiveness and value.


 Change narrative with the key stakeholders

  • Forge deeper and collaborative relationships with the key stakeholders such as patients, consumers and payers by changing discussions from cost to health, vitality and productivity.


 Above all, transform healthcare delivery

  • Help transition from the transactional, fee based payment models to the outcomes focused system that improves the health and vitality of patients while enhancing efficiency and patient experience.