The readmission penalties being levied on hospitals is a direct threat to already strained healthcare resources available to Floridians. To help alleviate the coming issues, the Health Planning Council is launching a dynamic predictive modeling tool aimed at discovering the Health Planning Council relationship between healthcare utilization, population health management and the physical environment. Since every community is unique, the approach to better understanding a community’s health needs is aligned with the Social Ecological Model, a comprehensive approach to health planning that not only addresses a community or individual’s risk factors, but also the norms, beliefs, and social, environmental and economic systems that create the conditions for health inequities and poor health outcomes.
Why the Health Planning Council? The Health Planning Council has been the dedicated state-appointed stewards of hospital and nursing home utilization data and general healthcare data for the region, for more than 40years. The Health Planning Council houses a vast repository of usable data; and is intimately familiar with how the data is collected at the hospital level and by the state.
The Health Planning Council is solely responsible for reporting the data not only to state officials but also back to the hospitals themselves. The Health Planning Council has a long-standing and firmly founded relationship with all area hospitals; and is recognized as an unbiased and trustworthy resource for extremely valuable market statistics and reports.
By being legislatively founded and government funded, yet still a private non-profit organization, the Health Planning Council has an extremely unique and favorable position to perform this type of analysis and provide this information back to stakeholders. The close contractual relationship with the Florida Department of Health assists Health Planning Council in gaining access to detailed data that would not be available to any other private entity.
The founding statute guarantees the ongoing provision of data to the Health Planning Council from area providers; and establishes the authority to analyze and report this type of data and information. The statute also mandates that its Board of Directors meets specific composition requirements, and that individual Board members are vetted and approved by their own local government officials, ensuring unbiased, objective perspectives.
As a private, non-profit organization the Health Planning Council has the agility to move at the pace of a private enterprise but isn’t subject to the same monetary drivers as for-profit companies. Having developed an infrastructure and business model to compete in a private market, the Health Planning Council can enter into partnerships and agreements with the ease of any private entity. By virtue of its 501c3 status, the organization is not at the mercy investors to continually focus on profit margins. The Health Planning Council is positioned and dedicated to serving in the best interest of the hospitals and the communities over vendor profits.
By partnering together with all of the area hospitals, the project will foster economies of scale for each partner, saving significant costs when compared to the expense of hospitals attempting to create these types of models on their own. A project collaborative allows for data from multiple institutions to be analyzed simultaneously, in aggregate or separately, allowing a much broader scope of utility and capability to the models and all users. More information also results in more accurate and efficient predictive models.
The Health Planning Council has access to volumes of data from a wide variety of other resources that can be blended with the facility utilization data to create an even more comprehensive reporting and analytic model. Data sets may include specific environmental data that can help in correlating high rates of illness/utilization to conditions where patients live, work, and play; general disease prevalence and mortality data; and socio-economic data, just to name a few. The Health Planning Council knows the Northeast Florida region, the health trends and the connection between health and sustainable communities. The Health Planning Council has the expertise and capacity to use the information gained from this project to catalyze meaningful and effective change in neighborhoods and communities where high risks for illnesses requiring frequent/recurrent hospitalization are identified. The Health Planning Council wanted to leverage not only the data but also the operational expertise developed over the years to make a solution available to hospitals to identify the risk that a patient may experience a readmission and communicate that to the caregivers.