Informatics/Big Data at NYUSM, and SPARCS

Objectives:

1. Students will be able to define and describe a typical "panel"
2. Students will be able to list the advantages and limitations of a panel approach
3. Students will be able to use a spreadsheet of patient data to coordinate care
4. Students will be able to describe the various forms of panels including the statistical term, population health, and care coordination

NYU has created an exercise for students that uses over 5 million patient-level records as contained in the 2012/2013 SPARCS database: ACE SPARCS Student Project Readings:

1. Liberating Data to Transform Health Care. New York’s Open Data Experience. JAMA. 2014;311(24):2481-2482.
2. Overview of SPARCS
3. SPARCS Data Dictionary (PDF)

Population Health and Panel Health Management

Objectives:

1. Describe the recent (ongoing) transformation of healthcare
2. Discuss the concepts of population health and panel management
3. Showcase tools available for population health and panel management (i.e. VA Primary Care Almanac)

Lecture Slides (PDF)

Links and Online Resources:

• Kaiser Permanente Panel Management Description (pdf)
• Choosing Wisely
• CDC Colorectal Cancer Screening
• USPSTF - Recommendations for Adults

How do you measure value? Measuring for improvement

Objectives:

1. To explain the importance, role and components of healthcare value
2. To explain the different motivations and methods for measuring value
3. To describe various approaches to using administrative and clinical data to improve value of healthcare delivery

Lecture Slides (PDF)

Readings:

1. Institute of Medicine, Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001. (PDF)
2. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003;348:2635-2645.
3. High-Value Health Care — A Sustainable Proposition Gregory D. Curfman, M.D., Stephen Morrissey, Ph.D., and Jeffrey M. Drazen, M.D. N Engl J Med 2013; 369:1163-1164
4. Boat TF, Chao SM, O'Neill PH. From waste to value in health care. JAMA. 2008 Feb 6;299(5):568-71.

Incentives in Healthcare

Objectives: Students will be able to ...

1. Understand payment models in health care.
2. Appreciate how incentives affect behavior of providers and delivery systems.
3. Describe factors associated with health and patients’ use of healthcare services.
4. Appreciate how incentives affect patients’ engagement in health care and health behaviors.
5. Generate new ideas to optimize health system performance and patient outcomes.

Pre-Lecture Work:

1. Dan Ariely TED Talk: What makes us feel good about our work?
   Time: 20 min. 26 sec.
2. Dan Pink TED Talk: The puzzle of motivation
   Time: 18 min. 36 sec.

The Patient Experience

Objectives:

1. Explain the concepts and dimensions of patient-centeredness, shared decision making and patient centered outcomes
2. Describe the various components of the Patient Experience
3. Demonstrate how to measure and improve Patient Experience and patient centered outcomes

Lecture Slides (PDF)

Readings:

1. Empathy: The Human Connection to Patient Care. Cleveland Clinic
2. Ann Bowling, Measuring Disease

In-Class Simulation Exercise

Objectives: Students will be able to ...

1. Analyze practice data to identify and prioritize
2. Challenges to value in the practice
3. Strategies to improve value in the practice
4. Articulate and represent the perspective of various stakeholders in the practice
5. Negotiate consensus across multiple stakeholder perspectives

Exercise Overview (PDF)

ACE Virtual Practice

Student Project Presentations

Objectives:

1. Students will prepare an IMRAD structured abstract
2. Students will prepare a powerpoint to be presented over 10 minutes with 5 min of questions
3. Students will prepare a spreadsheet with their analyses