Predictive Modeling News
Partnership uses PM to reduce rehospitalization rates and boost quality of care
Provisions in the Patient Protection and Affordable Care Act that go into effect in October will penalize hospitals when a patient is readmitted with the same diagnosis within 30 days of his or her discharge. Without Medicare reimbursement for the care provided to those patients, hospitals stand to lose hundreds of millions of dollars.
Nashville-based technology firm Medalogix deploys a medication-centric predictive modeling toolset to help home care agencies reduce their rate of unplanned hospitalizations. The software takes into account two main factors — patient medication and OASIS-C information — to determine the likelihood that the patient will soon need to be readmitted to the hospital. Over the three-year period the Medalogix predictive algorithms have been in development, they have demonstrated the ability to predict a patient’s risk of hospitalization with an accuracy exceeding 74%.
Now, Alternate Solutions Healthcare System, a nationally recognized post-acute
healthcare provider based in Dayton, OH, has partnered with Medalogix to use its
proprietary predictive modeling tool to reduce rehospitalization rates and boost quality
of care for its patients. Alternate Solutions is the first home care agency in Ohio to
deploy the clinical toolset. “The significant potential Medalogix has for helping us to
identify and devote extra resources to patients who are most likely to need
rehospitalization is reason enough to deploy this new technology at Alternate
Solutions,” says Tessie Ganzsarto, co-founder and president there. “However, the new
requirements coming soon under the Affordable Care Act make this technology
particularly important. Thanks to Medalogix, hospitals can have confidence that the
patients they send to Alternate Solutions are less likely to be readmitted — which represents a tremendous cost savings for them.”
Ganzsarto adds that the technology will enable her organization to provide enhanced care through its “cutting-edge focus” on the two most significant factors in predicting geriatric patient rehospitalization: medication and geography. “There is ample research to support the idea that factoring in the specific geography of a patient population is necessary for accurate predictive modeling,” she comments. “Medalogix has created a unique tool that accounts for the geographic factor as well as the hugely significant factor of patient medication.” Studies have shown that up to 31% of elderly patient hospital admissions are associated with drug- related problems. “While predictive modeling is not new in the home healthcare space, the Medalogix approach is the first of its kind,” notes Dan Hogan, CEO at Medalogix. “Through
an emphasis on factoring in medication risk as the primary driver of rehospitalization, our company systematically isolates a variable that accounts for up to a third of all geriatric hospital admissions.”
Alternate Solutions Healthcare System began in Dayton in 1999 and has since expanded into operating 30 separate healthcare businesses in four states throughout the Midwest. Ganzsarto cites the agency’s “meticulous patient admission protocol” as a key to its success in the industry. Rather than adhering solely to an initial assessment in the patient’s home – which the firm says is typical of most home healthcare agencies — Alternate Solutions evaluates all of its patients with a second step in the assessment process, requiring each one to come into the office for a thorough interview and informational analysis. That, the firm says, decreases the possibility of critical patient information somehow slipping through the cracks, and acts as a safeguard against a patient’s requiring rehospitalization.
Ganzsarto says she expects the Medalogix tool to provide even stronger assurances to Alternate Solutions patients and their families. “The Medalogix tool will identify and direct attention to patients who need it the most,” she comments. “We know that 25% of the American population is chronically ill, and this accounts for 75% of healthcare expenditures. The inestimable value Medalogix provides home healthcare agencies and hospitals will result in more time spent on acutely ill patients, ultimately reducing wasted time, spend and resources for all parties involved.”