Data-Based and Analytical Decision Making in Case Management
Hours: 1.50
This course will provide an overview of innovative ways that data are being applied to improve healthcare costs, quality, and outcomes. You will begin with a broad perspective of what experts are calling the “data revolution” in healthcare, or the “age of big data,” and dive into what this means from a technology perspective. Following this, you will learn how data are being applied in ways never before seen by payers and providers to drive healthcare improvement through an analytic approach. Next, you will dig into the topic a bit more and go down to the micro level of healthcare data application within the payer setting. You will examine the different ways in which data are helping payers to improve overall population health, manage healthcare costs, and inform the creation of innovative pilot programs. Finally, you will learn about the application of healthcare data from the Case Management perspective within the payer setting. An overview will be provided about member case management selection, the intersection of healthcare data and member preference, and how data are being used to inform best practices through medical necessity criteria and clinical guidelines. This course is intended for all case managers and care coordinators with payer organizations.
This course will provide an overview of innovative ways that data are being applied to improve healthcare costs, quality, and outcomes. You will begin with a broad perspective of what experts are calling the “data revolution” in healthcare, or the “age of big data,” and dive into what this means from a technology perspective. Following this, you will learn how data are being applied in ways never before seen by payers and providers to drive healthcare improvement through an analytic approach. Next, you will dig into the topic a bit more and go down to the micro level of healthcare data application within the payer setting. You will examine the different ways in which data are helping payers to improve overall population health, manage healthcare costs, and inform the creation of innovative pilot programs. Finally, you will learn about the application of healthcare data from the Case Management perspective within the payer setting. An overview will be provided about member case management selection, the intersection of healthcare data and member preference, and how data are being used to inform best practices through medical necessity criteria and clinical guidelines. This course is intended for all case managers and care coordinators with payer organizations.
