HomeHealthcareHumana, Optum Well being Execs Describe Constructing Well being Fairness Infrastructure

Humana, Optum Well being Execs Describe Constructing Well being Fairness Infrastructure

Humana, Optum Well being Execs Describe Constructing Well being Fairness Infrastructure

Throughout final week’s Main Care Transformation Summit, Amy Nguyen-Howell, M.D., M.B.A., chief of the Workplace for Supplier Development at Optum Well being, and Nwando Olayiwola, M.D., M.P.H., chief well being fairness officer and senior vp at Humana, detailed the info infrastructure they’re constructing of their respective organizations to help well being fairness initiatives.

As Humana’s first chief well being fairness officer, Olayiwola mentioned her job is to make it possible for they discover a approach to combine well being fairness ideas into all of the work that they do on the payer and supplier sides. She famous that the corporate’s CenterWell supplier group has over 250 main care clinics throughout the nation, in addition to dwelling care and pharmacy companies. “We’re now the biggest supplier of senior-focused main care within the nation, so we’re very a lot fascinated by how  we make it possible for main care has all of the instruments that it wants to have the ability to obtain well being fairness.”

She described organizing their well being fairness technique is round three strategic priorities. The primary one is round bettering understanding disparities and making enhancements associated to entry to care. The second is knowing disparities associated to high quality of care and dealing to enhance that high quality, and the ultimate one is addressing non-medical limitations to care, corresponding to environmental challenges, training, and literacy.

“One of many first issues that we did was begin to disaggregate our information to essentially perceive what will we find out about our members and our sufferers,” Olayiwola mentioned. “On condition that we’re each insurance coverage and care supply, what will we find out about about them in all of the totally different domains that we have a look at our sufferers and members — scientific outcomes, health-related social wants, monetary, all types of issues, and actually understanding what challenges we had after which began to construct a method round working to deal with these areas, and we landed on entry, high quality and non-medical limitations as our three strategic priorities.”

Nguyen-Howell started by noting the scope of Optum Well being’s attain. “Inside Optum Well being itself we serve about 101 million customers, with over 3 million sufferers below absolutely accountable value-based care preparations. Now we have over 70,000 aligned physicians, which incorporates about 7,700 employed physicians. Now we have over 2,000 websites of care. Now we have about 100 payers throughout the nation and over 29,000 superior apply clinicians. We’re serving one out of three Individuals this 12 months,” she mentioned. 

She described efforts at Optum Well being to construct a disparities analytics dashboard.

They’re working to seize self-reported REL-SOGI information — race, ethnicity, language, sexual orientation, and gender id information. “Meaning whether or not it is screening capabilities or constructing the info infrastructure, we’re actually going to embrace and seize that self-reported information,” Nguyen-Howell mentioned. “The second initiative, as we construct the info infrastructure, is to have a bi-directional information trade of REL-SOGI information. That includes principally growing a knowledge structure and infrastructure throughout our companies, throughout our markets, to make this self-reported information out there, as a result of, as we all know, we won’t enhance what we won’t measure. We will not measure it with out dependable legitimate, viable information.”

Optum Well being can also be working to determine an SDOH information registry. “We hope to seize and retailer the SDOH-related information in an organized approach in order that we perceive their wants in actual time,” Nguyen-Howell mentioned. “It could possibly inform referrals, it will probably inform closing care gaps in actual time and clearly inform bettering high quality of care, as we attempt to shut the healthcare gaps and enhance final result measures for our members and our sufferers”

Optum Well being additionally has targeted on rolling out well being fairness coaching throughout the group, she added.

Olayiwola mentioned they did an early dash when she first received to Humana round information disaggregation. “We constructed out a extremely subtle inner use-only inhabitants well being analytics enterprise intelligence instrument, which permits us, at any degree of the group, inside any market, to drill down to know what are the social wants of the members and the affected person that we’ve got in that space,” she mentioned. 

“What types of disparities do we’ve got in a few of the outcomes?” Olayiwola mentioned. “We have a look at power ailments — heart problems and hypertension and diabetes. It means that you can perceive the place you’ve locations the place we actually do have to focus our power and efforts, design and co-design applications and initiatives to assist handle these issues,” she defined. “That sophistication round information intelligence and pop well being enterprise intelligence supplies a useful resource to groups throughout the nation. It’s been enormously useful. We have a really robust group engagement group partnership staff. And as I discussed, we’re targeted on social wants in a really significant approach, but additionally it permits us to widen the aperture round well being inequities, as a result of we all know that social wants are one a part of that work, however we all know that our suppliers want instruments and assets to assist them handle challenges that they discover.” 


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