Q&A with Bob Gladden of CareSource - A Speaker at IIR's Healthcare Data Insights

This June at IIR’s Healthcare Data Insights, Bob Gladden, Vice President for Decision Support and Informatics at CareSource will speak on a session titled “Taking a Persona-Centric, Not a Disease-Centric, Approach to Care Management & Engagement”.

Session Info:
The typical member management program entails profiling members based on their disease states without taking into account the patient as a whole. Beginning in the Fall of 2013, CareSource started using claims and enrollment data to segment their members into a specific persona, then began services to members based upon the persona in which they were identified. Learn how they build data driven personas and understand the results they’ve seen to date.


Q&A:

1. What does data driven decision-making mean to you?

To me it means that when possible, we eliminate the guess work component of decision-making.  There will always be a component to decision making that is not quantitative, but that should be by choice, not because the data isn’t available in a format that can be incorporated into the decision-making process.
2. How do data sets (EHR data, claims data, member feedback, etc.) to inform your business strategy?

As a Medicaid managed care organization, we use claims data extensively to help shape everything from care programs to business strategy.  Ongoing, our strategy continues to be to augment the claims data view of our membership with other data sets that can enrich our view of our members, and help us to identify their needs at the earliest possible moment.  As one example, we are currently working on a partnership with a state Health Department and a major university that will expand our view beyond claims data to include social/economic data. 

3. In general, how difficult is it to get internal buy-in to build out programming that’s based on data?

Actually, at CareSource the difficulty has been to build out the data to support and enhance programs fast enough to keep up with the requests.  Senior leadership here has for some time been asking for more data support to build all of their efforts.  Having leadership asking for this support goes a long way toward the success of having an organization focus decision making on fact and less on hunches.

4. How do you see your use of data evolving in the upcoming year? Are there new opportunities to use data to create more effective, innovative programming?

There are a number of changes that are coming. The most notable in health care is the provider base moving to electronic medical records. Many of these systems were first stood up just to meet requirements for enhanced reimbursement, but now the effort is to fully incorporate this information in work-flow and use it in a meaningful way.  To that end, there are more changes coming that could even eliminate traditional claims as we know them today. It is all part of many exciting developments that will change how we all do business to deliver far more effective and higher quality care.


To hear more from Bob, please join us at Healthcare Data Insights, June 23-25 in Chicago.

Register now and save an additional $100 off the current rate when using the code: XP1902BLOG

HDI Podcast Series with Bob Gladden of CareSource

Healthcare Data Insights Podcast Series

 Below is a teaser from our podcast series with Bob Gladden, VP for Decision Support & Informatics, CareSource

Download the complete podcast and transcript here.

How do you make data-driven decisions across the organization?
Bob: It’s been an interesting journey that we’ve been on. I think we’ve been on this like a number of other companies. I’ve heard some references to how companies are dealing with this today in terms of how decisions are made. Are they made based on individuals having data and pouring through that and coming up with a solid answer? Or is it based on what they call in the industry “HIPPOs”, which simply translates into ‘highest paid person’s opinion’. Now, we have to be careful about calling people HIPPOs. That doesn’t tend to go over well. But, we are working towards certainly the value that those highest-paid individuals have – a lot of energy and a lot of experience that they bring to the table. But, we are trying to shift a little bit so that data becomes more involved and more a part of the decision processes and use the folks that typically in the past were the highest paid person in the room just making the decision.

We’ve now focused that a little differently and we are now using them to help us identify where we need to look and put some energy into changing things. We are actually right now in the process of redesigning our entire care management process in the organization. Within that, we are actually using a very data-driven approach to even design the program, which is certainly a step forward from where we’ve been in the past. It is allowing us to step away from some of the more traditional ways that you might design a care management program.

To hear more from Bob, please join us at Healthcare Data Insights, June 23-25 in Chicago. Register with the code XP1902BLOG and save $100 off the current rate. That is $300 in total savings if you register by this Friday, 5/23. REGISTER HERE!

FLASH SALE! Healthcare Data Insights - Buy One Pass & Get One Free (Offer Only Valid Through 5/13)

Buy one pass and get one free when you register for IIR’s Healthcare Data Insights (HDI) by the end of Tuesday 5/13!

Be empowered to do more with all of the data you already have at your fingertips. Regardless of what your role is—medical, sales/marketing, financial—data-driven decision-making will help put together smarter, better informed strategies. Attend HDI to learn how to implement data-informed programming. 

HDI’s expert speaking faculty includes companies like Intermountain, CareSource, Steward Health Care Network, Molina and MDwise who are already deemed pioneers and masters of data-driven healthcare strategies, and will present case studies on how you can become a master as well!

Register by calling (888) 670-8200 to join us and mention code XP1902SAVE to buy one pass and get one free!

Healthcare Data Insights will take place in Chicago on June 23-25 at the Hilton Garden Inn Chicago Downtown. See you there.

Have any questions? Email Ryan Geswell.

Note: This promotion is valid only through 5/13 and cannot be combined with any other discounts.

Decode Big Data to Drive Decisions | Register for HDI by Friday to Save $500!

 According to PricewaterhouseCoopers, big data and predictive analytics help companies better understand their audiences and how to engage them.

We're not talking to the "data guy". We're talking to YOU-the person making informed decisions based on data that is material to your business (claims data, member feedback, clinical data, etc.) By translating this information into actionable insights, you have the power to make more efficient and effective business decisions.

Don't fall behind as more and more companies grow increasingly data-driven and are more willing to apply analytics-derived insights to key business operations. Join us in Chicago this June 23-25 at IIR's all-new Healthcare Data Insights, where you will hear from speakers who successful implement big data analytics into their business strategy.

Discover how to make the best data-driven decisions for your company with speakers including:
•    Elizabeth Benz, Associate VP of Community Outreach & Engagement, Molina Healthcare of Wisconsin   
•    Greg Poulsen, Senior Vice President, Chief Strategy Officer, Intermountain Healthcare   
•    Bob Gladden, Vice President of Decision, Support & Informatics, CareSource   
•    Dan Munro, Contributor of Healthcare IT, Innovation and Policy, Forbes

Register by Friday 4/25 to save $400! Plus take an extra $100 off when registering with the code: XP1902BLOG

That is $500 in total savings, register today!

Learn more about Healthcare Data Insights here.