Significant improvements in health care quality, efficiency, and outcomes are often difficult to come by. Here are some examples of our success.
Case Study: Reducing time to treatment: Hoag Memorial Hospital
A 47-year old woman had a mass in her left breast. At 11:02 am her physician ordered a biopsy. By 11:57 am the results were delivered.
In just 55 minutes, the physician was able to determine next steps. The patient came back for her follow-up appointment the next day and was quickly enrolled in the hospital’s breast cancer treatment program.
Hoag Memorial Hospital Presbyterian in the U.S. is powered by Aetna’s Medicity Exchange, a sophisticated technology platform that allows providers to manage their patient populations through collaborative data sharing, care event notification and monitoring, financial and operational analysis, population insight, and patient engagement.
Case Study: Improving efficiencies in care delivery: Colorado Regional Health Information Organization (CORHIO)
CORHIO implemented Medicity Health Information Exchange (HIE) to improve the services of Colorado’s Long Term and Post-Acute Care (LTPAC) organizations and reduce inefficiencies.
Before participating in CORHIO, LTPAC providers would typically spend up to two days accessing all of a patient’s information after a hospital visit. Doing so often entailed calling multiple doctors and reconciling myriad medications. Now it takes only six minutes.
Case Study: Reducing unscheduled and unnecessary care: ActiveHealth Management
Aetna’s CareEngine® system is a proprietary technology platform that sits at the heart of the ActiveHealth suite of solutions. It continuously analyzes claims and other data against evidenced-based best practices and alerts members and their physicians about possible care gaps and other inconsistencies.
This randomized, prospective study demonstrated its significant value. The study population consisted of 39,462 members of a US managed care plan called QualChoice. Participants were 12 to 64 years old and had at least 1 medical claim in the prior year.
908 Care Considerations were generated during the study. 46 potentially serious medical errors were identified per 1,000 people – nearly 1 for every 20 members.
The results were impressive:
- 8.4% fewer hospitalizations
- 19% fewer admissions per 1,000 people in the intervention group
- An 8.4% overall difference of hospital bed days between the two groups
- Paid claims for the entire intervention group were $8.07 per member per month lower than for the entire control group