Investigating the impact of health analytics on the cost and quality of care for patients with heart failure

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Tala Mirzaei (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Rahul Singh

Abstract: The healthcare industry is under tremendous pressure to improve the quality of care and provide more patient centric care, while reducing costs. The potential use of data analytics to address these health system issues has raised significant interest in both research and practice. Health Analytics is central to informing and realizing the systematic quality improvements and cost reductions required by healthcare reform. Fundamentally, the contribution of IS and analytics research in healthcare is to identify and study the impact of interventions that can make a significant difference to the quality and cost of care. This dissertation is concentrated on patients with heart failure (HF). HF is the number one killer in the world, and is the largest contributor to healthcare costs in the United States. Moreover, HF is one of the six conditions used by the Centers for Medicare and Medicaid Services (CMS) to exercise fiduciary control over health systems by monitoring both the quality and cost of care. Specifically, my larger research question is “How can we identify and inform impactful transition of care interventions that manage costs and improve resource allocation efficiencies while providing improved quality of care for heart failure patients?” We adopted a mixed-method approach to study the impact of transitional care in a healthcare system for patients with heart failure. This dissertation includes three essays. In the first essay, I use qualitative methods to study the nature, sources and impacts of information coordination problems as HF patients’ transition through the patient flow in a health system. I propose a set of interventions based on my analysis of information and control errors along the continuum of care to inform the design of appropriate interventions that improve the cost and quality of care. In the second essay, I empirically evaluate the impact of these interventions on cost and quality of care measures such as all cause readmissions, heart failure readmissions, ER visits, length of stay, and cost of care. Analysis suggests that multicomponent complex transitional interventions have significant impact on reducing 30-day readmission and ER visits. The third essay is dedicated to understanding the impact of heart failure patient’s self-care behaviors. I developed and validated an assessment tool for patients with heart failure to monitor and score their condition accurately. Together, these essays investigate impactful transition of care interventions that can help healthcare organizations improve quality of care and manage costs from the clinical, administrative and patient perspectives.

Additional Information

Language: English
Date: 2016
Analytics, Healthcare Informatics, HeathIT, Information Systems
Medical informatics
Medical care $x Information technology
Medical care $x Quality control $x Data processing
Medical care $x Cost control $x Data processing
Cardiology $x Data processing
Heart failure

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