May 6, 2014

Predictive Insights: A New Way to Satisfy Community Health Needs

Assessment Requirements

Presenters

Robin RoseVP Strategic InitiativesHealthStreamrobin.rose@healthstream.com

Linda RebrovickPresident and CEOConsensus Pointlinda@consensuspoint.com

Objectives

• Review the CHNA process of Today• Envision an improved CHNA process for the

Future• Introduce a new HealthStream partner• Preview Predictive Insights and other

innovative technologies• Discuss how HealthStream can streamline the

CHNA process• Answer your questions

THE CHNA OF TODAY

A Valuable Community Service

Community Health Needs Assessment

• Promote market analysis• Prioritize community needs• Improve community health• Connect with community• Reinforce positive brand

But A Painful Experience

Community Health Needs Assessment

• Pulling staff away from current jobs• Scheduling interviews with community

leaders• Conducting personal interviews• Analyzing community data• Polling community residents• Preparing extensive reports

That Can Be Time Consuming and Costly

A Business Case for A New Process

• Typically 6 – 8 months of work just to collect and analyze the data• Estimated $50,000 - $130,000 internal cost just for this

process• Double these amounts to backfill the people assigned to

the CHNA

• Pulling staff out of their comfort zone• No infrastructure to support efficient research• And after all this effort, nothing has yet been

implemented or improved!

THE CHNA OF TOMORROW

(with a little help from HealthStream…)

Benefits of the HealthStream Approach

• Provide a turnkey approach• Use innovative technology to improve efficiency• Access deep statistical / research expertise• Outsource labor intense data collection and analysis• Achieve quick turnaround—6-8 weeks instead of 6-

8 months• Ensure representative demographics• Provide concise reporting• Set clear priorities • Get annual documentation of progress• Offer higher value at a lower cost

The HealthStream Support Process

Research Infrastruct

ure

Predictive Insights

e-Survey Platform

Expert Analytics & Reporting

Letting YOU Focus On…

Community Health Needs Assessment

• Communicating the CHNA• Developing the Implementation Plan• Making progress

INNOVATIVE TECHNOLOGIES

Predictive Insights

e-Survey Platform

1st Phase: To determine what community leaders believe

2nd Phase: To use the wisdom of community residents to forecast and prioritize health needs

HealthStream e-Survey Platform

• Email methodology• Rapid turnaround (3 attempts / 3

weeks)• Customized announcement letters• Use your own logos• Mobile integration for smart phones /

tablets• Use coupons / promotions• Low cost

Invitation Email - Customizable

The e-Survey Platform

a

Predictive Insights

A better, more rapid way to obtain consumer feedback.

Used by industry leaders outside of healthcare such as Motorola, GE, Intel, Procter & Gamble, and others

Taps into “the wisdom of crowds” to better predict outcomes and the preference of consumers

Turns traditional research on its head

How does Predictive Insights work?

What is the Value?• Rapid Turnaround• Future Focus• Me vs. We • Diverse Community• Intensity of Response• Quantitative• Qualitative• Innovative Research

Research Gamification

17

Comparison of Market Research Techniques

Surveys & Focus GroupResearch Predictive Insights

Who participates? Requires participant screening for target market representation (increased cost)

No sample requirements

What do they contribute? Personal Opinions Group Judgments

How do they contribute? Simple Yes/No, Voting Weighted responsesAnswer all questions Self select questions

Why do they participate? Incentives to Participate Incentives to PerformSocial Game environment

Interpreting results “80% believe in idea” “Idea has 80% probability of success”

18

Engaging Experience for Respondents

• Simple 3 step process• Respondents invest in outcomes• Encourages qualitative feedback

#1

#2

#3

Mobile Interface and Gamification Techniques

• Engaging User Interface• Easy to use• Responsive design

©2014 Consensus Point Inc. Confidential7

86%likelihood Results Breakout

Theme Prevalence

We’ve had new doctors come to town 47%There is no wait to get an appointment 16%

Reasons for YES

-I’ve never had any trouble.-We’ve had a lot of new doctors come to town lately.-I was able to get a new appointment with a cardiologist within 2 days of calling.

Reasons for NO

--There is a long wait time to get an appointment with a physician in this town.-It’s hard to find a doctor who takes my insurance.

Commentary

57%43%

Likelihood% Probability

% of PeopleBreadth of response

Strength Meter How strongly respondents felt about their answers

18-24

25-34 35-44 45-54 55-64 65+Overal

l

Overall

Results by Demographic

negative positive

41%

No YesHighLow HighLow

AverageAverage

Male

Female

Are most people in this community able to visit a doctor when needed?

Said“No”

Said“Yes”59%

0% 100%

Probable

Not Probable

86%

14%

Low Average High

Patient Healthcare Needs

HOW HEALTHSTREAM STREAMLINES THE CHNA PROCESS

We Do Research / You Focus on Improvement

• Assess community needs every 3 years

• Consult with community leaders• Write up the findings• Adopt the CHNA• Publicize the CHNA• Develop an implementation plan for

addressing unmet needs• Report annually on progress

The HealthStream CHNA Product

Product Components

• Market analysis• Interviews with community

leaders• Survey of community members• Report of findings• Annual update

CHNA Market Analysis

Looking for opportunities to improve community health

• Service area definition• County analysis and exception

reportingPopulation characteristics

DemographicsSocial and economic factors

Physical environmentClinical care

Health outcomes

Interviews with Community Leaders

Two Options• e-Survey of 20-30 leaders

(using new email survey platform)

• Executive phone interviews with 20-30 leaders

Subset of similar questions asked to both community leaders and community residents

Interviews with Community Residents

New Predictive Insights Methodology

Survey of 200-250 community residents

Leverages “wisdom of crowds” to improve decision-making

The CHNA Community Survey (19 Qs)

• Where do most people in this community go for their routine healthcare needs?

• Are most people in this community able to visit a doctor when needed?• What are some of the reasons people in this area may not be able to see a

doctor when needed?• Will ____ be a Top 3 health challenge in this community over the next 3

years? • Where do most people in this community get their information about

healthcare issues?• To most improve the overall health in the community over the next 3 years,

resources should be focused on reducing which of the below activities among residents?

• Which of the following activities among residents would most improve the overall health of this community over the next 3 years?

• What additional health services need to be offered to meet the challenges of this community?

• Still thinking about the next three years, which age group will have the greatest healthcare challenges in your community?

• Three years from now, how will most residents in this community rate their overall health?

• Demographic questions

Report of Findings

• Required introduction• Review of analytic information• Summary of interviews with

community leaders• Summary of results from Predictive

Insights CHNA survey• Prioritization of community health

needs

Annual Updates

Predictive Insights- CHNA Annual Update

• Predictive Insights survey of 250 community residents to assess improvements over the prior year

• Somewhat shorter survey than the 3-year assessment

• Short report to trend findings from the 3-year assessment

In Summary

• Turnkey approach• Innovative technology• Research expertise• Quick turnaround• Concise reporting• Clear priorities • Track progress• Lower cost

NEXT STEPS

Follow Up Email Including:

• Webinar recording and PDF of Slides

• Healthcare industry study powered by Predictive Insights

• Opportunity to request follow up

QUESTIONS?