- Published in Communications of the ACM -

Enhancing Efficiency in the Health Care Industry

Author(s): Stephan Kudyba; G. Brent Hamar; and William M. Gandy

Communications of the ACMOne way to enhance operational efficiency in [the healthcare] sector is by more accurately identifying the sources of future high resource demand and initiating strategic management tactics to mitigate the potentially significant costs of fully developed illnesses. Quantitatively based analytic techniques have been utilized to help increase operational efficiencies by enhancing the decision making process in medical treatment procedures. More specifically, they enable decision makers to identify patterns in clinical, claims, and activity-based historical data in order to create models to more accurately predict future resource demand.

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Topics: Performance/Productivity Health Plan & Health System Medical Costs & Utilization Predictive Modeling