09 Aug CareSkore Allows Hospitals To Do Risk Analysis and Care Planning in Real Time
MedicalResearch.com Interview with:
CareSkore co-founders:
Dr. Puneet Dhillon Grewal MD
CareSkore co-founder and Chief Medical Officer
Dr. Grewal is an Internal Medicine physician and Cardiologist. She had completed her residency from Rosalind Franklin University of Medical Science, and is currently a Cardiology Fellow at the same institution and
Jaspinder Grewal, MBA CareSkore co-founder and Chief Executive Officer,
a graduate from the University of Chicago Booth School of Business and a computer engineer. He has 13 years of experience working with large health systems , managing technology and operations.
MedicalResearch.com: What is the background for the CareSkore company? What is its mission and objectives?
Response: The Affordable Care Act, through penalties and bundled payments, requires hospitals and providers to be accountable for the quality of care they provide. For example, if a patient is readmitted to the hospital within 30-days after discharge, hospital reimbursement is reduced, and in many cases not paid at all.
In order to improve the quality of care, hospitals need to understand the clinical risk of patients, so that they can focus efforts on the patient most likely to face adverse events. The three biggest areas of improvement are readmissions, over utilization of services, and hospital acquired conditions (such as pneumonia and surgical site infections).
MedicalResearch.com: What is meant by a 360° view of the patient? Would you explain what your AI-based platform does?
Response: For addressing these issues, CareSkore creates individualized, disease specific workflows and care plans. Additionally, doctors, nurses, and care teams know what patients to focus on the most. Historic risk profiling has been done by insurance companies using claims data, which not only is time delayed, but also has low predictive power. CareSkore does ongoing predictions in real time, based on combination of clinical, labs, demographic and behavioral data.
MedicalResearch.com: What should readers take away from your report?
Response: There are fundamental shifts in this space. Hospitals are much more comfortable buying cloud-based software, and related security models. Also, the data processing speed has increased and storage is cheap, making solutions more affordable. Patients are also changing their behavior, and are shopping around for better service and quality care.
How it works: Hospitals and health systems sign up for CareSkore, and the service crawls all electronic health record and claims data, and pairs it with third party intelligence. When a patient comes to the hospital, doctors, nurses, and case managers use CareSkore to review patient’s risk level and identify potential gaps. A care plan is automatically generated tailored to the patient based on risks, better than currently exists. Insurance companies have been doing risk analytics for a long time, but nothing exists for hospitals that can do risk analysis in real time. Hospitals use some manual risk analyses, but it is almost never done consistently for all patients due to the high level of effort required.
Additionally, the number of data points used by CareSkore is large, resulting in very precise predictions. CareSkore is currently available to hospital, health systems, and integrated delivery very networks in the US, but is also getting international interest from Europe and Asia.
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Last Updated on August 9, 2016 by Marie Benz MD FAAD