A Data-Powered Approach to Health and Human Services

Screen Shot 2015-11-01 at 8.57.58 AM copyFor several years, HHS leaders have recognized the value of sharing data among state and local agencies and departments to improve overall case management. “No single area of innovation promises as much public value as the rapidly evolving areas that allow government officials to utilize data across agency and IT silos,” says Stephen Goldsmith, former deputy mayor of New York and mayor of Indianapolis, now a professor at the Harvard Kennedy School of Government.

Predictive Analytics and Medicaid Program Integrity

optum pi_FotorPublic benefits programs such as Medicaid are multidimensional, complex and continuously evolving. Because of concerns about program size, growth, diversity and adequacy of fiscal oversight, the Government Accountability Office (GAO) first designated Medicaid at high risk for fraud, waste and abuse in 2003, and it remains a high-risk program 12 years later. In fiscal year 2014, Medicaid distributed $508 billion, of which state governments shouldered $204 billion. With an overall improper payment rate of 6.7 percent, Medicaid lost more than $34 billion — and states bore the burden for about half that amount.

Eliminating “Digital Islands” in Breast Imaging

Screen Shot 2016-04-06 at 10.46.26 AMThe Cleveland Clinic Women’s Health Institute is dedicated to women’s health and is the home of the Cleveland Clinic Breast Center, which provides services ranging from prevention and detection to surgical and non-surgical breast cancer treatment and reconstruction.

The Breast Center’s goal is to provide the highest quality “women-centered care.” In imaging, the focus is on offering the leading screening and diagnostic techniques, including digital mammography, breast ultrasound, and breast MR. In the past decade, the Breast Center has invested in a range of technology and facility improvements intended to advance the quality of patient care. The facility began converting all mammography modalities to digital, a process that will be fully complete in 2012. They added breast MR as a diagnostic tool and implemented a CAD solution. They also realized the need for dedicated breast imaging and technical support staff and took steps to facilitate patient diagnosis and treatment.