Predicting health care utilization using CIHI's Population Grouping Methodology

Introduction CIHI’s Population Grouping Methodology uses data from multiple sectors to create clinical profiles and to predict the entire population’s current and future morbidity burden and healthcare utilization. Outputs from the grouper can be applied to healthcare decision making and planning pr...

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Main Author: Yvonne Rosehart
Format: Article
Language:English
Published: Swansea University 2018-08-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/762
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author Yvonne Rosehart
author_facet Yvonne Rosehart
author_sort Yvonne Rosehart
collection DOAJ
description Introduction CIHI’s Population Grouping Methodology uses data from multiple sectors to create clinical profiles and to predict the entire population’s current and future morbidity burden and healthcare utilization. Outputs from the grouper can be applied to healthcare decision making and planning processes. Objectives and Approach The population grouping methodology starts with everyone who is eligible for healthcare, including those who haven’t interacted with the healthcare system, providing a true picture of the entire population. The grouper uses diagnosis information over a 2-year period to create health profiles and predict individuals’ future morbidity and expected use of primary care, emergency department and long-term care services. Predictive models were developed using age, sex, health conditions and the most influential health condition interactions as the predictors. These models produce predictive indicators for the concurrent period as well as one year into the future. Results The power of the model lies in the user’s ability to aggregate the data by population segments and compare healthcare resource utilization by different geographic regions, health sectors and health status. The presentation will focus on how CIHI’s population grouping methodology helps client’s monitor population health and conduct disease surveillance. It assists clients with population segmentation, health profiling, predicting health care utilization patterns and explaining variation in health care resource use. It can be used for risk adjustment of populations for inter-jurisdictional analysis, for capacity planning and it can also be used as a component in funding models. Conclusion/Implications CIHI’s population grouping methodology is a useful tool for profiling and predicting healthcare utilization, with key applications for health policy makers, planners and funders. The presentation will focus on how stakeholders can apply the outputs to aid in their decision-making and planning processes.
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spelling doaj.art-1018ad8ec0814a7fa1dde4db5d002a672023-12-02T14:01:00ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-08-013410.23889/ijpds.v3i4.762Predicting health care utilization using CIHI's Population Grouping MethodologyYvonne Rosehart0Canadian Institute for Health InformationIntroduction CIHI’s Population Grouping Methodology uses data from multiple sectors to create clinical profiles and to predict the entire population’s current and future morbidity burden and healthcare utilization. Outputs from the grouper can be applied to healthcare decision making and planning processes. Objectives and Approach The population grouping methodology starts with everyone who is eligible for healthcare, including those who haven’t interacted with the healthcare system, providing a true picture of the entire population. The grouper uses diagnosis information over a 2-year period to create health profiles and predict individuals’ future morbidity and expected use of primary care, emergency department and long-term care services. Predictive models were developed using age, sex, health conditions and the most influential health condition interactions as the predictors. These models produce predictive indicators for the concurrent period as well as one year into the future. Results The power of the model lies in the user’s ability to aggregate the data by population segments and compare healthcare resource utilization by different geographic regions, health sectors and health status. The presentation will focus on how CIHI’s population grouping methodology helps client’s monitor population health and conduct disease surveillance. It assists clients with population segmentation, health profiling, predicting health care utilization patterns and explaining variation in health care resource use. It can be used for risk adjustment of populations for inter-jurisdictional analysis, for capacity planning and it can also be used as a component in funding models. Conclusion/Implications CIHI’s population grouping methodology is a useful tool for profiling and predicting healthcare utilization, with key applications for health policy makers, planners and funders. The presentation will focus on how stakeholders can apply the outputs to aid in their decision-making and planning processes.https://ijpds.org/article/view/762
spellingShingle Yvonne Rosehart
Predicting health care utilization using CIHI's Population Grouping Methodology
International Journal of Population Data Science
title Predicting health care utilization using CIHI's Population Grouping Methodology
title_full Predicting health care utilization using CIHI's Population Grouping Methodology
title_fullStr Predicting health care utilization using CIHI's Population Grouping Methodology
title_full_unstemmed Predicting health care utilization using CIHI's Population Grouping Methodology
title_short Predicting health care utilization using CIHI's Population Grouping Methodology
title_sort predicting health care utilization using cihi s population grouping methodology
url https://ijpds.org/article/view/762
work_keys_str_mv AT yvonnerosehart predictinghealthcareutilizationusingcihispopulationgroupingmethodology