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Analytical Solutions to Common Healthcare Problems

Brian Paciotti

In this course, we’re going to go over analytical solutions to common healthcare problems. I will review these business problems and you’ll build out various data structures to organize your data. We’ll then explore ways to group data and categorize medical codes into analytical categories. You will then be able to extract, transform, and load data into data structures required for solving medical problems and be able to also harmonize data from multiple sources. Finally, you will create a data dictionary to communicate the source and value of data. Creating these artifacts of data processes is a key skill when working with healthcare data.

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What's inside

Syllabus

Solving the Business Problems
In this module, you will explain why comparing healthcare providers with respect to quality can be beneficial, and what types of metrics and reporting mechanisms can drive quality improvement. You'll recognize the importance of making quality comparisons fairer with risk adjustment and be able to defend this methodology to healthcare providers by stating the importance of clinical and non-clinical adjustment variables, and the importance of high-quality data. You will distinguish the important conceptual steps of performing risk-adjustment; and be able to express the serious nature of medical errors within the US healthcare system, and communicate to stakeholders that reliable performance measures and associated interventions are available to help solve this tremendous problem. You will distinguish the traits that help categorize people into the small group of super-utilizers and summarize how this population can be identified and evaluated. You'll inform healthcare managers how healthcare fraud differs from other types of fraud by illustrating various schemes that fraudsters use to expropriate resources. You will discuss analytical methods that can be applied to healthcare data systems to identify potential fraud schemes.
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Algorithms and "Groupers"
In this module, you will define clinical identification algorithms, identify how data are transformed by algorithm rules, and articulate why some data types are more or less reliable than others when constructing the algorithms. You will also review some quality measures that have NQF endorsement and that are commonly used among health care organizations. You will discuss how groupers can help you analyze a large sample of claims or clinical data. You'll access open source groupers online, and prepare an analytical plan to map codes to more general and usable diagnosis and procedure categories. You will also prepare an analytical plan to map codes to more general and usable analytical categories as well as prepare a value statement for various commercial groupers to inform analytic teams what benefits they can gain from these commercial tools in comparison to the licensing and implementation costs.
ETL (Extract, Transform, and Load)
In this module, you will describe logical processes used by database and statistical programmers to extract, transform, and load (ETL) data into data structures required for solving medical problems. You will also harmonize data from multiple sources and prepare integrated data files for analysis.
From Data to Knowledge
In this module, you will describe to an analytical team how risk stratification can categorize patients who might have specific needs or problems. You'll list and explain the meaning of the steps when performing risk stratification. You will apply some analytical concepts such as groupers to large samples of Medicare data, also use the data dictionaries and codebooks to demonstrate why understanding the source and purpose of data is so critical. You will articulate what is meant by the general phase -- “Context matters when analyzing and interpreting healthcare data.” You will also communicate specific questions and ideas that will help you and others on your analytical team understand the meaning of your data.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Explores foundational skills regarding working with healthcare data, including mining, modelling, analytics, and visualization
Taught by Brian Paciotti, a leading expert in the field
Involves hands-on projects to reinforce learning
Provides learners with a practical foundation for a career in healthcare analytics
Covers current issues and trends in the healthcare industry, making it highly relevant to the field
Requires no prior knowledge of healthcare or data analytics, making it accessible to a wide range of learners

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Reviews summary

Informative healthcare analytics course

According to students, this course offers excellent material that is engaging and very informative for those new to data analytics in healthcare. Learners found that the lectures provided a well-structured approach, though some wish that there were more practical examples provided. Overall, this course is a resourceful introduction to healthcare data analytics.
Content is well-structured and easy to follow.
"The course content is well-structured and easy to follow."
"The course provides a good overview of the healthcare data analytics process."
Provides an excellent introduction to healthcare data analytics.
"Excellent material and a great introduction to data analytics!"
"Very informative for those new to data analytics."
"This course is an excellent starting point for anyone looking to learn more about healthcare data analytics."
Could provide more practical examples to reinforce concepts.
"Would have preferred more practical examples on data analysis."
"The course could benefit from more hands-on exercises."

Career center

Learners who complete Analytical Solutions to Common Healthcare Problems will develop knowledge and skills that may be useful to these careers:
Healthcare Informatics Specialist
Healthcare Informatics Specialists use technology to improve the quality and efficiency of healthcare delivery. This course may be useful for Healthcare Informatics Specialists because it teaches how to use data to improve the quality and efficiency of healthcare delivery. It also teaches how to identify and solve common healthcare problems.
Healthcare Researcher
Healthcare Researchers conduct research to improve the quality and effectiveness of healthcare. This course may be useful for Healthcare Researchers because it teaches how to use data to conduct healthcare research. It also teaches how to identify and solve common healthcare problems.
Data Scientist
Data Scientists use data to solve problems and make predictions. This course may be useful for Data Scientists because it teaches how to use data to solve healthcare problems. It also teaches how to identify and solve common healthcare problems.
Healthcare Manager
Healthcare Managers plan, direct, and coordinate the delivery of healthcare services. This course may be useful for Healthcare Managers because it teaches how to use data to improve the quality and efficiency of healthcare delivery. It also teaches how to identify and solve common healthcare problems.
Healthcare Consultant
Healthcare Consultants provide advice to healthcare organizations on how to improve their operations and performance. This course may be useful for Healthcare Consultants because it teaches how to identify and solve common healthcare problems. It also teaches how to use data to make informed decisions.
Statistician
Statisticians collect, analyze, and interpret data. This course may be useful for Statisticians because it teaches how to use data to solve healthcare problems. It also teaches how to identify and solve common healthcare problems.
Epidemiologist
Epidemiologists investigate the causes and patterns of disease. This course may be useful for Epidemiologists because it teaches how to use data to understand the social determinants of health. It also teaches how to identify and solve common healthcare problems.
Health Economist
Health Economists study the costs and benefits of healthcare. This course may be useful for Health Economists because it teaches how to use data to understand the costs and benefits of healthcare interventions. It also teaches how to identify and solve common healthcare problems.
Healthcare Policy Analyst
Healthcare Policy Analysts develop and evaluate healthcare policies. This course may be useful for Healthcare Policy Analysts because it teaches how to use data to inform healthcare policy decisions. It also teaches how to identify and solve common healthcare problems.
Medical Director
Medical Directors oversee the medical care provided by a healthcare organization. This course may be useful for Medical Directors because it teaches how to use data to improve the quality and efficiency of healthcare delivery. It also teaches how to identify and solve common healthcare problems.
Nurse Manager
Nurse Managers plan, direct, and coordinate the delivery of nursing care. This course may be useful for Nurse Managers because it teaches how to use data to improve the quality and efficiency of nursing care delivery. It also teaches how to identify and solve common healthcare problems.
Healthcare Data Analyst
Healthcare Data Analysts clean, analyze, interpret, and present healthcare data to help healthcare organizations make informed decisions. This course may be useful for Healthcare Data Analysts because it teaches how to extract, transform, and load data into data structures required for solving medical problems. It also teaches how to harmonize data from multiple sources and prepare integrated data files for analysis.
Physician Assistant
Physician Assistants provide healthcare services under the supervision of a physician. This course may be useful for Physician Assistants because it teaches how to use data to improve the quality and effectiveness of healthcare delivery. It also teaches how to identify and solve common healthcare problems.
Registered Nurse
Registered Nurses provide direct patient care. This course may be useful for Registered Nurses because it teaches how to use data to improve the quality and effectiveness of patient care. It also teaches how to identify and solve common healthcare problems.
Social Worker
Social Workers provide counseling and support to individuals and families. This course may be useful for Social Workers because it teaches how to use data to understand the social determinants of health. It also teaches how to identify and solve common healthcare problems.

Reading list

We've selected 11 books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Analytical Solutions to Common Healthcare Problems.
This textbook covers the essential concepts of healthcare data analytics, including data management, data analysis, and data visualization. It provides real-world examples and case studies to illustrate the practical applications of data analytics in healthcare.
This practical guide provides step-by-step instructions for data wrangling with Python. It covers topics such as data cleaning, data transformation, and data integration.
This classic textbook provides a comprehensive overview of data mining and machine learning algorithms. It covers a wide range of topics, including classification, regression, clustering, and association rule mining.
This introductory textbook provides a practical guide to data visualization. It covers the principles of data visualization, as well as a variety of data visualization techniques.
Provides a comprehensive overview of health care finance. It covers the different types of health care financing, as well as the methods used to manage health care costs.
Provides a comprehensive overview of health care ethics. It covers the different ethical principles that are relevant to health care, as well as the ethical challenges that are faced by health care professionals.

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