Pharmaceutical companies or medical device manufacturers looking for highly targeted patient populations will find that the PatientFinder solution enables sales and marketing leaders to find exact populations via diagnoses, symptoms, and treatments. These results can be further segmented by factors like geography and hospital or health system affiliation. With Definitive Healthcare’s Medical Claims database, users can leverage patient claims data to map a patient journey using diagnosis and procedure codes and determine which physicians and surgeons are treating your target population. However, for an accurate understanding of the entire market, it is vital to explore the full scope of this claims data to gain a well-rounded view of all the different components of care delivery. In healthcare claims data, there are two primary components: private, commercial insurance claims-primarily for patients under 65-and publicly reported claims from Centers for Medicare and Medicaid Services (CMS), which is primarily for patients over 65.Īll-payer data is known to be difficult to access and time-consuming to analyze. Analyzing all-payer claims data to map patient journeys 1 Image is a visualization of what a patient journey might look like based on healthcare facilities visited, with access to all-payer claims data. Where are they going to manage their condition?įig.Where are patients receiving care after their diagnosis?.Where are they receiving care before a diagnosis? How long does it take for them to receive your target diagnosis?.What treatments are the patients receiving before their diagnosis?.Some key questions to circulate within your organization in order to make the most of this journey mapping strategy include: Patient journey maps can help your team understand what patient diagnosis and treatment journeys look like so you can better understand disease management and where your product fits within that journey. It can also impact how you approach and interact with both patients and providers.īy mapping these pathways, you can gain a more thorough understanding of care priorities and opportunities for ongoing communication between patients and physicians. The information that sales teams derive from this sort of analysis can inform territory planning, identify key opinion leaders, and improve sales messaging. Patient journey mapping-or healthcare process mapping-is an exercise in which a sales leader leverages medical claims data to identify patient touch points during each stage of the care journey. This cycle continues as individuals seek treatment and work to resolve their health issues through an episode of care. The PCP may refer the patient to an orthopedic specialist, and the specialist may then refer the patient to a physical therapist for pain management and post-acute care. That patient is diagnosed with a broken bone and is told to follow up with their primary care physician (PCP). This journey includes referrals to imaging centers and specialists, as well as follow-up care and physical therapy.įor example, a patient seeks treatment for an injury at an urgent care clinic, where care providers send the patient to a radiologist. The term patient journey refers to the patient experience throughout a single episode of care, starting with the point of entry into the healthcare system and ending with patient discharge or death. While market research has always been important in positioning the launch of a new medical device, real world evidence from patients is now becoming more relevant in such a competitive marketplace. Hospitals, physicians, nurses, insurance companies, pharmacies and medical device companies may all be-at one point or another-involved in this patient journey. The moment a patient seeks medical care to determine the cause of their symptoms, that patient has begun a journey involving multiple stakeholders.
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