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Health Services Research & Development

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Patient Aligned Care Teams (PACT) Demonstration Labs

‘Segmenting’ the High-Risk Patient Population: Methods and Applications to VA Care


by Franya Hutchins, PhD ; Ann-Marie Rosland, MD, MS ; Joshua Thorpe, PhD, MPH
Seminar date: 9/15/2021

Description: The presenters will describe reasons for using data-driven methods to assign patients at high-risk for hospitalization to groups with similar clinical profiles. They will share approaches to building group models that are statistically robust, clinically informative, and equitable. This presentation will illustrate how healthcare system data for each group could inform group-tailored intervention design. The presenters will then describe new VA applications developed to inform the care of high-risk patient groups. Target audience: Researchers, Analysts, Clinical and Operations Leaders, Clinical Staff caring for complex patient populations

View archived session video:



DOWNLOAD: PDF handout | Audio only (mp3) | transcript


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