Praise for Using Person-Centered Health Analytics to Live Longer “This book helps readers understand the brave new world of digital health improvement tools and then use that understanding to improve their own lives. Its focused guidance constitutes a bold new entry into the traditional health improvement literature.” —Michael L. Millenson, author, Demanding Medical Excellence: Doctors and Accountability in the Information Age “This book helped me realize what all the hype about person-centered health analytics means for me. McNeil has blended academic analysis and practical instruction, ensuring that readers can both understand the new technology landscape and take meaningful advantage of it. The result is an important text for anyone looking to take an active role in managing their own health at a reasonable cost in the twenty-first century.” —Lauren A. Taylor, co-author, The American Health Care Paradox: Why Spending More Is Getting Us Less “Dwight McNeill has integrated a variety of streams of thought and research to make a compelling case that person-centered health technologies and strategies can make a real difference in improving health outcomes.” —Stuart Altman, Sol C. Chaikin Professor of National Health Policy at the Heller School for Social Policy and Management at Brandeis University “Dwight McNeill’s book marks a new step in our collective understanding of the relationship between health and the vastly complex health care system that consumes so much of our national attention and wealth. Health care purchasers are looking for a way to link together their efforts to promote wellness and personal engagement with their investment in the hugely expensive medical care system. This book shows that we can focus on the emerging ways to manage our personal well-being while leveraging the health care system for its particular strengths. It is valuable to all of us as patients, consumers, and families—and will outline a new direction for purchasers, payers, and policymakers trying to set a fresh course for U.S. health care.” —David Lansky, Chief Executive Officer, Pacific Business Group on Health “The possibilities of data and analytics to change how we live are only understood when translated into human applications. Empowering individuals to participate in, and even shape, their own medical outcomes is among the most compelling and feasible ways that analytics is affecting us all. McNeil has developed the owner’s manual for living a better life, powered by analytics.” —Jack Phillips, CEO, International Institute for Analytics “Using Person-Centered Health Analytics to Live Longer emphasizes the importance of providing tools to people to equip them to be successfully engaged in improving their own health. It provides these tools and recognizes that people cannot do it alone and that others can make important contributions. Dr. McNeill provides innovative guidance to stakeholders on ways to overcome barriers to make personal analytics more accessible and effective for prevention and treatment.” —Chris Gibbons, MD, MPH, Chair of the Board of the Center for the Advancement of Health and Professor at Johns Hopkins Schools of Medicine and Public Health “Fixing today’s issues with health care requires both individual behavior change and a unity of purpose among all stakeholders—payers, providers, analytics, and regulators. ‘Person-centered’ must progress from its status as a buzzword to an organizing principle for real solutions with data at the core. Using Person-Centered Analytics to Live Longer provides important insights for improving population health in the twenty-first century.” —David Wiggin, Direct of Industry Marketing, Teradata “Dr. McNeil provides a thought-provoking and timely contribution to the field of health analytics. His approach is novel and pays attention to the important issues surrounding person-centered data and its potential to promote positive changes for the health of populations. A wealthy read for students of analytics and health alike.” —Robert J. McGrath, Ph.D., Everett B. Sackett Assoc. Professor & Chair, Director of Graduate Programs in Analytics, Department of Health Management & Policy, University of New Hampshire U sing Person-Centered Health Analytics to Live Longer Books in the FT Press Analytics Series Enterprise Analytics by Thomas Davenport and the International Institute for Analytics (ISBN: 0133039439) People Analytics by Ben Waber (ISBN: 0133158314) A Framework for Applying Analytics in Healthcare by Dwight McNeill (ISBN: 0133353745) Modeling Techniques in Predictive Analytics by Thomas W. Miller (ISBN: 0133412938) Applying Advanced Analytics to HR Management Decisions by James Sesil (ISBN: 0133064603) The Applied Business Analytics Casebook by Matthew Drake (ISBN: 0133407365) Analytics in Healthcare and the Life Sciences by Thomas Davenport, Dwight McNeill, and the International Institute for Analytics (ISBN: 0133407330) Managerial Analytics by Michael Watson and Derek Nelson (ISBN: 013340742X) Data Analytics for Corporate Debt Markets by Robert S. Kricheff (ISBN: 0133553655) Business Analytics Principles, Concepts, and Applications by Marc J. Schniederjans, Dara G. Schniederjans, and Christopher M. Starkey (ISBN: 0133552187) Big Data Analytics Beyond Hadoop by Vijay Agneeswaran (ISBN: 0133837947) Computational Intelligence in Business Analytics by Les Sztandera (ISBN: 013355208X) Big Data Driven Supply Chain Management by Nada R. Sanders (ISBN: 0133801284) Marketing and Sales Analytics by Cesar Brea (ISBN: 0133592928) Cutting-Edge Marketing Analytics by Rajkumar Venkatesan, Paul Farris, and Ronald T. Wilcox (ISBN: 0133552527) Applied Insurance Analytics by Patricia L. Saporito (ISBN: 0133760367) Modern Analytics Methodologies by Michele Chambers and Thomas W. Dinsmore (ISBN: 0133498581) Advanced Analytics Methodologies by Michele Chambers and Thomas W. Dinsmore (ISBN: 0133498603) Modeling Techniques in Predictive Analytics, Revised and Expanded Edition, by Thomas W. Miller (ISBN: 0133886018) Modeling Techniques in Predictive Analytics with Python and R by Thomas W. Miller (ISBN: 0133892069) Business Analytics Principles, Concepts, and Applications with SAS by Marc J. Schniederjans, Dara G. Schniederjans, and Christopher M. Starkey (ISBN: 0133989402) Prof ting from the Data Economy by David A. Schweidel (ISBN: 0133819779) Business Analytics with Management Science Models and Methods by Arben Asllani (ISBN: 0133760359) Digital Exhaust by Dale Neef (ISBN: 0133837963) Web and Network Data Science by Thomas W. Miller (ISBN: 0133886441) Applied Business Analytics by Nathaniel Lin (ISBN: 0133481506) Trends and Research in the Decision Sciences by Decision Sciences Institute and Merrill Warkentin (ISBN: 0133925374) Real-World Data Mining by Dursun Delen (ISBN: 0133551075) Marketing Data Science by Thomas W. Miller (ISBN: 0133886557) Using Person-Centered Health Analytics to Live Longer Leveraging Engagement, Behavior Change, and Technology for a Healthy Life D wight McNeill P ublisher: Paul Boger E ditor-in-Chief: Amy Neidlinger E xecutive Editor: Jeanne Glasser Levine O perations Specialist: Jodi Kemper C over Designer: Chuti Prasertsith M anaging Editor: Kristy Hart S enior Project Editor: Lori Lyons C opy Editor: Karen Annett S enior Indexer: Cheryl Lenser C ompositor: Gloria Schurick M anufacturing Buyer: Dan Uhrig © 2015 by Dwight McNeill P earson Education, Inc. U pper Saddle River, New Jersey 07458 For information about buying this title in bulk quantities, or for special sales opportuni- ties (which may include electronic versions; custom cover designs; and content particular to your business, training goals, marketing focus, or branding interests), please contact our corporate sales department at c T o all my readers in their quest to achieve good health. To borrow a phrase from the inspirational song Brave b y Sara Bareilles, “Honestly, I want to see you be brave”. Take control, get engaged, become free, rely on your strengths, use the tools, and don’t give up...ever. This page intentionally left blank Contents Introduction .......................................................................1 Background ........................................................................... 4 Solutions ................................................................................ 7 Toolkit for People ....................................................... 7 Opportunities Portfolio for Stakeholders ................. 12 Stakeholders .............................................................. 12 Barriers to Widespread Adoption of pchA .............. 13 Areas of Opportunity ................................................ 14 Visualize SOPrDiMoCa ............................................ 14 Design for People ..................................................... 15 Tailor Best Fit ........................................................... 15 Sustain Passively and Actively .................................. 16 Discover Alien Intelligence ...................................... 16 Extend...Don’t Stand Alone ..................................... 17 Shape Momentum .................................................... 17 Rework Hackathons .................................................. 18 Assure Privacy ........................................................... 18 Welcome Aboard! ............................................................... 19 Part I Improving Health Outcomes: The Fusion of Health, Engagement, Democracy, Technology, and Behavior . . . . . .21 C hapter 1 It’s About Health Outcomes!. ..........................................25 Health Care’s Veiled Purpose ............................................ 25 Measuring Health Outcomes ................................... 27 The Uneasy Business of Health Outcomes ........................ 31 Missed Opportunities ............................................... 31 New Pressures on the Business and Analytics ......... 34 Occupy Health Care ........................................................... 36 Rebuilding the System .............................................. 36 Generation Unmoored ............................................. 37 Taking Off the White Coat ................................................. 39