Patient Share of Care: The Single Metric to Measure Health System Growth Success
The healthcare landscape is constantly evolving, with cost pressures, provider network performance, and retention demanding constant attention. Health system executives frequently struggle with how to summarize the success (or lack thereof) of their health systems overall performance and lack a defined metric to align organizational goals around. Measuring and acting on Patient Share of Care is your secret weapon for navigating these challenges and securing your health system’s future success.
HSG Advisors developed Patient Share of Care in collaboration with Academic and Community Hospitals to create a single metric measuring the health system’s acquisition of patient lives and retention of those patients within their network of Inpatient, Outpatient and Ambulatory care. This webinar will cover an overview of Patient Share of Care, as well as explore alternatives for how it is calculated and utilized by health systems of varying sizes and geographies.
Share of Care in Action
We partnered with a health system capturing only 30.3% of the total healthcare spend across inpatient, outpatient, and ambulatory services in their service area. Armed with granular share of care data, they identified key areas for improvement. Within just one quarter, their share of total healthcare spend increased to 30.8%, translating to a staggering $25 million boost in projected patient revenue.
Common Questions about Patient Share of Care
How do you see organization’s leveraging Patient Share of Care within their organization as a management metric? How does it filter down from leadership to stakeholders in the organization?
We recommend a leadership-led evaluation of the Share of Care metric for 6-12 months prior to formal organizational adoption (i.e. inclusion outside of the team evaluating the metric). We generally recommend Share of Care as an organizational-level, hospital and employed group level, and service line level “core metric”, ideally “the metric”, that summarizes organizational growth. Inclusion of Share of Care as an enterprise-level strategic planning objective is common and we’d consider that best practice.
What types of strategies are required to improve share of care?
Increasing Share of Care requires a firm understanding of Market Share for your organization comprehensively – that is to grow Share of Care, we have to understand across the Inpatient, Outpatient, Ambulatory and Physician Office settings what care we are capturing, what we are not capturing, and where opportunities are for us to increase our share.
Beyond that, having data insights into how patient utilize the care-continuum and get from site-of-care to site-of-care, or from provider to provider, gives an organization the ability to highlight its opportunities to create clinical continuity within its own network, and to disrupt other care delivery patterns that are not driving health system growth.
Does it make sense to focus on one measure of Patient Share of Care, or is there value to having multiple definitions?
Most of our clients we work with in this space utilize one summary-level Share of Care metric, but use others to inform it. For example, some of our community hospital clients might build an overall Share of Care definition that measures all patients across all sites of care – Inpatient, Physician Office and Emergency Department – while also simultaneously measuring the Share of Care for each of those populations discretely to evaluate where management effort should be focused.
