Identifying avoidable admissions using international benchmarks

Traditionally, differences in international coding have made producing risk-adjusted international benchmarks challenging. Using over 10 million life-years of data, we compare the UK PMI market to our International Best Practice Benchmarks. These allow us to classify a healthcare system by its degree of healthcare-management, which reflects a system’s compliance to evidence-based-care guidelines, access/restriction to services and use of incentives. We compare this to well/loosely managed benchmarks to identify activity levels that are challenging yet achievable with optimal infrastructure. We also touch upon results from further advanced analytics including:
- General Linear Modelling
- Milliman Chronic Condition Hierarchical Grouper
- Milliman Advanced Risk Adjusters

Speakers: Natasha Singhal and Tanya Hayward, Milliman