Addressing the Super-Utilizer Patient Challenge (HAS18)
Scott Pingree Chief Strategy Officer, Community Care & Systems Chair, Super-Utilizer Care, Intermountain Healthcare The top 5% of patients—sometimes referred to as “super-utilizers,”—account for more than 50% of total healthcare costs in the US. Intermountain’s quantitative assessment, initiated in 2011, identified the super-utilizer population with objectives to engage patients in their own care and provide higher quality of care at lower cost. During this session, Scott will delve into what Intermountain learned during their journey as an integrated delivery system as they initiated three interventions across five geographies. This session will also summarize the quantitative and qualitative outcomes of the interventions, as well as considerations for creation of a super-utilizer program. This session will review the following elements of the intervention:
- Definition of “super-utilizers” and quantifying the potential impact on a healthcare system’s outcomes.
- Parameters for initiating super-utilizer care in an integrated healthcare system.
- Patient feedback and patient engagement in their care.
- Lessons learned.
- Considerations in program setup.