Interpreting health information and low value care using data science techniques

Start Date

14 July 2019

End Date

31 December 2020

Project Participants

Status: Completed

Opportunity 

Australian healthcare consumers, clinicians and funders have limited visibility of provider performance, costs and outcomes. This project aimed to improve transparency through identifying robust statistical and data science methods for addressing challenges of comparing clinicians and interpreting healthcare information with respect of quality, cost and outcomes, while also identifying opportunities to reduce low-value care. 

Project Objectives  

This project set out to: 

  • Review existing public models of risk adjustment methods for private health insurance data. 
  • Recommend techniques, approaches and communication frameworks for the interpretation of healthcare quality, cost and outcome information. 
  • Support development of practical tools that improve transparency and information sharing for healthcare decision-making. 

New risk adjustment methodologies and reusable analytical frameworks were developed to expand capabilities within the partner platform. The project also identified and provided analysis of nine low-value care procedures, and helped streamline operational analytics and reporting solutions. 

The project explored how advanced data science can support a more transparent and efficient healthcare system, developing and testing new approaches for identifying low-value care and translating this research into a commercial health technology solution. This has the potential to support health providers and payers to better understand variation in clinical outcomes and costs with practical tools that enable better healthcare decision-making. 

Integrity, Excellence,
Teamwork and Authenticity

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