Healthcare Analytics

The first COVID-19 case in the US was reported on January 20, 2020. As the first cases were being reported in the US, Washington State became a reliable source not just for hospital bed demand based on incidence and community spread but also for modeling the impact of skilled nursing facilities and assisted living facilities on hospital bed demand. Various hospital bed demand modeling efforts began in earnest across the United States in university settings, private consulting and health systems. Nationally, the University of Washington Institute of Health Metrics and Evaluation seemed to gain a footing and was adopted as a source for many states for its ability to predict the epidemiological curve by state, including the peak.This book therefore addresses a compelling need for documenting what has been learned by the academic and professional healthcare communities in healthcare analytics and disaster preparedness to this point in the pandemic. What is clear, at least from the US perspective, is that the healthcare system was unprepared and uncoordinated from an analytics perspective. Learning from this experience will only better prepare all healthcare systems and leaders for future crisis.Both prospectively, from a modeling perspective and retrospectively from a root cause analysis perspective, analytics provide clarity and help explain causation and data relationships. A more structured approach to teaching healthcare analytics to students, using the pandemic and the rich dataset that has been developed, provides a ready-made case study from which to learn and inform disaster planning and preparedness. The pandemic has strained the healthcare and public health systems. Researchers and practitioners must learn from this crisis to better prepare our processes for future pandemics, at minimum. Finally, government officials and policy makers can use this data to decide how best to assist the healthcare and public health systems in crisis.

The epilogue was written just as the Pfizer and Moderna Covid-19 vaccines received approval—a remarkable moment in US health care history. Interactions among local, state, and federal governments and information sharing within the health care industrial complex are the overall focus of analysis. From case studies of wellness among Alabama health care workers to analysis of Colorado hospitals' financial decisions and race-based health inequities in Chicago, this is an ideal textbook for courses on government impacts on health care, health care policy, and/or the COVID-19 response. Part lessons learned, part social commentary, part technological interoperability analysis, this is a well-referenced gem cast in straightforward language.- K. O'Grady, University of San Diego

Edward M. Rafalski is Adjunct Assistant Professor at University of Illinois School of Public Health, and an Affiliate Associate Professor at the University of South Florida, College of Public Health. He holds qualifications from the University of Chicago and Yale University School of Public Health.