10. Race Composition
Ave. Household Income
Unemployment Rate
% White Collar Workers
% Houses Vacant
% Houses Owned
Patient
Level
Age
Gender
Enabling Factors
Patient Level
Inferred Disease
Severity
Comorbidities
Monthly Rx Costs
Medication
Adherence
Community
(Block Group Level)
Predisposing Factor
Patient Reported
Knowledge of Disease
Knowledge of Drug
Health Beliefs
Block Group Level
Marital Status
Ethnicity
Education
Occupation
Patient Level
Co-pay
Plan Type
Drug Regimen
Block Group Level
Average Income
Unemployment Rate
Need Factors
Patient Reported
Illness Perception
Beliefs in Meds
Lack of symptoms
Patient Level
Medication
Complexity
# medications
# prescribers
Patient Past Behavior
Drug Profile
Side Effects
Dosage
Frequency
Patient Level
Prior Proportion of Days Covered
Late Refills
Generic Drug Utilizations
% Transient Population
% Seasonal Population
% Bachelor Degree & Above
Ave. Vehicles/Household
Accessibility of Pharmacy
Population Growth Indicator
A Conceptual Model of Medication Adherence
15. 15
End of Life Predictive Model – Performance
of Model on Medicare 5% Database
Out of a 10,000 attributed life group, we would expect 430
overmedicalized deaths (4.3%). Based on our model, approximately
46% of these members will have risk scores >.95.
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
0-10%
10-15%
16-20%
21-25%
26-30%
31-35%
36-40%
41-45%
46-50%
51-55%
56-60%
61-65%
66-70%
71-75%
76-80%
81-85%
86-90%
91-95%
96-100%
% of Total OM Deaths
% of Total OM
Deaths