HIMSS25: A Look into UPMC's Digital Health ROI Framework

HIMSS25: A Look into UPMC's Digital Health ROI Framework

The promise of digital health is manifold: improving clinical outcomes, enhancing patient and clinician experience and expanding healthcare access. But digital health benefits can be hard to express in financial terms, which is critical to justifying their implementation, especially amid a shaky financial outlook for U.S. hospitals.At a HIMSS25 session, Mike McSherry, co-founder and CEO of Xealth, a digital health platform that integrates into clinician workflows, shared how one large 'payvider' quantifies -- and justifies -- its spend on digital health programs.UPMC, a $28 billion, 40-hospital system headquartered in Pittsburgh, boasts digital health programs in a wide array of clinical areas, from surgery preparation to cancer screenings to maternal health. The health system also uses digital health programs for discrete use cases, like risk management for elite athletes and chronic kidney disease.

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The variety of digital health programs makes quantification a challenge, as tackling each individually is not feasible. So, UPMC developed a quantification framework to assess the financial return on investment (ROI) for varied digital health programs. Though UPMC Chief Medical Information Officer Robert Bart was scheduled to speak during the session, he could not make it; however, McSherry discussed the health system's quantification process. Xealth supports the quantification process by tracking the use of digital health programs with the EHR.


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