CORAL Meaningful Outcomes & Missed Opportunities

​A relatively small proportion of patients with complex needs represent a major source of cost and utilization. The fundamental principle that distinguishes complex needs patients from other high-cost patients with well-defined medical issues is that “complex needs” is a highly heterogeneous category with poorly defined inclusion criteria and treatment goals. To move this field forward, this 18-month, inter-regional research project aims to better define actionable subgroups of patients with complex care needs. A generalizable typology of distinct subgroups of patients with complex care needs will be created using clinical and patient-reported data and care outcomes across three Kaiser Permanente delivery systems (Kaiser Permanente Northern California, Kaiser Permanente of Colorado, and Kaiser Permanente Washington). Important unmet care needs will be identified for patients within each of the main subgroups, and a novel set of meaningful outcomes that reflect complex patients’ clinical and personal needs will be elicited using interviews and focused chart reviews.

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