• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Life Sciences
  • Investments
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage

Missing Piece in Patient Data: Why Clinical Insight Isn’t Enough Anymore

by Sheila Wirick, Sales Director, Health Vertical at Experian 11/10/2025 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print
Missing Piece in Patient Data: Why Clinical Insight Isn’t Enough Anymore
Sheila Wirick, Sales Director, Health Vertical at Experian

As healthcare accelerates toward value-based models and personalized engagement, one truth is becoming increasingly clear: clinical data alone is no longer enough.

While electronic health records and claims data provide foundational insight into diagnoses, treatments, and outcomes, they paint only a partial picture of a patient’s experience. What they often miss are the socioeconomic, behavioral, and lifestyle factors that profoundly influence how people engage with the healthcare system (or don’t).

To meaningfully improve outcomes and reduce disparities, healthcare leaders are turning to a more holistic approach. By integrating clinical data with real-world socioeconomic and lifestyle insights, organizations can better understand the full spectrum of patient needs and design more targeted, equitable interventions.

Beyond the Clinic Walls: Why Context Matters

Health happens everywhere, not just in hospitals, clinics, or pharmacies. Decisions about whether to fill a prescription, attend a follow-up appointment, or participate in a clinical trial are shaped by factors like financial stability, transportation access, work schedules, and even digital literacy.

The industry has long acknowledged that social determinants of health account for a significant share of health outcomes. But only recently have the tools become available to operationalize that understanding at scale. The result is a new frontier in patient analytics: one that merges clinical, behavioral, and socioeconomic signals into a single, actionable framework.

A Data-Driven Shift Toward Lifestyle Driven Outreach

This integrated approach allows for more than just richer segmentation. It enables healthcare and Life Sciences organizations to move from reactive strategies to proactive, data-driven outreach. With a fuller view of patient journeys, teams can:

  • Identify geographic areas with high unmet need or low treatment adherence
  • Pinpoint communities underrepresented in research and tailor recruitment efforts accordingly
  • Design messaging that reflects the financial realities of target populations, such as highlighting co-pay assistance for income-sensitive groups
  • Detect early indicators of therapy abandonment and intervene before outcomes worsen

These insights are not hypothetical. In practice, organizations are using combined datasets to flag which neighborhoods have the highest diabetes risk, when co-pay messages will have the most impact, or where gaps in care access are contributing to lower clinical trial participation.

Closing Gaps with Real-World Evidence

For those working in real-world evidence, market access, or patient engagement, the integration of lifestyle and clinical data also opens the door to more meaningful measurement. Traditional metrics, such as prescription fill rates or appointment no-shows, are being enhanced with context that helps explain why interventions succeed or fall short.

Instead of treating data streams in silos, leading organizations are layering claims and EHR data with insights about household income, education level, living situation, and other attributes. This allows them to answer more strategic questions:

  • Where are social determinants creating persistent barriers to care?
  • Which populations would benefit most from financial or logistical support?
  • How can we optimize outreach based on the unique attributes of each patient cohort?

Responsible Innovation and Privacy-First Design

Critically, the push toward holistic patient data is happening with growing attention to privacy and ethics. De-identified datasets and privacy-enhancing technologies ensure that patient-level insights remain actionable without compromising individual security. As data integration becomes more advanced, maintaining this balance will remain a top priority.

A Strategic Imperative for the Next Era of Care

In a healthcare environment increasingly defined by accountability, outcomes, and equity, the ability to see the why behind patient behavior is no longer a luxury; it’s a necessity.

By uniting clinical and lifestyle data, healthcare leaders are gaining the tools they need to close care gaps, reduce waste, and engage patients in ways that reflect the realities of their daily lives. It’s a shift from treating the patient in isolation to understanding the full context in which they live, and it’s reshaping what’s possible in modern healthcare.


About Sheila Wirick
Sheila Wirick is the Director of Health Sales, Experian Marketing Service with more than 20 years of experience in data and analytics. As Director of Health Sales at Experian Marketing Services, she collaborates with healthcare, pharmaceutical, and nonprofit organizations to apply data and insights that enhance customer retention, brand awareness, and acquisition. She is committed to helping organizations use data to deliver measurable results and meaningful impact.

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Interview

ConcertAI VP Shares View on AI Hallucinations and the Fabricated Data Crisis in Scientific Publishing

Most-Read

Cleveland Clinic and Khosla Ventures Form Strategic Alliance to Accelerate Healthcare Innovation

Cleveland Clinic and Khosla Ventures Form Strategic Alliance to Accelerate Healthcare Innovation

Northwell Health Selects to Deploy Abridge’s Ambient AI Across 28 Hospitals

Northwell Health to Deploy Abridge’s Ambient AI Across 28 Hospitals

Omada Health Launches "Nutritional Intelligence" with AI Agent OmadaSpark

Omada Health Launches AI-Powered Meal Map to Transform Nutrition for Cardiometabolic Patients

From Overwhelmed to Optimized: How AI Agents Address Staffing Challenges and Burnout in Healthcare

From Overwhelmed to Optimized: How AI Agents Address Staffing Challenges and Burnout in Healthcare

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

Epic Outlines Roadmap for Next-Generation Data Sharing at Open@Epic

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Op-Ed Submission Guidelines
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |