Health Datapalooza 2013: State of the Art - Humedica

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Health Datapalooza IV: June 3rd-4th, 2013
The State of the Art: Enterprise Data Use at the Point of Care
Moderator:
Janet Marchibroda, Director, Health Innovation Initiative, Bipartisan Policy Center

The new delivery models have made it clear- they need health information technology (IT) and data in order to succeed in providing high value health care. Many decision-makers and clinical staff are overwhelmed by or are looking for the evidence to support using the increasing amount and divergent types of data that can be leveraged at the enterprise level and point of care. Patient-generated data, open data streams, cost and quality information – how will it fit into the clinical workflow, and does it make a difference in operations and clinical outcomes? Join us for demos and a discussion of the state of the art.

Panel A (3:30-4:15pm): Enterprise-Level Data Analytics
Speakers:
Jack Challis, Chief Executive Officer & Co-Founder, CliniCast
Allen Kamer, Vice President Corporate Development and Marketing, Humedica
Jonathan Porter, Vice President Product Strategy, athenahealth
Eric Page, Chief Executive Officer, Amplify Health
Graham Gardner, Chief Executive Officer, Kyru.us

Panel B (4:15-5:00 pm): Data at the Point of Care
Speakers:
Jason Bhan, Executive Vice President & Co-founder, Medivo
Madhu Nutakki, Vice President of Digital Presence Technologies, Kaiser Permanente
Noah Craft, Chief Medical Officer, VisualDx
Michael Long, Chief Executive Officer, Lumeris
Omri Gottesman, CLIPMERGE, Mount Sinai School of Medicine

These sessions are eligible for continuing education credit.

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Health Datapalooza 2013: State of the Art - Humedica

  1. 1. June 3, 2013Health Datapalooza
  2. 2. © 2013 Humedica, Inc., All Rights Reserved 2Four Key Elements to ACO SuccessRisk ProcessOutcomes Cost
  3. 3. © 2013 Humedica, Inc., All Rights Reserved 3Elements of RiskUnderstand & Manage Your Sickest PatientsWho are my high utilizers/frequent fliers?Which patients have untreated risk factors?Where are my largest buckets of cost/spend?Maximize PMPMAm I accurately representing the risk in my population?Are coding practices refined to ensure accuracy of HCC risk scorePredict Preventable Cost/Bad OutcomesHospitalizationsReadmissionsHigh utilizationCostly utilizationRisk ProcessOutcomes Cost
  4. 4. © 2013 Humedica, Inc., All Rights Reserved 4Humedica MinedShare®: ED Utilization Overview
  5. 5. © 2013 Humedica, Inc., All Rights Reserved 5Diabetes Coding Opportunity Analysis
  6. 6. © 2013 Humedica, Inc., All Rights Reserved 6Coded and Uncoded DM Patients
  7. 7. © 2013 Humedica, Inc., All Rights Reserved 7Elements of ProcessIdentify & Close Gaps in CareEnsure True Best Practices by adding clinicalthresholds to care process analytics - e.g. CHF Ptswith EF<40 and no ACE/ARBMeet Quality Measure GoalsSupport Care Coordination InfrastructureTrack populations across care continuumEnable clinically specific disease managementTarget Disease management to most needypopulationsRisk ProcessOutcomes Cost
  8. 8. © 2013 Humedica, Inc., All Rights Reserved 8CHF Gaps in Care
  9. 9. © 2013 Humedica, Inc., All Rights Reserved 9CHF Pts not on ACE/ARB or Beta Blocker
  10. 10. © 2013 Humedica, Inc., All Rights Reserved 10Elements of OutcomesTrack & Measure True Health Status Change Over Timee.g. - Did our Hypertension management program result in atrue improvement in aggregate BP?Compare True Clinical Outcomes among ProvidersWho actually succeeded in making positive health change?Optimize providers in your physician networkStructure incentive contractsRepresent True Outcomes to Key StakeholdersPatientsPayersEmployers Risk ProcessOutcomes Cost
  11. 11. © 2013 Humedica, Inc., All Rights Reserved 11DM Care Management Outcomes Report
  12. 12. © 2013 Humedica, Inc., All Rights Reserved 12DM Patient Outcomes Over Time
  13. 13. © 2013 Humedica, Inc., All Rights Reserved 13Elements of CostBenchmark Both Aggregate Cost (PMPM) andRelative Resource UtilizationIdentify exactly where there is overuseUnderstand Resource Tradeoffse.g. - Will more intensive ambulatory care really result in fewer ED visitse.g. - What is the optimal amount of care that will maximize outcomes andreduce costConnect Cost to Clinical Benefits to Prove ValueOptimize Contract Negotiations with PayersHave Better, more timely dataEnsure you are being paid appropriately given the value of the care youdeliverRisk ProcessOutcomes Cost
  14. 14. © 2013 Humedica, Inc., All Rights Reserved 14Cost of Care Overview
  15. 15. © 2013 Humedica, Inc., All Rights Reserved 15Charges by Site of Care
  16. 16. © 2013 Humedica, Inc., All Rights Reserved 16Scorecard for ACO Analytics Integrate, Clean and Present All Necessary Data with Minimal ITBurden Reveal and Predict the True Risks in My Population Help Me to Optimize Payments by Improving my Risk Scores Help Me Close Gaps in Care & Optimize my Performance onMeasures Empower Me to Optimize my Physician Network Help Me Ensure Best Practices Help Me Identify Higher Than Expected Costs/Resource Utilization Help Me Prove the Clinical & Financial Value of the Care We Deliverto our Key Stakeholders Empower Me to Optimize Contracts with Payers

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