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.

1. June 3, 2013
Health Datapalooza

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Four Key Elements to ACO Success
Risk Process
Outcomes Cost

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Elements of Risk
Understand & Manage Your Sickest Patients
Who are my high utilizers/frequent fliers?
Which patients have untreated risk factors?
Where are my largest buckets of cost/spend?
Maximize PMPM
Am I accurately representing the risk in my population?
Are coding practices refined to ensure accuracy of HCC risk score
Predict Preventable Cost/Bad Outcomes
Hospitalizations
Readmissions
High utilization
Costly utilization
Risk Process
Outcomes Cost

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Humedica MinedShare®: ED Utilization Overview

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Diabetes Coding Opportunity Analysis

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Coded and Uncoded DM Patients

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Elements of Process
Identify & Close Gaps in Care
Ensure True Best Practices by adding clinical
thresholds to care process analytics - e.g. CHF Pts
with EF<40 and no ACE/ARB
Meet Quality Measure Goals
Support Care Coordination Infrastructure
Track populations across care continuum
Enable clinically specific disease management
Target Disease management to most needy
populations
Risk Process
Outcomes Cost

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CHF Gaps in Care

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CHF Pts not on ACE/ARB or Beta Blocker

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Elements of Outcomes
Track & Measure True Health Status Change Over Time
e.g. - Did our Hypertension management program result in a
true improvement in aggregate BP?
Compare True Clinical Outcomes among Providers
Who actually succeeded in making positive health change?
Optimize providers in your physician network
Structure incentive contracts
Represent True Outcomes to Key Stakeholders
Patients
Payers
Employers Risk Process
Outcomes Cost

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DM Care Management Outcomes Report

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DM Patient Outcomes Over Time

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Elements of Cost
Benchmark Both Aggregate Cost (PMPM) and
Relative Resource Utilization
Identify exactly where there is overuse
Understand Resource Tradeoffs
e.g. - Will more intensive ambulatory care really result in fewer ED visits
e.g. - What is the optimal amount of care that will maximize outcomes and
reduce cost
Connect Cost to Clinical Benefits to Prove Value
Optimize Contract Negotiations with Payers
Have Better, more timely data
Ensure you are being paid appropriately given the value of the care you
deliver
Risk Process
Outcomes Cost

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Cost of Care Overview

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Charges by Site of Care

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Scorecard for ACO Analytics
 Integrate, Clean and Present All Necessary Data with Minimal IT
Burden
 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 on
Measures
 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 Deliver
to our Key Stakeholders
 Empower Me to Optimize Contracts with Payers