Health Datapalooza 2013: Hearing from the Community - Richard Martin


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Health Datapalooza IV: June 3rd-4th, 2013
Hearing from the Community: Where We Are and Where We Would Like to Be
Edward J. Sondik, former Director, National Center for Health Statistics
Georges Benjamin, Executive Director, American Public Health Association (APHA)
Samuel ‘Woodie’ Kessel, Professor, University of Maryland School of Public Health
Patrick Remington, Associate Dean for Public Health, University of Wisconsin School of Medicine and Public Health
Jean Nudelman, Director, Community Benefits Programs, Kaiser Permanente
Donald F. Schwarz, Health Commissioner, Deputy Mayor for Health and Opportunity, City of Philadelphia, Pennsylvania
Afshin Khosravii, Chief Executive Officer, Trilogy Integrated Resources
Richard Martin, Vice President, Heritage Provider Network

This session will focus on advances in the use of health data in developing or implementing new tools that impact local community health. It will explore the data and technology needs of local community health organizations and discuss the challenges they face when attempting to meet these needs. It will also present recommendations from non-data oriented people regarding opportunities in the data and technology fields that could enhance their experience in local community health.

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Health Datapalooza 2013: Hearing from the Community - Richard Martin

  1. 1. Health Datapalooza IVHeritage Provider Network, Inc.June 3 2013Your Health in Good HandsCommitment to the community
  2. 2. HPN at a GlanceFounded in 1979 by Dr. Richard Merkin, Presidentand CEOOne of the largest integrated healthcare systemsin the U.S. with 33-year track record of innovationand growthPatient-centric, physician-driven modelSignificant scale with operations inCalifornia, New York and ArizonaHeritage Provider Network, Inc.
  3. 3. Market PresenceHeritage Provider Network, Inc.California New YorkLos AngelesPalm SpringsNew York CityPhoenixTucson(planned)Arizona
  4. 4. The Heritage Provider NetworkManage the care of 700,000 members90,000 Pioneer ACO beneficiaries in CAOver 30,000 Shared Savings ACO beneficiaries in NY and AZOver 30 staff model campus facilities and satellite clinicscombined with wrap-around IPAsEmploys over 400 PCPs and Specialists2,300 contracted PCPs30,000 contracted SpecialistsOver 5000 Ancillary Vendor relationshipsContracts with over 200 Hospitals, LTAC, SNFs• One of few limited Knox-Keene licensed entities in theState of CaliforniaHeritage Provider Network, Inc.
  5. 5. Key Operating PrinciplesHealthcare is local and should be delivered locally– Patients always come firstUse technology to scale and expand operationsShare best practices and benchmark against bestperformers (which are often other Heritagegroups)Heritage Provider Network, Inc.
  6. 6. Global Innovator in Healthcare DeliveryNamed one of the world’s Top 10 most innovative healthcare companies by FastCompany, a leading business publication and online presence.Recent notable recognition:The Heritage Health Prize – $3 million World-wide competition to create an algorithmto predict hospitalization– Over 13,000 teams competing, over 15,000 entries madeHeritage Medical Research Institute – Optimizing treatmentoutcomes by focusing on improving the quality of healthcare deliveryDr. Richard Merkin Initiative at the Brookings Institution –Transforming healthcare by improving leadership, businessmodels and payment systems.Institute of Medicine, National Academy of Engineering and Heritage MedicalSystems “Go Viral” Prize - rewarded the creation of difference-making health careapplications by college students– The winning application tracks childrens vaccination, has increased vaccinationratesHeritage Provider Network, Inc.
  7. 7. Integrated Infrastructure & TechnologyEZ-CAP, q.ACONextGen EMR/EPMNextMD Patient portalInterQual clinical guidelinesKey performance managementsystems– iAnalysis: provides up to datemetrics for each campus– iCode: provides complete medicalhistory to doctors via webapplication– iStar: summarizes qualitymeasures to identify outliers forimprovementReplicable across regionsEnable scalable operationsReduce clinical variationEnforce complianceSupport clinical programsIT PlatformIT Capabilities
  8. 8. Game ChangersEligibility Pings – Hospital/EREMR/EHR/HIES – Common PlatformReal Time Claims Data/AdjudicationPersonal Health Card/RecordHeritage Provider Network, Inc.