Your SlideShare is downloading. ×
0
The Home Intensivist Practice Linking Patient Needs to Care Expertise
<ul><li>The Opportunity  </li></ul><ul><li>LifeView Care and Advanced Care Management (ACM™) Program </li></ul><ul><li>Tra...
You’ve got to fish where the fishes is?
Where The Fishes Is H IGH NEED PATIENTS REPRESENT THE GREATEST OPPORTUNITY TO SAVE Based on Commercial Lives @ Blue Cross ...
The Opportunity <ul><li>High Cost Members </li></ul><ul><li>Current Status </li></ul><ul><li>Top 5% users:  </li></ul><ul>...
People We Help? Multiple Intersecting Diseases <ul><li>Target Profile </li></ul><ul><li>Multiple chronic diseases & condit...
We’ve been working with the medical community for 15+ years to refine and our solution …  US Department  of Veterans Affai...
Practice of Medicine vs. Disease Management Why DM produces small impact Disease Management Scope of Practice Practice of ...
The Difference with a Home Intensivist Practice MEDICINE PRACTICED EVERYDAY: LIFEVIEW CARE Day 1 Day 2 Every Day Medical P...
Home Intensivist Practice  LifeView Care Team FAMILY DM Nurse Primary Care Hospital/ Facility Services Physicians Homecare...
Connects Expert Care Where and When Needed <ul><li>Expert physician-led interdisciplinary team </li></ul><ul><li>Expert ap...
Tools to Keep Patients Stable at Home Stitches RX and OTC  Confirmation Clinician Dashboard Injections
What Changes? <ul><li>Clinical </li></ul><ul><ul><li>Proactive replaces reactive </li></ul></ul><ul><ul><li>Continuous 24/...
ATI  Strengthens the “Patient-PHP” Relationship ACM TM  PROGRAM
After ACM ACM Improves Lives Dramatic Improvement Much lower utilization Lost a lot of weight Controlled diabetes Off  ins...
Participant Feedback <ul><li>“ The monitor has given us peace of mind.” </li></ul><ul><li>“ The monitor was very helpful i...
Connect Expert Care    Where & When Needed Provider Station LifeView™ Video Patient Station
ROI = 20% + Better Patient Outcomes with no Change in Existing Benefits/Provider <ul><li>Targeted </li></ul><ul><li>Enroll...
<ul><li>Insurance Cos, ACOs, & Employers </li></ul><ul><li>Lower , predictable health care costs; more control over financ...
Upcoming SlideShare
Loading in...5
×

LifeView Care ATI Solution Presented by Sprint

583

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
583
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
8
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Introduction slide: Introduce yourself, your background and how your work/life experience strengthens your role as a consultant to them. Thank them for the opportunity to meet with the agency. Use the agency name and refer to where they are located…personalize the meeting from the start with the impression that you are familiar with the agency already. Example: I am so happy to be here today and to be able to show you what ATI has been doing for the past 18 months. I am excited to be able to share with you the expanded capabilities we have and I know that -Name of agency- has … -been part of this community for___yrs -has just implemented a_____program -just received _______ -etc.
  • Better Outcomes At Lower Cost Big reductions in preventable hospital/ER admissions
  • ATI Confidential
  • ATI Confidential Video is key to driving superior outcomes
  • ATI Confidential
  • Transcript of "LifeView Care ATI Solution Presented by Sprint"

    1. 1. The Home Intensivist Practice Linking Patient Needs to Care Expertise
    2. 2. <ul><li>The Opportunity </li></ul><ul><li>LifeView Care and Advanced Care Management (ACM™) Program </li></ul><ul><li>Traditional Care v. ACM Model </li></ul><ul><li>The Solution </li></ul><ul><li>Discussion </li></ul>
    3. 3. You’ve got to fish where the fishes is?
    4. 4. Where The Fishes Is H IGH NEED PATIENTS REPRESENT THE GREATEST OPPORTUNITY TO SAVE Based on Commercial Lives @ Blue Cross Blue Shield/ WellPoint LOW RISK MEMBERS OPTIMIZE RESOURCES IN ACUTE EPISODES OF CARE, POPULATION CARE MODERATE RISK MEMBERS DM AND EDUCATION, RISK AVOIDANCE WELL MEMBERS PREVENTION AND EDUCATION HIGH RISK, MULTIPLE DISEASES EPISODIC CARE MGMT, CLINICAL GUIDELINES, HIGH RISK DM COMPLEX & INTENSIVE CARE TOTAL CARE INTEGRATION Population 50% 20% 25% 4% 1% MEDICAL COSTS 10% 10% 25% 30% 25% High need patients with avoidable institutional services pre-65 =.3% to .8%, post-65 = 3 to 5%
    5. 5. The Opportunity <ul><li>High Cost Members </li></ul><ul><li>Current Status </li></ul><ul><li>Top 5% users: </li></ul><ul><li>50% of care services </li></ul><ul><li>65% of services are institutional (Hospital and ER) </li></ul>High Cost Members w/ LifeView Care Clinic The New Reality <ul><li>Home Intensivist Practice </li></ul><ul><li>Chronic Care Specialist </li></ul><ul><li>Patient Needs Met </li></ul><ul><li>Superior Financial Impact </li></ul><ul><li>60% drop in institutional costs </li></ul><ul><li>Greater access </li></ul><ul><li>Superior Satisfaction </li></ul><ul><li>50% Net ROI Year One </li></ul>The Outcome
    6. 6. People We Help? Multiple Intersecting Diseases <ul><li>Target Profile </li></ul><ul><li>Multiple chronic diseases & conditions </li></ul><ul><li>Psycho-Social issues </li></ul><ul><li>Mental & Behavioral issues </li></ul><ul><li>Poly-Pharmacy </li></ul><ul><li>Knowledge Deficit </li></ul><ul><li>Heavy users of ER and Hospital </li></ul><ul><li>Co-Morbid Conditions </li></ul><ul><li>Heart Failure </li></ul><ul><li>Brittle Diabetes </li></ul><ul><li>Chronic Obstructive Pulmonary Disease </li></ul><ul><li>Obesity </li></ul><ul><li>Hypertension </li></ul><ul><li>Chronic Kidney Disease </li></ul><ul><li>Behavioral illness </li></ul>
    7. 7. We’ve been working with the medical community for 15+ years to refine and our solution … US Department of Veterans Affairs <ul><li>100 patients produced savings of $1.8M in 18 months </li></ul><ul><li>ROI of 94% </li></ul><ul><li>Before ATI: 310 patients averaged 5 admits/yr for 2 years (1,500 admits) </li></ul><ul><li>After ATI: 3 admits for entire patient group </li></ul><ul><li>Net yield 1% readmission </li></ul><ul><li>150 patients/3+ years: Inpatient costs down 95% </li></ul><ul><li>ER costs cut by 100%, net 73% cost reduction </li></ul><ul><li>Readmit rate at 5% for all telehealth monitored patients. </li></ul><ul><li>781 patients produced $26M in 1st year savings </li></ul><ul><li>9:1 ROI </li></ul>
    8. 8. Practice of Medicine vs. Disease Management Why DM produces small impact Disease Management Scope of Practice Practice of Medicine Scope of Practice
    9. 9. The Difference with a Home Intensivist Practice MEDICINE PRACTICED EVERYDAY: LIFEVIEW CARE Day 1 Day 2 Every Day Medical Practice : individual care plans adjusted daily & &
    10. 10. Home Intensivist Practice LifeView Care Team FAMILY DM Nurse Primary Care Hospital/ Facility Services Physicians Homecare Basic Network Telecare Clinician Pharmacist Chronic Care Specialist Specialists Nutritionist PARTICIPANT
    11. 11. Connects Expert Care Where and When Needed <ul><li>Expert physician-led interdisciplinary team </li></ul><ul><li>Expert applied-knowledge networks </li></ul><ul><li>Mass customization of physician level care algorithms with integrated medical devices </li></ul><ul><li>Real time patient assessment & intervention as needed </li></ul><ul><li>Clinical work flow redesign </li></ul><ul><li>Continuous access to proactive care </li></ul><ul><li>Daily self care/patient empowerment </li></ul><ul><li>Bidirectional data/knowledge exchange </li></ul><ul><li>Ordinary telephone line or broadband </li></ul>
    12. 12. Tools to Keep Patients Stable at Home Stitches RX and OTC Confirmation Clinician Dashboard Injections
    13. 13. What Changes? <ul><li>Clinical </li></ul><ul><ul><li>Proactive replaces reactive </li></ul></ul><ul><ul><li>Continuous 24/365 connected care replaces fragmented </li></ul></ul><ul><ul><li>Empowerment </li></ul></ul><ul><ul><li>Activation </li></ul></ul><ul><ul><li>Practice at top of license </li></ul></ul><ul><ul><li>100-300% increases in efficiency, effectiveness and impact </li></ul></ul><ul><li>Operational/financial </li></ul><ul><ul><li>Aligned incentives </li></ul></ul><ul><ul><li>Expert operations support </li></ul></ul><ul><ul><li>Leverage of national and regional infrastructure </li></ul></ul><ul><ul><li>Rapid CQI & R&D </li></ul></ul><ul><ul><li>Product expansion </li></ul></ul>
    14. 14. ATI Strengthens the “Patient-PHP” Relationship ACM TM PROGRAM
    15. 15. After ACM ACM Improves Lives Dramatic Improvement Much lower utilization Lost a lot of weight Controlled diabetes Off insulin Off Lasix Cholesterol lower by 110 12 fewer prescriptions Active and engaged 0 Admits 1 ER 165 lbs. HBA1C 4.2 Insulin 0 units discontinued Lasix discontinued Total Cholesterol 134 Medications 35 Notes : Shopping by herself; Used debit card first time, Daily exercise at gym <ul><li>Female, 57 yrs. </li></ul><ul><li>Disabled Nurse </li></ul><ul><li>PCP & system expert in complex chronic care </li></ul><ul><ul><li>(Mayo Clinic) </li></ul></ul><ul><li>Repeating cycle of ER and Hospital use…deterioration </li></ul>Patient X
    16. 16. Participant Feedback <ul><li>“ The monitor has given us peace of mind.” </li></ul><ul><li>“ The monitor was very helpful in understanding my condition and made me more aware of what I must do to help myself.” </li></ul><ul><li>“ I found out so many ideas to help me cope with my health issues.” </li></ul><ul><li>“ I liked it. Didn’t want to return it. It helped me a lot.” </li></ul><ul><li>“ I wish I could have it always. Makes me feel more secure.” </li></ul>
    17. 17. Connect Expert Care Where & When Needed Provider Station LifeView™ Video Patient Station
    18. 18. ROI = 20% + Better Patient Outcomes with no Change in Existing Benefits/Provider <ul><li>Targeted </li></ul><ul><li>Enrollees </li></ul><ul><li>ACM Program </li></ul><ul><li>Overview </li></ul><ul><li>Expect .5% of plan enrollees </li></ul><ul><ul><li>5 participants:1000 enrollees </li></ul></ul><ul><li>Highest health care users </li></ul><ul><ul><li>more than $15,000 institutional costs </li></ul></ul><ul><li>IDENTIFICATION - Complex cases (higher acuity & at higher risk for utilization) </li></ul><ul><ul><li>More than 9 medications </li></ul></ul><ul><ul><li>Many health problems with one or more uncontrolled </li></ul></ul><ul><ul><li>Often accompanying psycho-social issues </li></ul></ul><ul><li>Proactive physician led clinical team skilled in the “Telecare” of complex patients </li></ul><ul><li>ACM Program Expense </li></ul><ul><ul><li>$1000 /patient/month </li></ul></ul><ul><ul><li>$500 / install & training </li></ul></ul><ul><ul><li>$250 / recovery </li></ul></ul><ul><li>Targeted ROI : 20% </li></ul><ul><li>QTR Progress Reporting </li></ul>
    19. 19. <ul><li>Insurance Cos, ACOs, & Employers </li></ul><ul><li>Lower , predictable health care costs; more control over financial exposure </li></ul><ul><li>Cost reductions drop to bottom line </li></ul><ul><li>No disruption to current benefit structure or network providers </li></ul><ul><li>Reduced calls to Benefits administrators from chronically ill employees </li></ul><ul><li>People, Members, Employees, & </li></ul><ul><li>Dependents </li></ul><ul><li>Improved health and quality of life while breaking the cycle of deterioration </li></ul><ul><li>Health is stabilized and patient is more confident about self care </li></ul><ul><li>Care addresses holistic view of patient, not merely medical </li></ul>The End Result: Everybody Benefits
    1. A particular slide catching your eye?

      Clipping is a handy way to collect important slides you want to go back to later.

    ×