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Webinar: Journey to the Future of Healthcare Delivery

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Are you ready to become an ACO?

It is reported that over 160 Accountable Care Organizations (ACOs) are in development right now – So where do you stand?

Published in: Business, Health & Medicine
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Webinar: Journey to the Future of Healthcare Delivery

  1. 1. Let’s Talk Healthcare with Informatica and Edgewater: Analytics for Accountable Care Richard Cramer Maury DePalo John SchmidtChief Healthcare Strategist Director of Healthcare Practice Vice President, Global Integration Services Informatica Edgewater Informatica
  2. 2. “An organization of health careproviders that agrees to beaccountable for the quality, cost, andoverall care of beneficiaries who areassigned to it.” 2 2
  3. 3. Why Accountable Care? -- Mandates & Incentives Primary Drivers Economic & Market … • Population Segments & Dynamics Operational & • Moving from Volume to Value • Market Structure & Dynamics Sustainability … • Cross-Continuum Coordination Legislative & • Efficiency Performance Measures Regulatory … • Value / Cost / Risk Sharing• Primary Quality Performance Measures• Incentive Timetables & Deadlines• Penalties & Compliance Constraints  Progressing to Value-Based Healthcare 3 3
  4. 4. How are ACOs supposed to work?• By analyzing patient experiences across a population to implement quality improvement strategies. • Vertical integration of primary care, specialty, hospital providers who share risk for quality and total healthcare costs.• ACOs achieve this by addressing 3 barriers: • Tackle fragmented payment/delivery systems by fostering local, organizational accountability for continuum of care including outcomes, quality and costs. • Focus provider payments on improved health outcomes, better quality, and reduced costs. • Support patient choice by providing information on treatment risks and benefits. 4 4
  5. 5. Becoming “ACO – Ready”► Establishing a Performance Track Record – Baseline of Effective, Efficient Patient Care & Favorable Outcomes • Which Patients, Which Services, What Outcomes, What Costs? – Quality  Efficiency  Value – Evidence-based Rationale for Components of Shared Value Proposition • Value Added at Each Step in Coordinated Process of Encounters to Outcomes► Primary Building Blocks – Models: Data, Process, Business, Populations & Practices – Technology: Data Capture, Quality Control, Integration, Transformation, Aggregation, Analytics► Defining Accountability – Who is accountable, and for what? – Shared accountability – measure team and individual performance against industry or institutional standard (structures, processes, metrics) 5 5
  6. 6. Learn More….• Register for our first webinar in the series: How to get started on the journey to the future of healthcare Wednesday, August 1, 2012 11:00am PT /2:00pm ET http://vip.informatica.com/?elqPURLPage=10261• To join future webinars in the series, email Jenny Norwood: jnorwood@edgewater.com 6 6

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