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2016 iHT2 Miami Health IT Summit
1) Hackensack University Medical Center is part of a large healthcare network in New Jersey serving over 6 million people. It has received numerous awards and recognition for clinical excellence. 2) The presentation discusses HackensackUMC's strategies for managing risk-based care and consumerism, which includes a focus on patient engagement, care coordination across settings, and using technology like EHRs and analytics to improve outcomes and reduce costs. 3) HackensackUMC is managing care for over 100,000 beneficiaries through its Medicare ACO, a Blue Cross ACO, and an Aetna Medicare Advantage plan. It aims to shift care toward prevention and meet the growing demands of consumerism through increased access,
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2016 iHT2 Miami Health IT Summit
- 1. 1 iHT2 Health ITSummit Miami Consumerism in Healthcare February 3, 2016 Shafiq Rab, M.D., MPH Vice President, Chief Information Officer Hackensack University Medical Center
- 2. 2 About Hackensack UniversityHealth Network New Jersey-based parent company of HackensackUMC, HackensackUMC Palisades, the HackensackUMC Foundation, Hackensack University Medical Groups, HackensackUMC at Pascack Valley and HackensackUMC Mountainside. Part of the nation’s largest healthcare consortium, AllSpire Health Partners; with a total of 28 hospitals and service area of more than six million people. More than 11,300 employees, 3,100 credentialed medical staff members and 1,697 hospital and nursing home beds at hospitals within the Network#1 hospital in New Jersey and one of the top four New York metro area by the U.S. News & World Healthgrades® America’s Best 100 Hospitals in 10 different areas – more than any other hospital in the nation Healthgrades America's 50 Best Hospitals™ for nine years in a row Healthgrades Distinguished Hospital Award for Clinical Excellence™ 13 years in a row 23 Gold Seals of Approval™ by the Joint Commission – more than any other hospital in the country HackensackUMC is the Hometown Hospital of the New York Giants and the New York Red Bulls www.HackensackUMC.org
- 3. HackensackUMC’s Main Ingredients Recipefor Risk Based Care & Consumerism HackensackUMC has been ahead of the curve by strategically planning and preparing for the new and emerging care models for many years
- 4. Recipe for RiskBased Care & Consumerism 1) Patients are Number One and Are the Center of All Efforts! 2) We have a passion for what we do 3) Doctors truly believe that we can impact healthcare outcomes 4) We Believe in Patient Participation and Patient Engagement Including Patient Family 5) The Care Model / Payment model is important but the Patient and the outcomes come First HackensackUMC’s Main Ingredients
- 5. Recipe for RiskBased Care & Consumerism 1) Less Days in Acute Care Setting 2) Less Days in Skilled Nursing Facility 3) Patient Adherence to Medication Regiment and PCP visit schedule 4) Engaging Patients to Understand Their Own Symptomology and their Care options 5) Active Care Coordination Tools and Active Care Coordination TEAM HackensackUMC’s Main Ingredients
- 6. Recipe for RiskBased Care & Consumerism Using the ingredients above: 1) We Enable Providers and Patients to Work together as a TEAM 2) We Tighten Integration Across The Entire Continuum of Care 3) We Create a Unified View of the Patient and Their Care 4) We Manage the Actions That Improve Outcomes and Reduce Costs 5) Interconnect all aspects of the patient’s care via integrated interoperability a. Using the technologies and tools below to achieve standardization i. PCMH Certified Practices ii.Practices with ONC Certified EHRs iii.Standard Order sets iv. Standard Care plans v.Standard Protocols (HL7 & FHIR) HackensackUMC’s Main Ingredients
- 7. Why the Focus ImprovingCosts, Quality and Satisfaction Source: Identifying and Quantifying the Cost of Uncoordinated Care: Opportunities for Savings and Improved Outcomes, Mary Kay Owens, R.Ph.,C.Ph, Institute of Medicine, 2009.
- 8. HackensackUMC’s Growth Towards Over100,000 Beneficiaries 2012 - Medicare ACO 2014 – Horizon Blue Cross ACO 2015 – Aetna – Medicare Advantage
- 9. Background on MedicareACO Hackensack Alliance ACO – 2013: Medicare Savings of $10.75M – 2014: Medicare Savings of $6.5M – The Hackensack ACO is one of only 37 Medicare Shared Savings ACOs in the country to achieve a savings bonus in each of its first 2 years, and their total earned bonus ranks them 22nd in the country. – Inpatient Utilization of ACO Patients Lower than Index Group – Emergency Department Utilization of ACO Patients Lower than Index Group – 1st Year Reduction on 30-day Readmissions for ACO Patients
- 10. Background on BlueCross ACO Hackensack Alliance ACO – Update: – Achieved Bonus in 2015
- 11. Background on AetnaMedicare Advantage Hackensack Alliance ACO
- 12. AllSpire Health Partners •7 Health Systems with 25 hospitals • Health Systems remain separate entities • Combined revenue of $10.5 billion • Largest health care consortium in the country • Focus on population health and group purchasing • Service area of more than 9 million people • $7 million invested to form alliance
- 13. Merger with MeridianHealth Hackensack Meridian Health • “Committed to implementing innovative models of care” • “Garrett said the success of the two ACO’s provides evidence of their commitment to transforming health care” • “We are in the minority in the country of ACOs that have actually worked.” • “We are both trying to develop significant infrastructures for population health”
- 14. Focus of RiskBased Care Manage Care & Costs Across Continuum of Care
- 15. How HackensackUMC Manages RiskBased Care for their Multiple Populations
- 16. How HackensackUMC Manages RiskBased Care for their Multiple Populations
- 17. Active Care CoordinationPlatform Systematic Action Through Coordination
- 18. Active Care CoordinationPlatform Systematic Action Through Coordination PCP Post Acute Home
- 19. Blue ButtonInteroperability Hospitals & Clinics Analytics Proteomics Genomics IoT& Wearables Location Spending Habits Nutrition Social Determinants & Mental Health Rx Network EHR My Life Bank Personal Profile Cardiologist Appointments ERVisits Patient & Family Care Coordinator Oracle Power BI Caradigm Azure Machine Learning Azure Stream Population Health Systems Disease Registries My Connected Life What Makes Us - Us
- 20. The Value ofTechnology The Shift Toward Prevention 1) Advanced warning toward total prevention 2) Point of care actionable alerts for behavior modification 3) Facilitation of social and behavioral change
- 21.
- 22. The Pressure isOn A Quest for Customer Loyalty Convenience is Required Whenever Access is Guaranteed High Quality is a Given Patient Reported Outcome Reimbursement
- 23. 2016 Healthcare ITInnovations Artificial Retinas
- 24. 2016 Healthcare ITInnovations Robotic Nurse Assistant
- 25. 2016 Healthcare ITInnovations DARPA Advances in Prosthetics
- 26. 2016 Healthcare ITInnovations Anti-aging Drugs
- 27. 2016 Healthcare ITInnovations Tooth Regeneration
- 28. 2016 Healthcare ITInnovations Lightbulbs that Disinfect and Kill Bacteria
- 29. The Consumer WillSee You Now… Devices, Wearables, Implantables
- 30. Healthcare Could beFree Self Service & Funded Technology allowing more and more tests to be done at home Day will come that ALL tests can be done at home Payers will be able to pay for it Healthcare might become free
- 31. What Are WeDoing Now The Basics We digitalized the records Analytics Predictive Analytics Value Creation Decision Making (Strategic & Tactical) Now we want to get the data out as meaningful information via analytics to create value
- 32. Apple Healthkit Keeping connectedto patients
- 33. ADOPT MEOWS Redefining QuantifiedBlood Loss as a Vital Sign Feed as Vital Sign to EHR
- 34. St. Jude’s MedicalCardioMEMS Implanted Pulmonary Artery Sensor Transmit from Home to EHR Implanted in Artery
- 35. Participation Facilitating Change Putting thePower in the Hand of the Patient
- 36. Creating Value fromData Smart Patient Wearables Detect Future Heart Attack Schedule Doctor Visit and forward EKG
- 37. www.HackensackUMC.org Thank You Srab@HackensackUMC.org551-996-3669 Contact orFollow Dr. Shafiq Rab @CIOSHAFIQ