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,

1. 1
iHT2 Health IT Summit 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 University Health 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
Recipe for 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 Risk Based 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 Risk Based 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 Risk Based 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
Improving Costs, 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 Over 100,000 Beneficiaries
2012 -
Medicare
ACO
2014 –
Horizon
Blue Cross
ACO
2015 –
Aetna –
Medicare
Advantage

9. Background on Medicare ACO
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 Blue Cross ACO
Hackensack Alliance ACO
– Update:
– Achieved Bonus in 2015

11. Background on Aetna Medicare 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 Meridian Health
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 Risk Based Care
Manage Care & Costs Across Continuum of Care

15. How HackensackUMC Manages
Risk Based Care for their Multiple Populations

16. How HackensackUMC Manages
Risk Based Care for their Multiple Populations

17. Active Care Coordination Platform
Systematic Action Through Coordination

18. Active Care Coordination Platform
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 of Technology
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. Prevention
Primary Care
Ambulatory Setting
Home
Components of the Shift

22. The Pressure is On
A Quest for Customer Loyalty
Convenience is Required
Whenever Access is Guaranteed
High Quality is a Given
Patient Reported Outcome Reimbursement

23. 2016 Healthcare IT Innovations
Artificial Retinas

24. 2016 Healthcare IT Innovations
Robotic Nurse Assistant

25. 2016 Healthcare IT Innovations
DARPA Advances in Prosthetics

26. 2016 Healthcare IT Innovations
Anti-aging Drugs

27. 2016 Healthcare IT Innovations
Tooth Regeneration

28. 2016 Healthcare IT Innovations
Lightbulbs that Disinfect and Kill Bacteria

29. The Consumer Will See You Now…
Devices, Wearables, Implantables

30. Healthcare Could be Free
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 We Doing 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 connected to patients

33. ADOPT MEOWS
Redefining Quantified Blood Loss as a Vital Sign
Feed as Vital
Sign to EHR

34. St. Jude’s Medical CardioMEMS
Implanted Pulmonary Artery Sensor
Transmit
from
Home to
EHR
Implanted
in Artery

35. Participation
Facilitating Change
Putting the Power in the Hand of the Patient

36. Creating Value from Data
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 or Follow Dr. Shafiq Rab
@CIOSHAFIQ