Health Datapalooza IV: June 3rd-4th, 2013 Hearing from the Community: Where We Are and Where We Would Like to Be Moderator: Edward J. Sondik, former Director, National Center for Health Statistics Speakers: 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.

1. Health Datapalooza IV
Heritage Provider Network, Inc.
June 3 2013
Your Health in Good Hands
Commitment to the community

2. HPN at a Glance
Founded in 1979 by Dr. Richard Merkin, President
and CEO
One of the largest integrated healthcare systems
in the U.S. with 33-year track record of innovation
and growth
Patient-centric, physician-driven model
Significant scale with operations in
California, New York and Arizona
Heritage Provider Network, Inc.

3. Market Presence
Heritage Provider Network, Inc.
California New York
Los Angeles
Palm Springs
New York City
Phoenix
Tucson
(planned)
Arizona

4. The Heritage Provider Network
Manage the care of 700,000 members
90,000 Pioneer ACO beneficiaries in CA
Over 30,000 Shared Savings ACO beneficiaries in NY and AZ
Over 30 staff model campus facilities and satellite clinics
combined with wrap-around IPAs
Employs over 400 PCPs and Specialists
2,300 contracted PCPs
30,000 contracted Specialists
Over 5000 Ancillary Vendor relationships
Contracts with over 200 Hospitals, LTAC, SNFs
• One of few limited Knox-Keene licensed entities in the
State of California
Heritage Provider Network, Inc.

5. Key Operating Principles
Healthcare is local and should be delivered locally
– Patients always come first
Use technology to scale and expand operations
Share best practices and benchmark against best
performers (which are often other Heritage
groups)
Heritage Provider Network, Inc.

6. Global Innovator in Healthcare Delivery
Named one of the world’s Top 10 most innovative healthcare companies by Fast
Company, a leading business publication and online presence.
Recent notable recognition:
The Heritage Health Prize – $3 million World-wide competition to create an algorithm
to predict hospitalization
– Over 13,000 teams competing, over 15,000 entries made
Heritage Medical Research Institute – Optimizing treatment
outcomes by focusing on improving the quality of healthcare delivery
Dr. Richard Merkin Initiative at the Brookings Institution –
Transforming healthcare by improving leadership, business
models and payment systems.
Institute of Medicine, National Academy of Engineering and Heritage Medical
Systems “Go Viral” Prize - rewarded the creation of difference-making health care
applications by college students
– The winning application tracks children's vaccination, has increased vaccination
rates
Heritage Provider Network, Inc.

7. Integrated Infrastructure & Technology
EZ-CAP, q.ACO
NextGen EMR/EPM
NextMD Patient portal
InterQual clinical guidelines
Key performance management
systems
– iAnalysis: provides up to date
metrics for each campus
– iCode: provides complete medical
history to doctors via web
application
– iStar: summarizes quality
measures to identify outliers for
improvement
Replicable across regions
Enable scalable operations
Reduce clinical variation
Enforce compliance
Support clinical programs
IT PlatformIT Capabilities

8. Game Changers
Eligibility Pings – Hospital/ER
EMR/EHR/HIES – Common Platform
Real Time Claims Data/Adjudication
Personal Health Card/Record
Heritage Provider Network, Inc.