The Five Pillars of Population Health Management. Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega

Size: px
Start display at page:

Download "The Five Pillars of Population Health Management. Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega"

Transcription

1 The Five Pillars of Population Health Management Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega

2 ZeOmega a forerunner in Population Health Management Transformation into performance management driving population healthcare Supporting Delivery System Excellence Company founded, Initiates development of Jiva care management platform Jiva reengineered to be first flexible platform to configure & automate workflows ZeOmega raises Series A funding Contracts with GHC, a national leader in both Patient-Centered Medical Homes and ACOs $21.5 million growth equity financing Health system begins managing 40,000 lives using Jiva First Jiva go-live Integrates data and analytics to drive intelligence, and embeds in the workflow ZeOmega contracts with several payers, covering millions of lives. IDC MarketScape identifies ZeOmega as a major player in Care Management 2013 ZeOmega, Inc. All Rights Reserved.

3 How We Got Here Healthcare s Perfect Storm World Health Organization: Healthcare = 18% of GDP and rising; Consumer out-of-pocket costs = 21% Regulatory changes: MU, HIPAA, MLR, ICD-10, ACA Affordable Care Act: Adding millions of previously uninsured into system Sociopolitical forces driving health insurance exchanges and healthcare retail markets 76 million Americans eligible for Medicare in next 15 years Increased use of cloud computing, mobile devices with personal & clinical data Almost half of us have chronic conditions requiring at least one form of medication Use of genomic medicine trending upward 2013 ZeOmega, Inc. All Rights Reserved.

4 How the Perfect Storm Is Impacting Healthcare Organizations Stakeholders must re-think roles while controlling costs and improving care requiring them to shift from traditional care management to PHM Rapid technological innovation is making solutions available that were not possible before

5 What Is Population Health Management? Triple Aim Per Capita Cost Population Health Experience of Care Improve the overall health of the population being served by increasing the quality of care Improving the overall experience for individuals Lowering the per capita cost of care through improvement Effective Population Health Management should be based in the Triple Aim Strategy

6 What Is Population Health Management? Improving the overall health and well-being of an individual Across the Care Continuum From birth to end-of-life Across Multiple Care Settings From home to hospital to hospice, and all settings in between Across Multiple Domains of Health Medical, behavioral, and psychosocial determinants of health and doing it consistently for every individual in the population we serve.

7 What Is Needed For a Successful PHM Program? Care Manager Utilization Manager Nurses & Clinicians Social Workers Care Teams Long Term Acute Care Inpatient Rehab Facilities Skilled Nursing Facilities Home Health Hospice Post Acute Providers Pharmacists Administrators Financial Analysts Clinical Analysts Supervisors Compliance Personnel CFO Analysts Patient / Caregivers Rules Engine Physicians Payers Ambulatory Care Acute Care Health plans Agencies Reinsurers Employers

8 The Five Pillars of Population Health Management Population Health Management Program Design and Governance Data Integration & Aggregation Actionable Intelligence Holistic, Patient Centered Care Management Consumer Engagement

9 P1: Program Design & Governance PHM Goals Current Capabilities The Plan Compliance, Cost, Quality, Clarity on measurement of the short and long term goals Assessment of current capabilities and strengths Current Weaknesses and gaps in capabilities required to achieve long term goals Ensures incentives of all stakeholders are aligned Achieves short term goals quickly, and builds on these to tackle long term goals Leadership commitment and change management strategies. Technological capabilities can determine how successful your PHM program will be. Performance Measurement & Monitoring Metrics to measure achievement of goals Periodic (preferably real time) monitoring

10 Structured Unstructured P2: Data Integration & Aggregation Interoperability is the new wine in the old bottle Key Considerations: Master Patient Index Point to Point Batch Real time, self authenticating data exchange Legacy Current Next Generation Master Provider Index Elimination of duplicates Tracking the authenticity & quality of data sources Natural Language Processing Data Normalization & Tagging Non-Clinical Demographic, Claims, Billing, RCM Clinical Imaging, Lab, Diagnostics, Pharmacy, EMR, Biometrics

11 Low Actionability & Effectiveness High P3: Actionable Intelligence Unstructured data Real-time Big Data Analytics drives personalized pop health + Behavioral, Provider quality, biometrics, EMR structured data, + Consumer data, Environmental data Predictive Analytics Platform driven real-time adjustment of risk, propensity to change, Optimization of resources based on out come and behavioral change prediction - NEXT BEST THING TO DO Claims, ICD9/CPT + HRA, Demographics, Personal Preferences + Lab, Drug, Diagnostic Data Mining & BI Ad-hoc reporting Basic Reporting Embedded analytics in workflow Risk Identification and stratification Dashboards (STAR, ACO Measures, Patient registries) BI Tools, Limited to power users, Static dashboards to support business users Example: Compliance Reports, Standard Outcomes reports Low Accuracy & Effectiveness of Analytics High

12 P4: Holistic, patient-centered care management Pharmacists Analysts Care Teams Rules Engine Post Acute Providers Administrators Payers Evidence-based medicine, that is completely personalized to the individual Meeting the patient, their advocate, and the care team where they are with the right technologies Actionable intelligence that accounts for not only medical needs but also behavioral, psychological, social, financial, emotional, environmental, spiritual, and cultural factors in driving actions the NEXT BEST THING TO DO Caregivers Physicians

13 P5: Consumer Engagement It is all about getting to Patient Commitment and Empowerment Analytics that clearly assess need for change, propensity to change, factors that drive change, factors that induce change fatigue Medication alerts, Engage Educate Empower Deliver the right information at the right time in the right communication channel to the right stakeholder Educational Mailers, Coaching Campaigns Decision Support Tools Cost Price Transparency Quantification of Quality Convenience

14 The Five Pillars of Population Health Management Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation Dignity Health Population Health Management and Compliance Programs Julie Bietsch, VP Population Health Management Dawnese Kindelt, Senior Compliance Director, Clinical Integration June 8, 2015 Moving

More information

Population health management:

Population health management: GE Healthcare Population health management: Navigating successfully from volume to value In the new world of value-based care and risk-sharing compensation, success will depend on how well provider organizations

More information

Get Plugged in: Defining Your Connectivity Strategy. CHIME College Live 17 April 2013

Get Plugged in: Defining Your Connectivity Strategy. CHIME College Live 17 April 2013 Get Plugged in: Defining Your Connectivity Strategy CHIME College Live 17 April 2013 Topics Introductions Drivers Strategies Imperatives Discussion Page 2 Copyright Kurt Salmon 2013 All Rights Reserved

More information

Analytics: The Key Ingredient for the Success of ACOs

Analytics: The Key Ingredient for the Success of ACOs Analytics: The Key Ingredient for the Success of ACOs Author: Senthil Raja Velusamy Business Analyst Healthcare Center of Excellence Executive Summary Accountable Care Organizations (ACOs) are structured

More information

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst

Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,

More information

The Accountable Care Organization: An Introduction

The Accountable Care Organization: An Introduction January 2011 The Accountable Care Organization: An Introduction The healthcare reform discussion introduced new terms and ideas and reintroduced many concepts explored in the past: value-based healthcare,

More information

Select Healthcare Themes and Investment Opportunities

Select Healthcare Themes and Investment Opportunities Select Healthcare and Demographic Shift Towards Older Population There were around 40 million Americans that are 65 and older in 2010 2 The population of seniors 65 and older is set to grow to 55 million

More information

Accountable Care: Implications for Managing Health Information. Quality Healthcare Through Quality Information

Accountable Care: Implications for Managing Health Information. Quality Healthcare Through Quality Information Accountable Care: Implications for Managing Health Information Quality Healthcare Through Quality Information Introduction Healthcare is currently experiencing a critical shift: away from the current the

More information

The Six A s. for Population Health Management. Suzanne Cogan, VP North American Sales, Orion Health

The Six A s. for Population Health Management. Suzanne Cogan, VP North American Sales, Orion Health The Six A s for Population Health Management Suzanne Cogan, VP North American Sales, Summary Healthcare organisations globally are investing significant resources in re-architecting their care delivery

More information

Patient Centered Medical Home: An Approach for the Health Plan

Patient Centered Medical Home: An Approach for the Health Plan : An Approach for the Health Plan By Marissa A. Harper and JoAnn E. Balara Excellence in healthcare consulting The Medical Home Concept Works Recent Medicare demonstration projects on Patient Centered

More information

Population Health Management

Population Health Management Population Health HIMSS 2014 Disclosure Paul Mulhausen and Brian Barry are employed by Telligen. Session Objectives You will be able to define population health management (PHM) and population medicine.

More information

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration

More information

How To Analyze Health Data

How To Analyze Health Data POPULATION HEALTH ANALYTICS ANALYTICALLY-DRIVEN INSIGHTS FOR POPULATION HEALTH LAURIE ROSE, PRINCIPAL CONSULTANT HEALTH CARE GLOBAL PRACTICE DISCUSSION TOPICS Population Health: What & Why Now? Population

More information

Enterprise Analytics Strategic Planning

Enterprise Analytics Strategic Planning Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management

More information

Population Health Analytics. Ruth Rose Vice President, Clinical Technology Cigna

Population Health Analytics. Ruth Rose Vice President, Clinical Technology Cigna Population Health Analytics Ruth Rose Vice President, Clinical Technology Cigna We Have a Common Enemy - Disease 86% of American adults will be obese by 2030 1 in 4 working adults smoke or use tobacco

More information

Gain insight into your practice from every perspective.

Gain insight into your practice from every perspective. NextGen Dashboard Gain insight into your practice from every perspective. Deploy a solution that allows your practice to accommodate as many different users, data sets, and sources as you need. No exclusions.

More information

Accountable Care Organization Workgroup Glossary

Accountable Care Organization Workgroup Glossary Accountable Care Organization Workgroup Glossary Accountable care organization (ACO) a group of coordinated health care providers that care for all or some of the health care needs of a defined population.

More information

CNYCC DSRIP HIT/HIE Webinar

CNYCC DSRIP HIT/HIE Webinar CNYCC DSRIP HIT/HIE Webinar Joe Reilly CNYCC Tim Weldon Aspen Advisors Presentation Agenda Review guiding principles Discuss population health definition as it relates to DSRIP Community vs. Organizational

More information

URAC PATIENT CENTERED HEALTH CARE HOME PROGRAMS

URAC PATIENT CENTERED HEALTH CARE HOME PROGRAMS URAC PATIENT CENTERED HEALTH CARE HOME PROGRAMS Today s Speaker Christine G. Leyden, RN, MSN SVP & GM Client Services, Chief Accreditation Officer 7/27/2011 2011 URAC 2 Learning Objectives for Today s

More information

Population Health Management Systems

Population Health Management Systems Population Health Management Systems What are they and how can they help public health? August 18, 1:00 p.m. 2:30 p.m. EDT Presented by the Public Health Informatics Working Group Webinar sponsored by

More information

SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care

SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care PHEMI Health Systems Process Automation and Big Data Warehouse http://www.phemi.com SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care Bringing Privacy and Performance to Big

More information

I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S. In accountable care

I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S. In accountable care I n t e r S y S t e m S W h I t e P a P e r F O R H E A L T H C A R E IT E X E C U T I V E S The Role of healthcare InfoRmaTIcs In accountable care I n t e r S y S t e m S W h I t e P a P e r F OR H E

More information

SOLUTION BRIEF. SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care

SOLUTION BRIEF. SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care SOLUTION BRIEF SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care Bringing Privacy and Performance to Big Data with SAP HANA and PHEMI Central Objectives Every healthcare organization

More information

Data Analytics: The Next Wave in Health IT. Big Data Conference June 17, 2014. Robert Wah, MD. Global Chief Medical Officer CSC

Data Analytics: The Next Wave in Health IT. Big Data Conference June 17, 2014. Robert Wah, MD. Global Chief Medical Officer CSC Data Analytics: The Next Wave in Health IT Big Data Conference June 17, 2014 Robert Wah, MD Global Chief Medical Officer CSC 1 Building a New Health Care System Healthcare is an industry in transition.

More information

Popula'on Health Management for PACE. Paul Funaro Brenda Vatland Kiran Simhadri

Popula'on Health Management for PACE. Paul Funaro Brenda Vatland Kiran Simhadri Popula'on Health Management for PACE Paul Funaro Brenda Vatland Kiran Simhadri Today s speakers: Brenda Vatland, Mediture, VP Business Development Paul Funaro, NewCourtland, AVP of Utilization Management

More information

Be Careful What You Ask For A Predictive Model That Really Works

Be Careful What You Ask For A Predictive Model That Really Works Be Careful What You Ask For A Predictive Model That Really Works Rod Christensen, MD President, Allina Health Clinics Cheryl Hermann, RN, MBA Vice President, Clinic Operations & Patient Care Services Karen

More information

Presenters. How to Maximize Technology to Improve Care and Reduce Cost 9/17/2015

Presenters. How to Maximize Technology to Improve Care and Reduce Cost 9/17/2015 How to Maximize Technology to Improve Care and Reduce Cost Presenters Justin Miller Director of Synergy Jordan Health services Dallas, TX jmiller@jhsi.com Justine Garcia Director of Software Solutions

More information

Data as the Catalyst for Cost Reduction and New Care Models Health Care Insight Paper

Data as the Catalyst for Cost Reduction and New Care Models Health Care Insight Paper Data as the Catalyst for Cost Reduction and New Care Models Health Care Insight Paper Why the Urgency? A recent Forbes article estimated the spend for U.S. health care in 2013 hit $3.8 trillion. In a national

More information

How MissionPoint Health is Using Population Health Insights to Achieve ACO Success

How MissionPoint Health is Using Population Health Insights to Achieve ACO Success How MissionPoint Health is Using Population Health Insights to Achieve ACO Success Background The United States spends more per capita on healthcare than other country, yet is ranked last among industrialized

More information

Is Your System Ready for Population Health Management? By Dale J. Block, MD, CPE

Is Your System Ready for Population Health Management? By Dale J. Block, MD, CPE Population Health Is Your System Ready for Population Health Management? By Dale J. Block, MD, CPE In this article Health care organizations will need to migrate to population health management sooner

More information

Population Health Solutions for Employers MEDIA RESOURCES

Population Health Solutions for Employers MEDIA RESOURCES Population Health Solutions for Employers MEDIA RESOURCES ABOUT MISSIONPOINT MissionPoint s mission is to make healthcare more affordable, accessible and improve the quality of care for our members. MissionPoint

More information

Nurses at the Forefront: Care Delivery and Transformation through Health IT

Nurses at the Forefront: Care Delivery and Transformation through Health IT Nurses at the Forefront: Care Delivery and Transformation through Health IT Ann OBrien RN MSN CPHIMS National Senior Director of Clinical Informatics Kaiser Permanente Robert Wood Johnson Executive Nurse

More information

How to Use Telehealth to Improve Outcomes: Banner Health s Experience with Patients in its Pioneer ACO. Objectives

How to Use Telehealth to Improve Outcomes: Banner Health s Experience with Patients in its Pioneer ACO. Objectives How to Use Telehealth to Improve Outcomes: Banner Health s Experience with Patients in its Pioneer ACO 2015 NAHC Annual Meeting Session 603 October 30 th, 2015 Julie Reisetter, MS, RN CNO, Banner Telehealth

More information

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT

ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT ACCOUNTABLE CARE ANALYTICS: DEVELOPING A TRUSTED 360 DEGREE VIEW OF THE PATIENT Accountable Care Analytics: Developing a Trusted 360 Degree View of the Patient Introduction Recent federal regulations have

More information

ACO Toolkit. Face-To-Face Care Coordination Services & Comprehensive Cloud-Based IT Solutions. 1.800.720.2578 e q h s. o r g

ACO Toolkit. Face-To-Face Care Coordination Services & Comprehensive Cloud-Based IT Solutions. 1.800.720.2578 e q h s. o r g ACO Toolkit Face-To-Face Care Coordination Services & Comprehensive Cloud-Based IT Solutions 1.800.720.2578 e q h s. o r g 2014 eqhealth Solutions, Inc. All rights reserved. All other trademarks designated

More information

Broad Issues in Quality Measurement: the CMS perspective

Broad Issues in Quality Measurement: the CMS perspective Broad Issues in Quality Measurement: the CMS perspective Shari M. Ling, MD Deputy Chief Medical Officer Centers for Medicare & Medicaid Services Workshop on Quality Measurement Developing Evidence-Based

More information

How To Create A Health Analytics Framework

How To Create A Health Analytics Framework ABSTRACT Paper SAS1900-2015 A Health Analytics Framework Krisa Tailor, Jeremy Racine, SAS Institute Inc. As the big data wave continues to magnify in the healthcare industry, health data available to organizations

More information

TRANSFORMING HEALTHCARE

TRANSFORMING HEALTHCARE TRANSFORMING HEALTHCARE FROM REACTIVE TREATMENT TO PROACTIVE HEALTH MANAGEMENT CRITICAL THInKInG AT THE CRITICAL TIME 1 Looking Forward Transforming Healthcare from Reactive Treatment to Proactive Health

More information

Improving Quality And Bending the Cost Curve: Strategies That Work

Improving Quality And Bending the Cost Curve: Strategies That Work Improving Quality And Bending the Cost Curve: Strategies That Work Lewis G. Sandy MD SVP, Clinical Advancement, UnitedHealth Group UnitedHealth Center for Health Reform and Modernization AcademyHealth

More information

To Improve Outcomes & Clinical Efficiency

To Improve Outcomes & Clinical Efficiency To Improve Outcomes & Clinical Efficiency 1 New England Home Care Conference & Trade Show June 6, 2013 Carolyn J Humphrey, RN, MS, FAAN President, CJ Humphrey Associates Louisville, Kentucky 502 767 9817

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

The Impact Of Employer Contribution Policy On Premium Rate Setting. Group-Specific Experience: Financial And Utilization Performance

The Impact Of Employer Contribution Policy On Premium Rate Setting. Group-Specific Experience: Financial And Utilization Performance Premiums: HMO Premium Rate Calculations Setting Group Renewal Premium Rates The Impact Of Employer Contribution Policy On Premium Rate Setting Group-Specific Experience: Financial And Utilization Performance

More information

Medical Home Overview May 6, 2014 Noon-1:00pm EST

Medical Home Overview May 6, 2014 Noon-1:00pm EST Medical Home Overview May 6, 2014 Noon-1:00pm EST Paul Klintworth, Medical Home Lead Office of the National Coordinator for IT U.S. Department of & Human Services Meaningful Use as a Building Block Office

More information

Using EHRs, HIE, & Data Analytics to Support Accountable Care. Jonathan Shoemaker June 2014

Using EHRs, HIE, & Data Analytics to Support Accountable Care. Jonathan Shoemaker June 2014 Using EHRs, HIE, & Data Analytics to Support Accountable Care Jonathan Shoemaker June 2014 Agenda Allina Health overview ACO framework- setting the stage Health Information Technology and ACOs Role of

More information

Meaningful Use. Goals and Principles

Meaningful Use. Goals and Principles Meaningful Use Goals and Principles 1 HISTORY OF MEANINGFUL USE American Recovery and Reinvestment Act, 2009 Two Programs Medicare Medicaid 3 Stages 2 ULTIMATE GOAL Enhance the quality of patient care

More information

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution

TRUVEN HEALTH UNIFY. Population Health Management Enterprise Solution TRUVEN HEALTH UNIFY Population Health Enterprise Solution A Comprehensive Suite of Solutions for Improving Care and Managing Population Health With Truven Health Unify, you can achieve: Clinical data integration

More information

Big Data Analytics Driving Healthcare Transformation

Big Data Analytics Driving Healthcare Transformation Big Data Analytics Driving Healthcare Transformation Greg Caressi SVP Healthcare & Life Sciences November, 2014 Six Big Themes for the New Healthcare Economy Themes Modernizing Care Delivery Clinical practice

More information

A Roadmap for Population Health: Best Practices for Achieving Operational Alignment

A Roadmap for Population Health: Best Practices for Achieving Operational Alignment RESEARCH BRIEF A Roadmap for Population Health: Best Practices for Achieving Operational Alignment Larry Yuhasz February 2014 Reform under the Patient Protection and Affordable Care Act (PPACA) demands

More information

Session Name Objectives Suggested Attendees

Session Name Objectives Suggested Attendees Cerner Demonstration Sesion Descriptions Cerner Demonstration Session Descriptions Thursday, November 12 th Session Name Objectives Suggested Attendees Day in the Life - Care Across the Continuum An overview

More information

KEVIN P. DURGEE, CMPE MANAGER, BUSINESS INTELLIGENCE

KEVIN P. DURGEE, CMPE MANAGER, BUSINESS INTELLIGENCE BUSINESS INTELLIGENCE AND DATA ANALYTICS - CHANGING CULTURE THROUGH VISUAL DATA DISCOVERY KEVIN P. DURGEE, CMPE MANAGER, BUSINESS INTELLIGENCE HOLLY CONWAY, CMPE SENIOR ADMINISTRATIVE DIRECTOR DEPARTMENT

More information

From Information Exchange to Population Health Management

From Information Exchange to Population Health Management GE Healthcare From Information Exchange to Population Health Management Central Florida RHIO Joel Vengco VP & GM ehealth Solutions March 26, 2012 1 / GE / Discussion Goals Review the foundational goal

More information

A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure

A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure + A Blueprint for Building a Medical Group s Internal Quality and Cost Efficiency Infrastructure + Disclosures: Timothy Harlan: I have no actual or potential conflict of interest in relation to this presentation.

More information

Accountable Care Organizations

Accountable Care Organizations Accountable Care Organizations Myth, Reality, Facts Why =System Failure Low Quality - IOM report High Cost Quality Cost disconnect Low Value Problems Disconnect between Quality and Cost Care is fragmented

More information

PERSPECTIVES ON HEALTH INFORMATION TECHNOLOGY. Connected Digital Health For Patients, Clinicians, And Health Systems

PERSPECTIVES ON HEALTH INFORMATION TECHNOLOGY. Connected Digital Health For Patients, Clinicians, And Health Systems PERSPECTIVES ON HEALTH INFORMATION TECHNOLOGY Connected Digital Health For Patients, Clinicians, And Health Systems Kaiser Permanente Overview USA s largest non-profit health plan and hospitals Integrated

More information

New Business and Investment Opportunities Emerging from Population Health Management (PHM)

New Business and Investment Opportunities Emerging from Population Health Management (PHM) Stax s Perspective on Changes Driven by PHM New Business and Investment Opportunities Emerging from Population Health Management (PHM) By Natalie De Fazio, Director, Stax Inc. November 2014 New Business

More information

Health IT: Better Information for Better Decisions. HSE Healthcare Leaders Masterclass 2015. 21 April 2015. Robert Wah, MD

Health IT: Better Information for Better Decisions. HSE Healthcare Leaders Masterclass 2015. 21 April 2015. Robert Wah, MD Health IT: Better Information for Better Decisions HSE Healthcare Leaders Masterclass 2015 21 April 2015 Robert Wah, MD Global Chief Medical Officer CSC 1 This image cannot currently be displayed. https://www.youtube.com/watch?v=wyzxoxvat2s

More information

Sharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012

Sharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare ACO Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare Not-for-profit serving 3.1 million residents of San Diego County Grew from one hospital in 1955 to an integrated

More information

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric

More information

Driving Hospital Performance Through a Successful IT Platform

Driving Hospital Performance Through a Successful IT Platform Driving Hospital Performance Through a Successful IT Platform Speakers Carl Dirks, M.D., Chief Medical Information Officer Saint Luke s Health System Deborah Gash, Chief Information Officer Saint Luke

More information

State of the HEALTHCARE IT MARKET: 2016 A WHITE PAPER FOR KEYBANC CAPITAL MARKETS BY MODERN HEALTHCARE CUSTOM MEDIA

State of the HEALTHCARE IT MARKET: 2016 A WHITE PAPER FOR KEYBANC CAPITAL MARKETS BY MODERN HEALTHCARE CUSTOM MEDIA State of the HEALTHCARE IT MARKET: 2016 A WHITE PAPER FOR KEYBANC CAPITAL MARKETS BY MODERN HEALTHCARE CUSTOM MEDIA THIS WHITE PAPER EXPLORES THE CURRENT AND FUTURE HEALTHCARE IT TRENDS. IT LAYS OUT THE

More information

Best Practices and Strategies to Engage ACOs, Incentive Programs and Emerging Payment Models JUSTIN T. BARNES

Best Practices and Strategies to Engage ACOs, Incentive Programs and Emerging Payment Models JUSTIN T. BARNES Best Practices and Strategies to Engage ACOs, Incentive Programs and Emerging Payment Models JUSTIN T. BARNES CHAIRMAN EMERITUS, EHR ASSOCIATION CO-CHAIR, ACCOUNTABLE CARE COMMUNITY OF PRACTICE About Justin

More information

Analytics and Business Intelligence

Analytics and Business Intelligence Analytics and Business Intelligence CE-IT Virtual Town Hall series December 12, 2012 JD Whitlock, MPH, MBA, CPHIMS James E. Gaston, FHIMSS HIMSS Clinical & Business Intelligence Overview HIMSS Resources

More information

Massachusetts Medicaid EHR Incentive Payment Program

Massachusetts Medicaid EHR Incentive Payment Program Massachusetts Medicaid EHR Incentive Payment Program Agenda Vision & Goals High-level overview where we are going Medicare vs. Medicaid EHR Incentive Programs Performance and Progress Eligibility Overview

More information

Population Health Management Primer

Population Health Management Primer Population Health Management Primer A White Paper October 2014 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800- 680-7570 Impact- Advisors.com Table of Contents What Is Population

More information

Proven Population Health Management. Faster.

Proven Population Health Management. Faster. Proven Population Health Management. Faster. At Medecision, our quest to liberate healthcare means tackling the big obstacles by connecting more data from more care teams than other population health management

More information

FROM DATA TO KNOWLEDGE: INTEGRATING ELECTRONIC HEALTH RECORDS MEANINGFULLY INTO OUR NURSING PRACTICE

FROM DATA TO KNOWLEDGE: INTEGRATING ELECTRONIC HEALTH RECORDS MEANINGFULLY INTO OUR NURSING PRACTICE FROM DATA TO KNOWLEDGE: INTEGRATING ELECTRONIC HEALTH RECORDS MEANINGFULLY INTO OUR NURSING PRACTICE Rayne Soriano MS, RN Manager of Nursing Informatics and Clinical Transformation Program Kaiser Permanente

More information

Proven Innovations in Primary Care Practice

Proven Innovations in Primary Care Practice Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare

More information

Healthcare Information Technology (HIT)

Healthcare Information Technology (HIT) Healthcare Information Technology (HIT) Why State Governments Must Help Create a National Health Information Network Ian C. Bonnet Deloitte Consulting LLP October, 2005 State Leadership in developing a

More information

THE ROLE OF CLINICAL DECISION SUPPORT AND ANALYTICS IN IMPROVING LONG-TERM CARE OUTCOMES

THE ROLE OF CLINICAL DECISION SUPPORT AND ANALYTICS IN IMPROVING LONG-TERM CARE OUTCOMES THE ROLE OF CLINICAL DECISION SUPPORT AND ANALYTICS IN IMPROVING LONG-TERM CARE OUTCOMES Long-term and post-acute care (LTPAC) organizations face unique challenges for remaining compliant and delivering

More information

How Health Reform Will Affect Health Care Quality and the Delivery of Services

How Health Reform Will Affect Health Care Quality and the Delivery of Services Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care

More information

Supporting Clinical Decision Making With Technology

Supporting Clinical Decision Making With Technology Supporting Clinical Decision Making With Technology A Complimentary Webinar From healthsystemcio.com Your Line Will Be Silent Until Our Event Begins Thank You! Housekeeping Moderator Kate Gamble, Managing

More information

Population Health Management: Leveraging Data and Analytics to Achieve Value. White Paper. A Special Report

Population Health Management: Leveraging Data and Analytics to Achieve Value. White Paper. A Special Report Authors Carol Cassell CTG Health Solutions John Kontor, MD Clinovations Lisa Shah, MD, MAPP Clinovations Contributors Marla Roberts, DrPH, RN CTG Health Solutions Katie Stevenson Clinovations : Leveraging

More information

Population Health 2.0: Bending the Cost Curve by Moving Beyond the Pyramid

Population Health 2.0: Bending the Cost Curve by Moving Beyond the Pyramid Population Health 2.0: Bending the Cost Curve by Moving Beyond the Pyramid Advocate Health Care $5 Billion Annual Revenue AA Rated 12 Acute Care Hospitals 1 Children s Hospital 5 Level 1 Trauma Centers

More information

empowersystemstm empowerhis Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size

empowersystemstm empowerhis Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size empowersystemstm empowerhis TM Advanced Core Hospital Information System Technology Comprehensive Solutions for Facilities of Any Size ADT / Patient Registration System + Fully Integrated Patient Registration

More information

Technology Mediated Translation Clinical Decision Support. Marisa L. Wilson, DNSc, MHSc, CPHIMS, RN-BC. January 23, 2015.

Technology Mediated Translation Clinical Decision Support. Marisa L. Wilson, DNSc, MHSc, CPHIMS, RN-BC. January 23, 2015. Technology Mediated Translation Clinical Decision Support Marisa L. Wilson, DNSc, MHSc, CPHIMS, RN-BC January 23, 2015 Background Presidents Bush, President Obama American Recovery and Reinvestment Act

More information

Realizing ACO Success with ICW Solutions

Realizing ACO Success with ICW Solutions Realizing ACO Success with ICW Solutions A Pathway to Collaborative Care Coordination and Care Management Decrease Healthcare Costs Improve Population Health Enhance Care for the Individual connect. manage.

More information

Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations

Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Presented to The American College of Cardiology October 27, 2012 1 Franciscan Alliance Overview Franciscan

More information

11/27/2015. The Importance of Data Analytics in the Creation of a PopHealth Strategy. Conflict of Interest. Social Media Activity

11/27/2015. The Importance of Data Analytics in the Creation of a PopHealth Strategy. Conflict of Interest. Social Media Activity The Importance of Data Analytics in the Creation of a PopHealth Strategy Jonathan Ware, MD Chief Population Health Officer, Future State Healthcare Medical Director, Population Health Management, IBM Watson

More information

Five Myths Surrounding the Business of Population Health Management

Five Myths Surrounding the Business of Population Health Management Five Myths Surrounding the Business of Population Health Management Joan Moss, RN, MSN Robert Sehring Chief Nursing Officer and Chief Ministry Services Officer, Senior Vice President, Sg2 OSF HealthCare

More information

Demonstrating Meaningful Use of EHRs: The top 10 compliance challenges for Stage 1 and what s new with 2

Demonstrating Meaningful Use of EHRs: The top 10 compliance challenges for Stage 1 and what s new with 2 Demonstrating Meaningful Use of EHRs: The top 10 compliance challenges for Stage 1 and what s new with 2 Today s discussion A three-stage approach to achieving Meaningful Use Top 10 compliance challenges

More information

What is Home Care Case Management?

What is Home Care Case Management? What is Home Care Case Management? Printed in USA Arcadia Home Care & Staffing www.arcadiahomecare.com Case Management: What is it why is it important? While different approaches to healthcare today are

More information

Meaningful Use Stage 2 Certification: A Guide for EHR Product Managers

Meaningful Use Stage 2 Certification: A Guide for EHR Product Managers Meaningful Use Stage 2 Certification: A Guide for EHR Product Managers Terminology Management is a foundational element to satisfying the Meaningful Use Stage 2 criteria and due to its complexity, and

More information

Enabling the Business of Healthcare Through Secure Connectivity and Data Exchange Twin Cities SAS User s Group, Edina, Minnesota, March 31, 2011

Enabling the Business of Healthcare Through Secure Connectivity and Data Exchange Twin Cities SAS User s Group, Edina, Minnesota, March 31, 2011 Kris Olberg, Chief Architect, Director, IT Enabling the Business of Healthcare Through Secure Connectivity and Data Exchange Twin Cities SAS User s Group, Edina, Minnesota, March 31, 2011 Emdeon Today

More information

Population Health Management & the Medical Neighborhood. Patient Centered Primary Care Collaborative Monthly National Briefing September 26, 2013

Population Health Management & the Medical Neighborhood. Patient Centered Primary Care Collaborative Monthly National Briefing September 26, 2013 Population Health Management & the Medical Neighborhood Patient Centered Primary Care Collaborative Monthly National Briefing September 26, 2013 Outline What is Population Health Management? Registries

More information

TELUS in Health Nick Zamora, Chief Clinical Advisor April 10, 2013

TELUS in Health Nick Zamora, Chief Clinical Advisor April 10, 2013 TELUS in Health Nick Zamora, Chief Clinical Advisor April 10, 2013 TELUS and our commitment to the Health Sector TELUS TELUS Health Industry Recognition 28,000 team members, plus 14,300 in TELUS International

More information

Developing an analytics strategy & roadmap

Developing an analytics strategy & roadmap Developing an analytics strategy & roadmap Paula Edwards, PhD pedwards@himformatics.com Nov 15, 2012 Topics Why develop a strategic plan? Key components of an analytics strategic plan Typical planning

More information

What the New Health Economy Means for your Revenue Cycle

What the New Health Economy Means for your Revenue Cycle www.pwc.com/healthcare What the New Health Economy Means for your Revenue Cycle South Carolina HFMA Annual Institute Our Agenda for Today I. Today s Revenue Cycle The Case for Change II. Healthcare Reform

More information

NOUS. Health Management. Importance of Population. White Paper INFOSYSTEMS LEVERAGING INTELLECT

NOUS. Health Management. Importance of Population. White Paper INFOSYSTEMS LEVERAGING INTELLECT NOUS INFOSYSTEMS LEVERAGING INTELLECT White Paper Importance of Population Health Abstract The revised healthcare regulations in US markets like the Affordable Care Act (ACA) law, the demands of providing

More information

December 23, 2010. Dr. David Blumenthal National Coordinator for Health Information Technology Department of Health and Human Services

December 23, 2010. Dr. David Blumenthal National Coordinator for Health Information Technology Department of Health and Human Services December 23, 2010 Dr. David Blumenthal National Coordinator for Health Information Technology Department of Health and Human Services RE: Prioritized measurement concepts Dear Dr. Blumenthal: Thank you

More information

The Evolving Nature of Accountable Care. Results from the 2015 ACO Survey

The Evolving Nature of Accountable Care. Results from the 2015 ACO Survey The Evolving Nature of Accountable Care Results from the 2015 ACO Survey BACKGROUND Accountable care organizations (ACOs) are voluntary networks of healthcare providers that have agreed to work together

More information

Guide to Population Health Management

Guide to Population Health Management Guide to Population Health Management presented by the Healthcare Intelligence Network Note: This is an authorized excerpt from the Guide to Population Health Management. To download the entire guide,

More information

Financial and Population Analytics for Accountable Care Organizations SEPTEMBER 20, 2012

Financial and Population Analytics for Accountable Care Organizations SEPTEMBER 20, 2012 Financial and Population Analytics for Accountable Care Organizations Valence Biographies Lori Fox Ward is Senior Vice President of Clinical Integration for Valence Health where her primary role involves

More information

Empowering Value-Based Healthcare

Empowering Value-Based Healthcare Empowering Value-Based Healthcare Episode Connect, Remedy s proprietary suite of software applications, is a powerful platform for managing value based payment programs. Delivered via the web or mobile

More information

Comments to the HIT Standards Committee Implementation Workgroup Implementation Experiences Panel Monday, March 8, 2010

Comments to the HIT Standards Committee Implementation Workgroup Implementation Experiences Panel Monday, March 8, 2010 Comments to the HIT Standards Committee Implementation Workgroup Implementation Experiences Panel Monday, March 8, 2010 Mitzi G. Cardenas, Vice President/ Chief Information Officer Truman Medical Centers,

More information

Population Health. Care Management. One Platform. NextGen Care

Population Health. Care Management. One Platform. NextGen Care Population Health. Care Management. One Platform. NextGen Care We ve become very proactive in identifying at-risk patients and getting them in our door before they get sick. Our physicians have so many

More information

Employee Health Management - The Medical Fitness Role and Revenue Opportunity

Employee Health Management - The Medical Fitness Role and Revenue Opportunity Employee Health Management - The Medical Fitness Role and Revenue Opportunity Maracie Wilson MSN, RN, PHN, CES Director Wellness & Health Improvement St. Joseph Health Today s Dialogue American Healthcare

More information

Data: The Steel Thread that Connects Performance and Value

Data: The Steel Thread that Connects Performance and Value WHITE PAPER Data: The Steel Thread that Connects Performance and Value An Encore Point of View Randy L. Thomas, FHIMSS, Managing Director, Value April 2016 Realization Solutions, David H. Brown, Barbara

More information

What is Imaging Appropriateness and Utilization Management?

What is Imaging Appropriateness and Utilization Management? Economic Update AMCLC 2014 Christopher G. Ullrich MD FACR Chair, ACR Utilization Management Committee Imaging Appropriateness and Utilization Management Accountable Care Organizations Economic and Political

More information

Patient Engagement, Population Health Management and the Required Technology

Patient Engagement, Population Health Management and the Required Technology Patient Engagement, Population Health Management and the Required Technology Envisioning the Optimal System Ellis Mac Knight, SVP CMO Jeffery Daigrepont, SVP Coker Group One doctor s musings. What if I

More information

Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed?

Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed? Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed? Accountable Care Organizations: Implications for Consumers October 14, 2010 Washington, DC Sam Nussbaum, M.D. Executive Vice

More information