MemorialCare Health System: Steven Beal, VP Information Services

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1 MemorialCare Health System: Steven Beal, VP Information Services

2 Serving Our Community

3 Overview - Inpatient Six Hospitals Epic Clinical and Rev Cycle at 5 hospitals MedSeries4 at 6 th hospital Multiple Imaging systems Phillips, DR, AGFA, and Carestream Multiple Lab systems Different compendiums Outreach Lab and Radiology 400+ Independent practices

4 Overview - Medical Foundation Medical Group Model 210 Providers 32 specialties 32 sites Multiple EMRs Retail Centers IPA Division Nautilus Healthcare Management Group 200+ Providers Primarily NextGen EMR

5 Overview Affiliated Practices 195 Providers 24 Residents 12 Specialties 32 Practice locations Epic EMR Hosted by MemorialCare Meaningful Use Connectivity to inpatient

6 Business Challenges Strategic Interoperability Integration technology not robust enough to support growth of system Disparate system across the organizations due to growth and acquisitions EMPI challenges for patient matching across multiple EMRs Engaging Providers and Patients Care Coordination with community providers Unified Patient Portal Managed Care coordination Pay for performance Eligibility/Attribution

7 Business Challenges Revenue Protection and Growth Disparate Managed Care systems Claims, contracts, etc. ACO Considerations Growing outpatient lab and imaging business need Meaningful Use attestation for both inpatient and ambulatory People and Culture Multiple IT shops across enterprise Redefining of roles and training Different Best Practice methodology

8 MHS Vision MHS Health Information Exchange HIEs Provider Groups/IPA s HealthShare Services MHS Hospital Systems Registries & Repositories ü Fast, flexible, robust platform that scales to meet evolving requirements Laboratories Radiology Independent External EMRs ü Supports wide array of functionality and interoperability standards including Direct, PIX/PDQ, XDS, XUA, NwHIN (XCPD, XCA) Payers External Hospital Systems ü Experienced development and implementation / support teams deliver high quality results

9 Point of Service Delivery Former Bristol Park Medical Group On NextGen EMR CCD Exchange, ADT Event Notification, and Discharge Summaries Nautilus Healthcare Management Group for IPA On NextGen EMR Discharge Summaries Lab and Radiology Managed Care system conversions

10 Managed Care System Integration Converting to single Managed Care platform Epic Tapestry Referral summary documents to external EMRs Case Management and clinical documentation integration Standardized eligibility loading between EMRs Provider portal Standardizing 5010 Encounter submission New data feeds into analytic systems

11 Improving the Patient Experience Expansion and integration of laboratory and imaging services allows for more options HealthShare results routing for inpatient studies 300+ Community Providers Order and Results Discharge Notifications through HealthShare (HL7 v2.x) Care coordination to reduce admissions Case Management of High Risk Populations Patient Portal Integration (Future) Epic MyChart, NextMD, FollowMyHealth (UCI)

12 Improving the Patient Experience Expansion of Medical Group and IPA Primary care and specialty physician groups Leverage Best Practices across the group Cost control standard processes and improved governance Integrated Records (Epic and NextGen) Point of Care Information Continuity of Care Documents allow for improved decision making (HITSP C32 and the Consolidated CDA (CCDA) supported) Expansion of the HIE footprint to local hospitals and Exchanges

13 Population Health Management Strategic Partnerships UCI Healthcare Monarch Medical Group Data Warehouse Integration IPA Population conversion Leveraging Patient Index (EMPI)I to identify patients across systems feeder multiple systems and EHRs Managing patients with chronic conditions Improved metrics and reporting P4P and HCC Big Data Analytics Predictive Modeling

14 Keys to Success Strategic Vision Support from business and IS leadership Use technology to address business challenges rather than as a standalone tool Leveraging technology to support key integration efforts Ensemble (Integration Engine) HealthShare (HIE Platform) Patient Index (Enterprise Master Patient Index) Engagement of providers and clinicians Improved satisfaction Clinical experience and front line workflow analysis

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