Leading Age Leadership Summit Charles Wiggins, Chief Strategy Officer.

Slides:



Advertisements
Similar presentations
Measuring Progress Toward Accountable Care Aurora Health Care Readiness to Implementation Patrick Falvey, PhD Executive Vice President/ Chief Integration.
Advertisements

Risk & Novelty Collaboration & Engagement Efficiency & Effectiveness Transferability & Scalability ▪Led government as first agency to implement enterprise-wide,
Organizational Assessment Tool (OAT) Faizah Muheb VP, Analytical Services June 2013.
INSTITUTIONAL SPECIAL NEEDS PROGRAM Best Practices in Care Coordination and Care Transitions Beth Ann Martucci, DNP, CRNP Director of Clinical Operations.
Segment Five: Provider Communication Idaho ICD-10 Site Visit Training segments to assist the State of Idaho with the ICD-10 Implementation January 26-27,
Readmissions Experience Hunterdon Medical Center CMO Roundtable October 2014.
Data: It's Not Just Numbers Presenters Katisha Harrison, MBA, BPM, Lean Six Sigma Yellow Belt, Medical Economics Analyst Victoria Richardson, RN-BC, Lean.
Copyright 2014 ValueOptions. ® All rights reserved. Strengthening the Behavioral Health System through Alternative Payment Nancy Lane, Ph.D. Chief Executive.
Proposed Meaningful Use Criteria for Stage 2 and 3 John D. Halamka.
Post Acute Care William Mills, M.D. ©AAHCM.
Tracey Moorhead President and CEO May 15, 2015 No Disclosures ©AAHCM.
Presentation by Bill Barcellona Sr. V. P
Deploying Care Coordination and Care Transitions - Illinois
Aligning Incentives: Anthem’s Accountable Care Model  Anthem Quality In-sights ®  Patient Centered Primary Care John Syer RVP Provider Engagement and.
MaineHealth ACO in Context W 5 Who? What? Why? When? HoW? 1.
Microsoft Corporation privileged and confidential
Revenue Cycle Management Medical Technology Acquisition and Assessment Team Members: Joseph Dixon, Michael Morotti, Mari Pirie-St. Pierre, David Robbins.
1 The San Diego Readmissions Summit February 5, 2015.
Discussion Topics Healthcare: Then, Now and in the Future
University of North Dakota Office of Institutional Research November 8, 2013 Drivers get ready - new dashboards are coming your way! Presented at the.
The Transformation Center Helping Good Ideas Travel Faster Cathy Kaufmann, MSW Executive Director, OHA Transformation Center.
Global Healthcare Trends
Community-wide Coordinated Care. © 2011 Clarity Health Services The typical primary care physician has 229 other physicians working in 117 practices with.
Duke Medicine IT Strategy Jeffrey Ferranti, MD Chief Information Officer / VP Medical Informatics Duke Medicine April 17, 2015.
Results from eHI & CHIME Survey Use of Data and Analytics by Providers Jennifer Covich Chief Executive Officer August 30, 2012.
A DEPARTMENTAL PERSPECTIVE Drive Value through Compliance with the Green Book – Stop Checking the Box.
Coordinating Care Sierra Dulaney Lisa Fassett Morgan Little McKenzie McManus Summer Powell Jackie Richardson.
DRAFT – For Discussion Only HHSC IT Governance Executive Briefing Materials DRAFT April 2013.
Implementing QI Projects Title I HIV Quality Management Program Case Management Providers Meeting May 26, 2005 Presented by Lynda A. O’Hanlon Title I HIV.
Knowing Our Market and Ourselves Rene Seidel The SCAN Foundation & Lori Peterson Collaborative Consulting.
SIM Evaluation Approach Presentation to the SIM Steering Committee September 25, 2013.
PCMH Transformation Thomas McCarrick, MD Town Medical Associates Where we were, and where we need to go…
AW Medical PPS Care Team Meeting November 7, 2014.
CMS National Conference on Care Transitions December 3,
Department of Vermont Health Access The Vermont Approach to Building an Integrated Health System Creating “Accountable Care Partners” Based on Shared Interests.
Case Studies – Medical Home A 360 Degree View of the Medical Home in Action.
Transforming Clinical Practice Initiative (TCPI) An Overview Connie K
Integrating Behavioral Health and Physical Health Dr. Kimberly Gray, Chief Clinical Officer Advantage Behavioral Health.
BANNER AND CARE1ST POPULATION HEALTH MODEL Transitioning to a value based model focused on outcome measures driven by providers and engaged members.
Using Data To Drive Practice Faith Muigai Jacaranda Health.
University of Utah Medical Group David Bjorkman, M.D., M.S.P.H. Executive Medical Director.
. Wave Two ADT Participation Opportunity Overview September 25, pm 1.
NORTHERN NEW ENGLAND ACCOUNTABLE CARE COLLABORATIVE NNEACC 1 LD 1818 WORK GROUP David Wennberg August 9, 2012.
Bundled Payments for Care Improvement (BPCI) Alliance for Health Reform Capitol Hill Briefing Jim Garnham Dir. Contracting & Payment Innovation.
Clinical Project Meeting NYHQ PPS Delivery System Reform Incentive Payment (DSRIP) Home Health Collaborations (2bviii)
Clinical Project Meeting NYHQ PPS Delivery System Reform Incentive Payment (DSRIP) Project Implementation Plan Development Asthma (3dii)
NYP/Q PPS Clinical Committee Chair Meeting Delivery System Reform Incentive Payment (DSRIP) August 25, 2015.
1 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ DSRIP Committee Kick-Off Meeting March 2015.
Unifying Talent Management. Harnessing the Power of Workforce Intelligence in Talent Planning to Drive Business Performance.
NYP/Q PPS Organizational Committee Chair Meeting Delivery System Reform Incentive Payment (DSRIP) September 2015.
1 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ DSRIP Finance Committee Kick-Off Meeting March 2015.
NYP/Q PPS PAC Meeting NYP/Q PPS September 22, 2015.
1 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ DSRIP Workforce Committee Kick-Off Meeting March 2015.
1 PROPRIETARY & CONFIDENTIAL – © 2014 PREMIER, INC. NYHQ DSRIP Committee Kick-Off Meeting March 2015.
Mayo Clinic Home Connection Thomas R Harman, M.D. Mayo Clinic, Rochester.
Enterprise Imaging The Platform to Value-based Care
Session Overview - Introduction - Significance of Post‐Acute Care - Impacts of Post‐Acute Care Performance - Mandatory Elements of Reform - Understanding.
Performance Management Overview
“The Integrator” Optimal Care for All our Members and Patients
Change Agents Why your Transformational IT Initiative Will Fail Without Them Terri Campbell Sr. Director of Change Leadership.
Peg Bradke and Rebecca Steinfield
Getting Started with Your Malnutrition Quality Improvement Project
Electronic Health Record Update
As we reflect on policies and practices for expanding and improving early identification and early intervention for youth, I would like to tie together.
Integrating Primary Care & Behavioral Health Care with eConsults: Progress Report on HPHC Quality Grant-funded Project Harvard Pilgrim Health Care 2018.
Vladimir Zelensky Director, Moscow State Health Insurance Fund
Building a Full Continuum of Integrated Crisis Services
Quality patient care is at the core of all we do
Cost and Performance Management Under Alternative Payment Models
Presentation transcript:

Leading Age Leadership Summit Charles Wiggins, Chief Strategy Officer

2 “There is nothing more powerful than an idea whose time has come” Monumental transformation is occurring across the country Remedy is a technology company and it is also any group of individuals who recognize that the historical moment of which we are blessed to be living in, requires a collaborative work from a team of individuals who together are stronger and more inspired than working alone. Patients,Physicians, Payers and the government are collectively rejecting the institutionalized status quo of healthcare access, quality, financing and delivery Technology, information and partnerships are creating nimble providers who can build their own networks Historical migration to alternative payment models INPATIENT END-TO-END PROCESS

BPCI Community of Remedy Partners REMEDY 2.0 [INTERNAL]

Community of Remedy Partners REMEDY 2.0 [INTERNAL]

5 Packing List for Episode Travellers Shared services are required for launch, execution and monitoring of successful bundled payment programs. 1. Data Management and Analytics 2. Care Management / Care Coordination Center: Centralized Team of Nurses 3. Care Management Software Solutions: Episode Connect 4. Program Financing, Risk Mitigation and Scale Economies 5. Contracting Tools and Support 6. Program Administration and Education (Remedy University) PRODUCTS AND SERVICES

6 Redefine partnerships o Honest & Authentic conversation fosters trust and accountability around strengths and weaknesses PartnerRemedy Management Technology Engagement Post-Acute Care Administration Shared Effort Remedy will provide the blueprints, tools, analytics, and technology to support the implementation and operation of your program You will provide the leadership, engagement, and accountability necessary to drive your program’s success GO-LIVE GAME PLAN - MODEL 2 (ACH) “Player-Coach”

7 Collaboration is the new competition o What does care improvement mean to you?...Ok Great-Let’s build that. GO-LIVE GAME PLAN - MODEL 2 (ACH) DESIGN Identify the BPCI Leadership Team Draft stakeholder engagement plan Finish initial bundle selection Complete readiness assessments Establish data connectivity Finalize go-live strategy and plan DEVELOP Create patient ID and onboarding processes Mobilize (PAP) team Develop Preferred PAC network with SNFs and HHAs Determine next site of care (NSC) strategy Mobilize BPCI Hospitalist team Conduct training via Remedy University IMPLEMENT Finalize gainsharing arrangements Refine and launch PAC strategy Launch redesigned care model Initiate program operations

8 Episode Connect Episode Connect is the only software solution that runs successful bundled payment programs  Discharge and post-acute care planning tools including proprietary patient assessment tools and episode-specific care plans; dashboards customizable for each clinical role; secure messaging and information sharing.  Patient, Provider and Care Team Portals. Runs on browsers or mobile devices to support Physician and patient engagement in the care process.  Resources and Apps to gather patient specific feedback and educate patient and caregivers.  Process Support for call center management; patient assignment and tracking; site of care transition; and quality/compliance data gathering.  Patient Centric Work Flow for streamlining transitions; managing case loads; tracking high risk patients; centralized alerts. Integration and Decision Support Patient and Care Team Engagement Work Flow Tools Care Coordination  Real-time harvesting of patient data from EHRs; application of predictive analytics; distribution of alerts; care plans; patient lists; performance tracking and reporting; operational and patient level metrics. PRODUCTS AND SERVICES

9 Episode Connect Work flow Software for Teams Managing Episodes of Care EPISODE CONNECT AND PAP PORTAL DEMO VIDEOS PRODUCTS AND SERVICES

10 Patient Sync Engaging patients during their episode of care with relevant information and feedback that makes this a irreplaceable tool for successful recovery from a hospitalization. Patient/Caregiver Access Responsive web/mobile/tablet application Intuitive two-way communication Unified Care Team Securely communicate with care team and Remedy Review of important medical documents Interactivity View and respond to Remedy care interventions View episode or condition interventions PRODUCTS AND SERVICES

11 Physician Sync Patient Info Web/mobile access View current & past patients Real-time updates Alerts Alerts for new patient activity and gainsharing cooperation surveys Cooperation Metrics Easily respond to cooperation metrics upon PAP assignment Quality Metrics Review quality metrics for completed episodes PRODUCTS AND SERVICES

12 Reporting Lifecycle Remedy utilizes various sources to monitor program performance. ANALYTICS Inpatient Discharge M2 M1 M3 M4 M5M6M7M8 Source (Update frequency) Metric Types Patient Timeline Episode Connect (Weekly) Monthly Claims (Monthly) Reconciliation Claims (Quarterly) Performance Metrics Performance and Financial Metrics Performance, Financial, and Gainsharing Metrics 30 Days 60 Days 90 Days M9 Hospital Physician SNF HHA Views

13 Analytics: Program Monitoring Using the best available information to understand program performance. ANALYTICS

14 What might be ahead o National Episode Networks o Rapid Cycle Development of Best Practices o Episode Trigger evolution o Additional Bundles INPATIENT END-TO-END PROCESS

15 INPATIENT END-TO-END PROCESS