How to Cure Your HIT Ailments and Managing Accountable Care Brian Yeaman, MD CEO

Hi! I’m Dr. Brian Yeaman

Marcus Sedgwick, Author “ A story has its purpose and its path. It must be told correctly for it to be understood”. Marcus Sedgwick, Author

CMS regulations and HIT challenges (Problem-List) MU/MACRA/MIPS ACOs/RCOs Value Based Payment Modifier Readmission Penalties Interoperability HIPAA/OCR Audits Population Health Management

Services Consulting Solutions

Leadership Services Governance Contracting/Agreements Business Development Marketing/Sales Finance Health Care Law Client Organizational Planning and Establishment

Managed Services

Trusted, Proven, Reproducible & Scalable HIO/ACO Eval/Establish Ongoing Org Support Yeaman+Associates Managed Services Software,Solutions, Tech Hosting and Support

Oklahoma Footprint

Preventive and proactive Care-pathways. Clinical Decisions Support tools. Transitions of Care Protocols.

Activate Every Provider Level CNA, CMA, LPN, RN, NP, PA, PCP, and more. Care coordination. Reducing hospital visits. Unnecessary admissions. Avoidable re-admissions. Risk Score

TOKEN Pathways Certified Nursing Aides Low level of clinical education Care-giver in contact with the patient all the time Patient Familiarity. Empower CNAs Identify and chart early signs and symptoms that could potentially compromise the patient’s health. TOKEN does not require CNAs to have a higher clinical education

Decision Support TOKEN-Decisions Support: Increased quality of care and enhanced health outcomes Avoidance of errors and adverse events Improved efficiency, cost-benefit, and provider and patient satisfaction

Alerting TOKEN-Pathways charted by CNAs. Alerting higher level clinician Early action and Intervention Pathways together with Alerts will follow a hierarchical path starting with Aide then Nurse and ultimately the Physician.

To the point N2K (Need-to-Know) Condition N2K Transfer N2K Physician N2K

The “Need to Know” message A “Need to Know” message Developed by clinicians and governance members Standardized Communication Tool Embedded in EHR Direct Ready HIE Data Contribution Ready at Transfer

TOKEN Results Transfers Absolute Reduction for 6 Month Pilot: 89% (6/56) Cost Savings Estimate for Acute Care RAC: 1.36M (5 facilities 6 months) 30 Day Re-Admissions: 33% Reduction 30 Day Return to ED: 71% Reduction Average Page Length of Interventions: 1 page Reduction in Psychotropic Meds: 29% Patient Satisfaction: Baseline 62% Post Intervention 97% Meaningful Use Compliance: HIE, Direct, Transitions of Care Summaries

Participation with the State of Oklahoma

Consulting Services Strategic Product Development Implementation Services Security Risk Assessment Practice Optimization Policy Management Training Transitions of Care Readmission reduction

Improving communication

Value to HIEs and ACOs “Time to Value” w/ Proven Franchise model (4 Months from kick-off to Go-Live) Organizational Creation and Filings (As Needed) Strategic Planning Governance (By-laws, BAA, DURSA, etc..) Medical Legal Risk Assessment With Privacy and Security Services Contracting Budgeting and Operations Management Finance Support Marketing and Sales Strategy On-Boarding Cerner technology

This is Medicine! Lets move from High-Tech to High-Touch

The art and science of asking questions is the source of all knowledge. Thomas Berger, Author