Applications of IndiGO to ACOs David M Eddy MD PhD Founder and Chief Medical Officer Emeritus Archimedes San Francisco, CA ... a KAISER PERMANENTE Innovation

“Individualized Guidelines” IndiGO Quality and cost of healthcare are largely determined by guidelines Current guidelines are clunky IndiGO Spans multiple conditions, risk factors, treatments to create a single “integrated guideline”

Uses of IndiGO for ACOs Individual patient-physician decision making Improves patient adherence Improves outcomes Reduces hospitalizations and costs Prioritize outreach programs A personal health score A population-level health score

CVD Benefit

Prioritize outreach programs A ranked list of patients

Better prioritization increases value In the ARIC population Compared to current national guidelines, treating BP and cholesterol in order of CVD benefit Delivered same benefit as current guidelines, at 67% lower cost Or delivered 43% more benefit at same cost

Uses of IndiGO for ACOs Individual patient-physician decision making During a patient visit Direct patient access Prioritize outreach programs A personal health score: “GO Score” A population-level health GO score

Potential Benefit Current Benefit Patient’s GO Score = current benefit/potential benefit = 30%

Potential Benefit New Benefit Patient’s new Score = new benefit/potential benefit = 83%

Uses of Health GO Scores Measure of patient’s current risk and potential benefit Create incentives for patients and physicians Add up individual scores to get scores for groups of patients Physician’s panel Health system, ACO Geographical region Special patient populations (e.g. elderly, diabetes) Measure, compare, and monitor quality Being evaluated by NCQA