eHealth Initiative Business and Clinical Motivator Work Group January 21, :00 p.m. EDT

2 Reminder Please mute your line when not speaking (* 6 to mute, *7 to unmute) This call is being recorded

3 Agenda  Welcome and Overview of Agenda –Leslie Kelly Hall - Chair Senior Vice President, Policy, Healthwise  Introduction of Speakers: –Sam Ho, MD Executive Vice President and Chief Medical Officer at United Healthcare –John Glaser, PhD Senior Vice President, Cerner  Workgroup goals, process and timeline –We need your input!  Next Steps

4 Business and Clinical Motivators Workgroup Focus in 2016 Overarching Strategic Goal (From eHI 2016 Strategic Plan): Serve as the industry leader convening executives from multi-stakeholder groups to identify “success stories” in the private sector that transform care through use of health IT in interoperability; data access and use; and business and clinical motivators.

5 Workgroup Background  The eHI 2020 roadmap identified the need to inform industry about the business and clinical motivators that drive and succeed in care collaboration.  There is a need to identify emerging best practices and engage a group of patient-consumer experts, providers, payers and HIT leaders to seek out and report on excellence in the industry including the motivators that are driving stakeholders.  Stakeholders that need to be at the table include: payers, health professionals, patients, pharmacies, home health and long term care, medical groups, ACOs, vendors, and government agencies.

6 Workgroup Objective  To identify, understand, and communicate successful examples of innovative uses of technology with emphasis on clinical and business improvements.  This group will harmonize efforts to ensure that patients, consumer tools, devices, and mobile apps are part of the considerations of best practices and identify, understand, and communicate successful examples of innovative uses of technology with emphasis on clinical and business improvements.  A resource web page will be developed to include best practices among the stakeholders to assist patient-consumers and healthcare stakeholders in effective ways to integrate health IT into daily workflow.

7 Topics to Discuss Topics to be included are:  Business motivators  Programs currently in place  Level of IT sharing (interoperability)  Communal sharing  Functions of data analytics  Access to health information on behalf of health plans and provider organizations  Innovative plan arrangements in care planning and population health  Social service or government improvements in technology  Patients acting as their own health exchange  Examples of care management, care transitions, plan/provider collaboration, etc.

8 Deliverables in 2016  At least 20 new examples of success stories will be added to online resource center that demonstrate  Set of overarching recommendations will be developed by group  Group will identify priorities that can be recommended for federal partners to take action, and successful innovation that can be models for all stakeholders.

9 Goals Goal 1: Identify 20 Examples Examples must meet the following criteria:  Enable consumers to be involved in their care and healthcare technology  Demonstrate improvement in outcome or patient’s experience  Lower healthcare costs or create efficiencies of scale  Led by the private sector  Engage more than one stakeholder group  Categories of examples, provider, payer, collaboration, Goal 2: Communicate Examples  For each success story, group will identify the factors which contributed to the success or lack thereof as projects were designed and implemented.  Describe the initial reasoning a business investment was made in this area  Describe how the innovations work in a real-world context  Explain how the innovation supports value-based care  Explore why the technology works in specific setting -What are the things that must be true for this model to work?

10 Goals Goal 3: Recommendations and Trends After reviewing several examples the group will:  Identify key business drivers moving technology  What was the value proposition  Explain which technologies are creating momentum around value-based care  Describe how the patient’s experience is changing  Describe how insurance benefits may cover or not cover innovations  What is the future of innovation in these areas  What were the factors that came together,

11 Discussion

12 Business and Clinical Motivator Workgroup Process, Timeline and Deliverables

13 Process  Identify focus areas and sources –Determine scope of consumer tools (portals, wearables, apps, etc.) and examples of how they have been effectively adapted to improve patient health in a medical setting.  Develop template for requesting information –Define framework for categorizing and assessing best practices  Solicit examples  Review submissions  Develop set of recommendations  Identify priorities to recommend to federal agencies  Identify successful examples of innovation  Develop eHI B&C repository of success stories

14 Timeline February/March  Solidify charter and work plan  Develop request for nominations of industry innovators to find emerging practices that demonstrate how engaged patients and providers can improve business and clinical outcomes April/May  Finalize language for request for nominations  Send out nomination request

15 Timeline June/July  Begin process of reviewing examples of innovation –Identify common technology used –Identify common themes of operations –Identify common themes in governance –Identify other common themes that can inform industry  Determine types of content for toolkit, i.e. white papers, research, etc. and determine sources; begin outreach August/September  Inventory examples of innovation –Synthesize results –Document findings draft –Compile Use Case Scenarios

16 Timeline October/November  Assess best practices  Develop repository December  Develop goals and strategy for 2017

17 What have we missed?  Discussion

18 Questions?

19 Next steps  Join B&C listserv by contacting Claudia at  Next Workgroup Meeting February 17, 2pm ET

20 Thank you!