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

2. Hi! I’m Dr. Brian Yeaman

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

4. 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

5. Services Consulting Solutions

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

7. Managed Services

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

9. Oklahoma Footprint

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

12. 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

13. 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

14. 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

15. 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.

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

17. 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

18. 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

19. Participation with the State of Oklahoma

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

21. Improving communication

22. 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

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

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