2. Human Performance = Well-being + Health
Renee Petrie, VP Healthcare Strategy
June 5, 2018

3. U.S. Healthcare is broken
$3.3 trillion
Health Outcomes: U.S. is DEAD last
compared to top 10 wealthy nations
HEALTHCARE COSTS
18%
1:2 American adults have a chronic condition
and 1:4 have two or more.
$14k
OF U.S. GDP
PER INDIVIDUAL
2X other wealthy nations
200% increase in employee contribution

4. Key determinant of health individual behavior
40% Social & Economic
30% Individual Behavior
20% Clinical Care
So do their choices when it comes to lifestyle behaviors – nutrition, physical activity, emotional health, and sleep.
This is our work on ADURO care paths come into play, continuing this integrated experience between their well-being and clinical experience and extending into the places where they work, live, eat and play.
10% Environment
IT’S BIGGER THAN THE CLINICAL ENCOUNTER
CONFIDENTIAL. Do not distribute.

5. Inspire your total population to be great at anything
85%
OF 44K ADURO
USERS SAMPLED
Report that their motivation to act on their personal vision was strong or very strong.
CONFIDENTIAL. Do not distribute.

6. Inspire your total population to be great at anything3%
28%
52%
OF 44K ADURO USERS SAMPLED
21%
said the area of well-being they preferred to work on the most was something other than health and fitness.
Health & Fitness
Growth & Development
Money & Prosperity
Contribution & Sustainability
48%
CONFIDENTIAL. Do not distribute.

7. The importance of a holistic approach3%
21%
This underscores the importance
of ADURO’s holistic approach to wellness, broadening beyond medical concerns to focus on an employee’s entire self and well-being.
28%
Health & Fitness
Growth & Development
Money & Prosperity
Contribution & Sustainability
48%
CONFIDENTIAL. Do not distribute.

8. Meet people where they are
51%
of health risk falls
In these other areas
Without a holistic approach to wellness, medical concerns are also missed.

9. Human Performance
Lifestyle
Condition

10. HIGHLY INDIVIDUALIZED APPROACH TO POPULATION HEALTH MANAGEMENT
Clinical Care + ADURO Care Paths
Behavioral Interventions
Be Great at Anything™
HEALTHY
PRE-CHRONIC
CHRONIC / ACUTE
CONFIDENTIAL. Do not distribute.

11. aDURO Care Paths: CONDITION MANAGEMENT
INDIVIDUAL CHOICE:
Establishing care
Adherence – medication and care plans
Intrinsic motivation and limiting beliefs
Activation and shared decisions
Lifestyle behaviors – nutrition, sleep, physical activity, emotional health

12. Bridging the gap from well-being to care
TREATMENT & CARE
CLINICAL CARE
Labs
Medications
Case Management
Visits
Preventive Care
Pharmacy
DIGITAL HEALTH
Your Journey
Healthy Habits
Care Plan
Daily Care
Monitoring BG
Habits for Life
AMP Centered – Digital companion
LIFESTYLE & HEALTH-RELATED BEHAVIORS
Mission Nutrition
Intro to Mindfulness
Reduce
HUMAN PERFORMANCE
Get Moving
Resiliency
Sleep Mode
CONFIDENTIAL. Do not distribute.

13. Unified Experience + Lifestyle Behaviors
Collaboration as innovation
A Human-centered approach to well-being
EMPLOYER
PROVIDERS
Evidence Based Care
Culture of Health
Employer (culture of health)
Provider (best in class care)
ADURO (unified experience + care)
ADURO
Unified Experience + Lifestyle Behaviors
CONFIDENTIAL. Do not distribute.

14. Be WEll WithIN Innovations
Nicole Martel, Systems Director, Health and Well-being

15. Achieving the Triple Aim
Improved the Experience of Care
Improved Health of Population
Reduce Cost of Care

16. Journey to Health & Well-being
Be Well Within
Care Coordination
I am 44
I have 14 years of service
I am over 6 inches in waistline
I do not exercise
I am on 3 Rx’s
My biggest stresses are my job, my teens and aging parents
I’m on my way to be well…
Culture of
Well-being
Mercy Plus Plan / Domestic Utilization:
High-Quality Care Provider Network
Financial Incentives
for Healthy Behavior
Enroll Online
with Our PCP
Reduce Cost Share
for Chronic Conditions

17. What is Be Well Within? BIOMETRIC SCREENING SOCIAL CHALLENGES
MOBILE APPS
& DEVICES
WELL-BEING
ASSESSMENT
OUTCOMES
REPORTING
RISK / COST
REDUCTION
MMO CARE MANAGEMENT
MINDFUL EATING PROGRAM
MERCY HEALTH SELECT CARE CONTINUUM
REGIONAL HEALTH MANAGEMENT PROGRAMS
INCENTIVE
MANAGEMENT
HUMAN
PERFORMANCE
PROGRAMS

18. Awareness: Biometric Testing Integration
Enhanced Clinical Experience
EMR
Outcomes
Data Feed
Doctor Alerted (Glucose Levels)
7 Labs
Data Feed
WellMetrics Screening
Human Performance: Group & 1:1 Coaching
Concierge Experience

19. Be Well Within & CarePATH
Integration with Care Path (EMR)
Bidirectional screening data
Health Trends
Well-being Assessment Information
Referral Path

20. Be Well Within & CarePATH
Integration with Care Path (EMR)
Referral to Be Well Within Health Management Programs now available
All programs available for referral satisfy the health management requirement
Programs include:
Naturally Slim- mindful eating program to reverse MetS risk
Breathe Easy- tobacco cessation
My Health Matters- weight management program
Diabetes Management program

21. Custom DMP Path Example
Easy, accessible, convenient.
Deliver the right care path, easy sign-up.
View care plan and education content.
Track habits and dive deeper into Human Performance.
Ongoing tracking and insights.

22. Total Integrated Experience
Practice Mindfulness
Stress
App Reminder
EMR
Improved Sleep
Increased Productivity

23. Challenges & Resources
Care Management Model
SOLUTIONS
Super Sick’
Complex Case
Rising Risk
Low Risk
Little to no risk 1
Patient
Care Management
750
patients
3,900 patients
Lifestyle Management
1,900 patients
16,000 patients ǂ
Challenges & Resources

24. HR-Benefits is advocating for the Triple Aim among our 47,000+ employees and family members
Four examples:
Creating appropriate linkages in care management between internal ACO and external TPA’s Care Management
We Increased Mercy Plus Plan enrollment which will drive domestic utilization growth in 2017 1 2 4
HR partners with clinical leadership to create more awareness (and accountability) in improving clinical and cost outcomes
Aggressive Pharmacy design and network strategies are increasing domestic utilization and bringing down pharmacy trend 3

25. Design Thinking Exercise
Kevin Ruth, R&D Product Manager & Facilitator
June 5, 2018