1. Prepared by Sean McKelvey Network Healthcare Innovating Care Delivery in the Community The ReachCare Exchange

2. Copyright © 2011 - ReachCare™ Who is Network Healthcare? The Evolution of Navigation Community Care Delivery - the New “Facility” Introduction to the ReachCare Exchange – What is it? – How does it close care gaps? – Why should you care? 2 Outline

3. Copyright © 2011 - ReachCare™ Founded in 2002 by pharmacists Develop and deliver innovative health services through sophisticated networks of healthcare professionals Specialize in managing large scale Provincial services and practice change initiatives. Current focus is on technology enabled navigation, care plan synchronization and effective integration of multidisciplinary teams 3 Who is Network Healthcare?

4. Copyright © 2011 - ReachCare™ HealthLink BC (since 2003) HEALTHLink Alberta (since 2007) Alberta Pharmacy Practice Models Initiative (PPMI) (2008-2010) BC Medication Management Project (BCMMP) (2010 – Jan 31, 2012) ReachCare Exchange Development (2010 – Present) 4 Network Healthcare Services

5. Copyright © 2011 - ReachCare™ 5 The Evolution of Navigation How Technology has Revolutionized “Getting There” A life’s work… A vacation of a lifetime… A cool gift… Just another app!!!

6. Copyright © 2011 - ReachCare™ Navigating our Health Care System Personal Responsibility is the Name of the Game 6 The 5 Rules: Rule One: Stay Healthy. Rule Two: Know as Much as You Possibly Can. Rule Three: Organize Your Care Team. Rule Four: Have an Advocate. Rule Five: Take Control of Your Care - Don’t Be a Passive Patient.

7. Copyright © 2011 - ReachCare™ YO-YO 7 Reality Check!! The Current Health Care System is NOT Patient Centered You’re On You’re Own

8. Copyright © 2011 - ReachCare™ 8 Phase One: Efficiency Play (process improvement) Centralized Closed System: where they are Individual Clinical Knowledge Acute Phase Two: Utilization Play (asset leverage & marginal capacity management) Distributed Smart System: pledged availability Community Phase Three: Optimization Play (both assets & delivery) Personalized Intelligent System: when I need it Individualized Individual Reactive Proactive Emergent Challenge Area Increasingly important delivery system in 21 st century Emergent Challenge Area Increasingly important delivery system in 21 st century Current Challenge Area Primary focus on ‘structural delivery Improvements’ Current Challenge Area Primary focus on ‘structural delivery Improvements’ Future Challenge Area Tomorrow’s consideration: how to Incorporate individualized delivery Future Challenge Area Tomorrow’s consideration: how to Incorporate individualized delivery Community Healthcare Delivery: Business Challenges The Evolution of Integrated Health Care within an ‘Extended’ Delivery System Area of focus for Network Healthcare’s ReachCare Exchange

9. Copyright © 2011 - ReachCare™ 9 Efficiency Play Reduced pressure on ER Better individual access Move people to ‘best supply point’ Efficiency Focus Utilization Play Better use of what’s there Enhanced use of health professional capacity Liberate currently unavailable capacity Utilization Focus Optimization Play Protocol knowledge management Care within a ‘Care Plan’ Enhanced role of the multidisciplinary team CDM care delivery focus Optimization Focus Reactive Proactive Closing the Care Delivery Gap Community Care Delivery - the new “Facility” Liberating the Full Value and Capacity of Community Based Providers Acute Individual Community

10. Copyright © 2011 - ReachCare™ 10 Hospital Healthcare Provider Provincial Health Line Care Consumer Pharmacist Physician Home care Dietician Nurse practitioner Physiotherapist Protocol Library - Clinical Protocols - Standard & Modularized Care Plans - Structured Care Pathways Protocol Library - Clinical Protocols - Standard & Modularized Care Plans - Structured Care Pathways Clinical Positioning System - Synchronized Plans - Monitored Assignments - Report Confirmation of Completed Task Clinical Positioning System - Synchronized Plans - Monitored Assignments - Report Confirmation of Completed Task Capacity Logistics Engine - Identify available capacity -Skills-Based routing of Care Plan assignment - Auto tracking for capacity Capacity Logistics Engine - Identify available capacity -Skills-Based routing of Care Plan assignment - Auto tracking for capacity Post Discharge Procured Clinical Services and Care Plans Proactive Patient Management The ReachCare Exchange ReachCare Exchange Dynamic, Real-Time Skills-Based Matching for Community Care Delivery Phone consult Telehealth consult In-person Update Plan Assign new tasks

11. Copyright © 2011 - ReachCare™ 11 ReachCare Exchange ReachCare Exchange Systems & Clinical Information Demand Pharmacist Physician Home care Dietician Nurse practitioner Physiotherapist Supportive living Hospital Physician Health Line Individual EHR Patient’s Care Plan Patient Demographics Drug data Drug data Lab data Lab data Diagnostic Imaging Transcribed Reports Immunizations ECGs Other Clinical Documentation Patient-Provided Information Lab Systems Pharmacy Systems Hospital Systems Ambulatory Systems Primary & Specialist EMRs Primary & Specialist EMRs Personal Health Portal Community Systems Public Health Systems Health Link Systems Home Monitoring Client Identity Provider Identity DI Systems DI Systems Interfaced Rx & Clinical Documentation Systems & Data Access Community Supply Patient Care Plans Synchronizing Community Care HIAL (pHIE) End-State Vision Synchronized Community Care Providing Maximum Value to the System

12. Copyright © 2011 - ReachCare™ 12 Closing the Gap of Care Between Patient & Provider, Community & Acute, Care-Plan & Care-Pathway Care-Pathway Care-Plan Providers Clinical Protocols Tasks & Activities Patients ReachCare Evidenced-Based Clinical Standards of Care Synchronizing ① Activities between Patient & Providers ② Acute Care Plans & Community Delivery ③ Care-Plans & Care-Pathways Provides the ability to: a) Offer optimum protocol selection - provide healthcare professionals with real-time access to credible care requirements; addresses immediate access to care b) Assign healthcare providers - prompt access to competent care; going beyond referral c) Ensures fulfillment - guaranteeing time sensitive specified care is delivered; providing outcomes and accountability management.

13. Copyright © 2011 - ReachCare™ Transforming Community into a Coherent Whole Creating structure and standards in a systematized manner 13 Demand Matching Delivery Data Personal Information Preferred Course of Actions within network capacity Logistics Management & Interaction Repository Skills / Roles Activities Linking care episodes Service Levels Integration Performance Management Stakeholder Reporting Task Adjustment Automated Management & Monitoring Identifies Monitors Assigns Clinical Protocols Care Plan Care Plan Care Pathway Care Pathway Particular Data Feedback Choice Matching Logistics Network Assets Synchronization Engine Protocol Library & Capacity Management Automated Assignment Management The ReachCare Exchange Synchronizing Community Based Care Delivery

14. Copyright © 2011 - ReachCare™ ReachCare™ effectively integrates and enables care delivery in a very complex and fragmented community healthcare system Public and Private care delivery seamlessly co-exist, ensuring maximum efficiency and optimal use of community resources Pharmacists will play an extremely valuable role by providing medication management services – Multidisciplinary care plans improve patient care and health outcomes – Ensures optimal use of a pharmacists scope of practice – Protocols drive efficiency and maximize value of the practice 14 Key Points to Remember More Effective Utilization of Community Based Resources

15. Copyright © 2011 - ReachCare™ Provides plan sponsors, insurers and the benefit industry with the following: – Customizable and targeted services following clearly defined evidence informed protocols – Flexibility to manage care plans within open or closed networks – Effective utilization of public health care funding within each care plan – Access to a high quality network of multidisciplinary providers – Extensive reporting and progress monitoring – Provides mechanism for partnering with Governments on mutually beneficial health care initiatives 15 Key Points to Remember Synchronized Care Plans and Patient Focused Care is Good Business

16. Copyright © 2011 - ReachCare™ Sean McKelvey Network Healthcare 604-231-3244 smckelvey@networkhealthcare.ca Contact Information