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Centricity™ Solutions Population Health Management
GE Healthcare IT April, 2015
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Track Owners: Zinc Instructions Please update the chart to the right before submitting the presentation into Active Individual Page Use?: Yes Are all Uses and Applications Discussed or Referenced in the Proposed Material on Label for the Product?: N/A Relates to a Major new Product/Services Launch?: No Includes Product or Service Claims, Features, Benefits or similar information?: Contains Competitive or Comparative Claims?: Includes Return on investment (ROI), quantifiable cost of ownership, reimbursement, or meaningful use claim or reference?: Include References to Market / Segment Share or Market / Segment Leadership?: Include identifiable Patient Information / Data?: If Customer Names are Used, are Necessary and Appropriate Permissions in Writing and on File?: Include Customer Testimonials?: If any non-GE Stock Images are Used, are Necessary and Appropriate Permissions in Writing and on File?: Do the Proposed Materials Contain Images of GE Products?: Do all Product Images Depict the Device(s) Being Promoted in the Piece?: This is a Translation of a Previously Approved Piece in Which no Changes Have Been Made?: This is a Revision of a Document Previously Approved for Ad / Promo Use?: Following review and approval in Active, each presentation given by GE employees or customers at Centricity LIVE must be approved through Zinc Jessica Diniz will be uploading each presentation into Zinc following Active review Before submitting this presentation in Active for review, Track Owners must select the appropriate answer to each Legal and Regulatory question ALL QUESTIONS MUST BE ANSWERED If further substantiation is required, please the appropriate permissions, sources, or citations to so she can upload to the Zinc Gallery Once the presentation is approved in Zinc, please delete this slide from the final deck before presenting at Centricity LIVE
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ROI Disclaimer HYPOTHETICAL EXAMPLE . Information presented in this example is hypothetical and for illustrative purposes only. Any analysis or information derived from this example is for general information purposes only and is being furnished free of charge without representation or warranty of any kind whatsoever, including with respect to the calculations, inputs, outputs, and/or information provided in such analysis. While this example allows several variables to be entered by you and is based on your unaudited inputs, it also contains certain assumptions that may not be valid for your specific facts and circumstances. Actual expenses will vary depending on many factors including, without limitation, your specific operating costs, savings, actual numbers and types of procedures performed. This example and any analysis are provided for your use only and may not be transferred to any third party. THIS example IS BASED UPON CERTAIN PUBLIC INFORMATION AND ASSUMPTIONS WHICH MAY NOT APPLY TO YOU Certain values provided in this example were obtained from available third party sources and are being furnished by way of example only. No representations or warranties are given regarding the accuracy of any such values. YOU MUST INDEPENDENTLY VERIFY THIS INFORMATION AND SEEK EXPERT ADVICE. You should not rely on any analysis, calculation, output or information provided by this example. Any reliance shall be at your sole risk, and we shall have no liability to you or any third party for any reason. Nothing in this example and no analysis derived therefrom should be construed as constituting tax, accounting, legal or financial advice. You should consult your own professional advisors for such advice. Nothing herein constitutes a proposal or commitment for any particular transaction. Any such transaction would be subject to execution of documentation in form and substance satisfactory to GE. HEALTHCARE PROFESSIONALS ARE RESPONSIBLE FOR MAKING INDEPENDENT CLINICAL DECISIONS AND APPROPRIATELY BILLING, CODING AND DOCUMENTATION THEIR SERVICES. This example is not intended to interfere with a health care professional’s independent clinical decision making. Other important considerations should be taken into account when making purchasing decisions, including clinical value. The health care provider has the responsibility, when billing to government and other payers (including patients), to submit claims or invoices for payment only for procedures which are appropriate and medically necessary and in accordance with applicable laws. You should consult with your reimbursement manager or healthcare consultant, as well as experienced legal counsel, prior to any expansion of service. © 2015 General Electric Company – All rights reserved
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1 2 3 Topics Your Challenges Population Health Management Solutions
Why GE Healthcare & Caradigm 3
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The US healthcare landscape is shifting from volume to value
Fee-For-Service Fee-For-Value Shared Savings Bundled Payments Partial Capitation Global Capitation PHYSICIAN GROUPS HOSPITAL S HEALTH PLANS PATIENTS SPECIALIZED CONSOLIDATING SHIFTING RISK RESPONSIBLE Care Model / IT competency Provider financial risk The US healthcare system is facing many challenges. The traditional fee-for-service (FFS) reimbursement model has led to steadily rising cost of care without significant improvement in quality or access. Under FFS model, providers across care settings (hospital, ambulatory practices, post acute care etc.) operate in silos, are rarely incentivized to improve care quality, coordinate care or make more efficient use of resources. Further, FFS places the providers, rather than the patient, at the center of care delivery Recognizing these challenges, and catalyzed by the Affordable Care Act, the healthcare landscape is shifting to alternative reimbursement models that emphasize value and health outcomes rather than volume. Some of the common value-based reimbursement models include: Medicare or private shared savings program (also known as medicare or private ACO) involves various eligible providers (hospitals, physician practices, etc.) coming together to form a single organization to provide high quality care at low cost to a defined population. The ACO receives a performance based bonus/shares savings on meeting its cost and quality performance targets. Bundled payment plan that provides a single payment for an entire episode of care across providers and care settings – E.g., a single pay for all services needed for a knee-replacement by bundling of payments for surgery, rehab, post surgical visits etc. Bundling of payment is intended to drive better integration and coordination of care. Partial or full capitation reimbursement model provides a single “lump-sum” payment for caring of a patient regardless of the volume of services provided to patient. This is the “riskiest” reimbursement model but offers the highest potential for benefit if done properly. In a Fee-For-Value world, provider networks need to be seamlessly connected so care givers can coordinate timely and evidence-based care based on the needs of the patient. Disconnected silos Variation in care, duplication and redundancy Provider centric Clinically integrated networks Evidence-based coordinated care Patient and population centric
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The transition to Fee-For-Value is gaining momentum
Emergence of ACOs Estimated accountable care lives Number of ACOs Covered Lives (Millions) The transition from Fee-For-Service to Fee-For-Value is gaining momentum. According to Leavitt Partners, there are nearly 700 ACOs registered with CMS and private payers including United Healthcare, Cigna, Aetna among others. These ACOs cover nearly 10% or close to 25 Million lives already. Further, studies by Leavitt Partners suggests that this trend will continue and, even under most moderate assumptions, nearly Million lives will be covered under an ACO arrangement by 2018. The data presented is sourced from publicly reported value-based initiatives. Potentially, there is significant ongoing activity that is not captured by these statistics. While there may be some disagreement on the exact degree of adoption over the next few years, majority of the US healthcare community agrees that this transition from volume to value is here to stay. Nearly 700 ACOs, Greater than 20 million lives covered and counting Source: Leavitt Partners ACO data; Accountable Care Growth in 2014; A look Ahead, Health Affairs, January, 2014
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Value-based care is here to stay
The transition from Fee-For-Service to Fee-For-Value is gaining momentum. According to Leavitt Partners, there are nearly 700 ACOs registered with CMS and private payers including United Healthcare, Cigna, Aetna among others. These ACOs cover nearly 10% or close to 25 Million lives already. Further, studies by Leavitt Partners suggests that this trend will continue and, even under most moderate assumptions, nearly Million lives will be covered under an ACO arrangement by 2018. The data presented is sourced from publicly reported value-based initiatives. Potentially, there is significant ongoing activity that is not captured by these statistics. While there may be some disagreement on the exact degree of adoption over the next few years, majority of the US healthcare community agrees that this transition from volume to value is here to stay. Source: “Better, smarter, healthier”, Healthcare Transformation Task Force (
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To transition from volume to value-based care, new capabilities will be required to improve outcomes and lower costs Data Population Health Management Managing illness Managing health and wellness Patient Engagement Risk Analytics “… 25% of complex polychronic patients drive 75% of costs …” “... Right care, right place, right time ...” Care Management The transition to value-based care requires a fundamental shift in the way care is delivered – from treating illness to managing the overall health and wellness of patients and population. This holistic approach to delivering care ensures that patients receive timely and appropriate care that may result in better outcomes and lower costs. To succeed in a value based environment, providers need new population health management capabilities in key areas including: Data: Ability to aggregate and analyze patient data from disparate clinical and financial systems Risk Analytics: Ability to predict clinical and financial risk within population and identify the sickest, most complex patients Care Management: Ability to coordinate appropriate care which can range from wellness and preventative programs for the healthy patients to dedicated care coordination and management resources for complex polychronic patients Patient Engagement: Drive greater patient involvement in their own care New software-enabled solutions will be key to developing these competencies and transitioning from managing illness to managing health and wellness.
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1 2 3 Topics Your Challenges Population Health Management Solutions
Why GE Healthcare & Caradigm 3
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GE Healthcare IT Solution Portfolio
Integrated Care Solutions Enterprise Imaging Care Delivery Management Population Health Management Financial Management Workforce Management System-wide Ambulatory Care Revenue & Risk Mgt Visualization Workflow Collaboration Archiving Ambulatory EMR Clinical Quality Reporting Data Control Healthcare Analytics Care Coordination & Management Wellness & Patient Engagement Revenue Cycle Mgt Financial Risk Mgt EDI Practice Mgt Time & Attendance Staffing & Scheduling Patient Classification HR & Payroll Care Areas High Acuity Maternal-Infant Cardiology Radiology Pathology Profit Analytics Activity-Based Costing Contract Modeling Utilization Management An integrated approach to care delivery is one of the cornerstones of a successful value-based care delivery system. Our software solutions represent market leading integrated care solutions that support delivery of care, financial and business performance and population management. All this delivered with expert resources to ensure they are operational in your unique environments. Our integrated care solutions consist of four key pillars, each representing unique focus and proposition: Care delivery management Enterprise imaging Population health management Financial management Today we will focus on one of our important pillars – Population Health Management Enhance diagnostic speed & confidence Make care pathways more productive Lower cost of treating chronic disease Improve health system profitability Optimize workforce productivity
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Caradigm offers population health solutions for IDN as well as ambulatory organizations
Caradigm Population Health Management Solution Caradigm Population Health Management Ambulatory Solution IDNs and large hospital systems State-of-the-art, comprehensive and customizable solution Optimized for in-patient as well as out-patient population Ambulatory providers and Physician led ACOs A complete population health solution with standard functionality and fast time to value Optimized for ambulatory provider organizations GE Healthcare has partnered with CaradigmR to provide a comprehensive cloud-based population health management solution to healthcare organizations. At GE, we recognize that while IDNs/hospitals as well as ambulatory practices have similar objectives of lower cost, higher quality and better health outcomes from population health management. However, it is often the case that their needs vary widely due to differences in size, geographic footprint, access to resource and capabilities. Recognizing these differences, we have designed solutions that will best meet the needs of respective customer segments. We have combined Caradigm population health applications with its Centricity portfolio and deep expertise in the ambulatory segment to offer a state-of-the-art population health management solution specifically for ambulatory providers and physician led ACOs. In partnership with Caradigm, we also offer an industry leading portfolio of population health management solutions for the large IDNs and multi-hospital systems.
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US: Caradigm wins 2014 Best in Biz Awards for Care Management application
Business Wire, 04 Feb 2015, online:- Caradigm's Care Management application has won the Best in Biz Awards 2014 in the 'Most Innovative Product of the Year' segment. Caradigm Care Management assists high throughput care teams in executing their jobs with greater consistency and at a faster rate. The application's key features include: automatic creation of task lists and personalized care plans; tracking high-risk patients throughout the continuum; sharing a longitudinal, complete patient record throughout a healthcare network and many more. Caradigm is a US-based healthcare analytics and population health company. Link to original article in English
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Caradigm Population Health Management Ambulatory Solution
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Population health management: Key challenges
Customer Challenges 1 “How can I predict the clinical and financial risk of our patient population?” Population risk management 2 “How can I best care for our high-risk patients with available resources?” Care coordination and management 3 “How can I more actively engage patients so they take a more proactive role in their own care?” Patient engagement As our customers embark on their population health management journey, they face many important technology and resource challenges: Population Risk Management: To successfully take on risk-based contracts, providers need to understand the clinical and financial risk of the covered population and predict the risk over time. They need to stratify their population by clinical risk factors, identify high-risk or soon to be high-risk complex patients and focus care management resources on these patients. Care Coordination & Management: Effective care coordination and management requires understanding the health history of the patient and delivering customized evidence-based care. To perform these tasks on a larger scale, providers need HIT tools to help their care coordinators/managers perform these functions using automated and scalable workflows that make them more efficient and effective. Patient Engagement: Fully engaged patients are proactive about improving their health, seek timely care and participate in wellness and prevention programs – all of which reduce costs while improving health outcomes. Despite a critical need, patient engagement tools remain underdeveloped and have found limited success in addressing patient needs. Connecting disparate data systems: Often, patient data resides in disparate clinical and financial IT systems inside as well as outside the network. Many of these systems do not talk to each other and make it difficult to aggregate relevant patient information in a timely manner to help fully understand patient’s health status and make informed clinical decisions at point of care. 4 “I have a lot of IT systems – can I get one view of the patient?” Connecting disparate data systems
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Ambulatory customers have unique requirements for population health solution
Beyond the core HIT capabilities… …Ambulatory providers face unique challenges IDN Ambulatory “How can I best leverage existing HIT systems while transitioning to value based care?” 1 Population risk management 5 Workflow integration 2 Care coordination and management “I need a standard, pre-packaged solution that can be easily implemented with limited budget and resources” 6 Cost and resource challenge 3 Patient engagement We understand that despite similar objectives, the population health solution needs of ambulatory segment may be different than IDNs and hospitals. Couple of key areas where needs of typical ambulatory organizations differ from IDNs include: Workflow integration: Despite large investments in HIT systems, providers are struggling to realize quality and efficiency gains due to ineffective integration into the care delivery workflows. These systems operate in silos, make care delivery more complex, difficult and cumbersome. This is especially true for clinicians as they have to navigate multiple disconnected systems in their workflows to access critical patient information and deliver high quality care. Cost & Resource challenges for ambulatory providers: Many existing population health solutions are designed for large provider organizations such as IDNs or multi-hospital systems. These solutions are expensive, require technical expertise and long lead times. Often these solutions can be cost and resource prohibitive and do not address the unique needs of ambulatory organizations 4 Connecting disparate data systems
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Caradigm Population Health Management Solution
Healthcare Analytics Care Coordination and Management Wellness and Patient Engagement Data Control Risk Management Readmissions Management Quality Improvement Hospital Acquired Conditions Care Management Condition Management Condition and Chronic Disease Management Personal Health Record Caradigm Intelligence Platform Health Information Exchange EMPI Single Sign-On and Context Management Provisioning Knowledge Hub Caradigm offers a comprehensive Population Health solution to help provider organizations successfully transitioning to a value-based care delivery model. Four key elements of this solution include: Healthcare Analytics: Caradigm delivers the intelligent analytics to generate insights and drive better decisions through its portfolio of analytics solutions. Risk Management helps you stratify and predict patients by health risk to deliver cost-effective interventions and predict and prevent readmissions Surveillance and reporting tools such as Hospital Acquired Condition management & Quality Improvement tools help improve performance and care quality by monitoring and reducing adverse events such as infections and (or) improving performance that directly impact care quality measures Readmissions management tools helps identify patients at highest risk of readmission, enables root-cause analysis and reduce preventable readmission Care Coordination and Management: Caradigm solutions integrate evidence-based guidelines into patient-centered care plans. These care plans are driven by IT enabled intelligent and automated workflows to help care managers coordinate care of high-risk patients efficiently and effectively. Further, they facilitate collaboration across a broader care network and help improve patient compliance to drive better outcomes. While the Care Management is a comprehensive suite of IT enabled care management workflows developed in collaboration with Geisinger Health Plan, the condition management application covers a limited set of most frequently seen conditions for those providers that are not yet ready for the full solution and, want to start small before scaling to a full care management solution. Wellness and patient engagement: Caradigm provides patient engagement platform and solutions to help exchange information with patients, educate them about their health and track their progress across the care continuum. It is instrumental in improving patient outcomes by empowering patients in their own care. Data Control: To succeed in population health, you need control of your data – a critical step in enabling the key capabilities we already touched upon. Caradigm aggregates and manages data from across the community to make information accessible where and when you need it. Caradigm Intelligence Platform aggregates clinical & claims data from disparate clinical and financial HIT systems, processes and normalizes it to create a comprehensive longitudinal patient record that can be accessed at the point of care Health Information Exchange helps aggregate patient data from across the care continuum, within as well as outside the network Identity & Access Management helps address operational challenges of managing appropriate role-based access to clinical data for greater security & privacy Knowledge Hub: Is an application that help surface important patient information from from various Caradigm applications within the clinician workflow
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Caradigm Population Health Management Solution addresses critical challenges
Customer Challenges Customer Outcomes1 Ability to prioritize limited clinical resources to patients with highest potential for impact “How can I predict the clinical and financial risk of our patient population?” 1 IT enabled evidence-based care management increase efficiency by 25% and reduce hospitalization of chronic patients by 40% “How can I best care for our high-risk patients with available resources?” 2 Provide patient portal with 200+ health empowerment tools “I need to engage patients to take a more proactive role in their care.” 3 Looking at population health management, we know our customers grapple with: Predicting the clinical risks their patient population faces. How to address the needs of high-risk patients and provide them with the right care at the right place at the right time. Engaging patients to take a more proactive role in their health. And, to enable, all of these key competencies by connecting several IT systems…which contain only parts of the whole patient view. Our solutions include data control, healthcare analytics, care coordination and management, and wellness and patient management. And through our new partnership with Caradigm, we are driving successful outcomes for our customers, in particular through Caradigm’s partnership with a major health plan. Our solutions are addressing the customer’s needs by enabling transparency through ‘one patient, one record’ – providing access to patient information across 19 different applications and databases to all providers. Because a patient’s condition can evolve rapidly, built-in analytics were needed to provide updates in near-real time. The customer also need a robust care management application that helps deliver standard evidence-based care appropriately matched to the needs of a patient or population. Our patient engagement application offers more than 200 patient and provider health empowerment and activation tools to help patients better engage in their healthcare.16 1 - “Caradigm™ Care Management Propels Geisinger Population Health Strategy into the Future,” Jan. 2014 Aggregated, normalized patient data available at the point of care “I have a lot of IT systems – can I get one view of the patient?” 4 1 “Caradigm™ Care Management Propels Geisinger Population Health Strategy into the Future,” Jan Results may vary and do not constitute a representation, warranty or performance guarantee.
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Caradigm Population Health Management Ambulatory Solution addresses critical challenges of ambulatory customers Customer Challenges Customer Outcomes Improved efficiency and effectiveness through automation of administrative and clinical workflows “How can I leverage existing investments while transitioning to value based care?” 5 Two solution bundles to best meet the needs of providers based on their level of PHM maturity “I need a standard, pre-packaged solution that can be easily implemented with limited budget and resources” 6 The Caradigm Population Health Management Ambulatory System was optimized for ambulatory practices. We are working to enable seamless integration between Caradigm population health solutions and GE Centricity system workflows to help: - Clinicians deliver high quality care efficiently by enabling access to longitudinal patient record within the EMR Simplify clinical and administrative tasks We have also created a standard, pre-packaged solution that can be implemented with limited budget and resources, quickly and easily. Two solution bundles were designed to best your needs on your journey from volume to value.
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Caradigm Population Health Management Ambulatory Solution
Helps ambulatory providers improve health outcomes and reduce cost by …. Caradigm Care Management Caradigm Risk Management Wellness & Patient Engagement Identifying high-risk patients with high accuracy Enabling efficient coordination of evidence- based care via automated workflows Seamlessly integrating with GE Centricity systems to … Improve clinician efficiency and effectiveness Simplify clinical and administrative workflows GE Healthcare has partnered with Caradigm to focus on providing a complete and state-of-the-art population health management solution to the ambulatory providers and physician led ACOs by combining the Caradigm population health analytics with GE Centricity portfolio and deep expertise in the ambulatory segment. Caradigm Population Health Management Ambulatory Solution helps improve health outcomes and reduce costs by accurately identifying high risk patients and enabling efficient coordination of evidence-based care via automated workflows. Uniquely, bi-directional integration with GE CentricityTM systems simplifies clinical workflows and allows providers to access longitudinal patient information from within their EMR. In a marketplace that is crowded with many population health management vendors, the GE solution offers a differentiated solution: 1. Accurate predictive analytics, powered by LexisNexis with MEDai science, help identify clinical risk, costs and savings opportunity with high accuracy and specificity. 2. Efficient, effective and evidence-based care plans with automated workflows help increase efficiency and effectiveness of care coordination so care managers can focus on complex patients. 3. Seamless integration with GE Centricity systems workflows uniquely enables GE customers to simplify and automate tasks and help clinicians deliver high quality care by enabling access to complete longitudinal patient record right within the EMR. Data processing & normalization GE Centricity Portfolio
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Healthcare Analytics: Population Risk Management
1 Healthcare Analytics: Population Risk Management Identify most actionable patients Caradigm Risk Management Predict actionable high-risk patients Highlight risk and project cost, utilization and savings Identify care-gaps, manage chronic conditions 1.6 M population High Cost Population Common Approach: High Cost patients 54,552 patients Savings potential $425 PM/PY Using MEDai Analytics: Acute Impact Quality Compliance Motivation Movers High Impact Population 77,000 Diabetics 925 patients As discussed earlier, one of the key questions at the start of the population health journey is “How can I predict the clinical and financial risk of our patient population?” Caradigm Risk Management helps predict high-risk patients, highlights care gaps and projects savings opportunity from care interventions. By helping identify actionable high-risk or soon to be high-risk patients, it helps prioritize patients with highest impact from care management. Highlights include: One of the most accurate population risk analytics driven by models that calibrate to your patient population for better outcomes Helps stratify patients by clinical risk factors and forecasts ED visits and inpatient admissions, cost due to non-compliance, patient motivation index and other important clinical and financial factors for individual patients as well as the population Highlights gaps in care, identifies lower-risk patients likely to move to high-risk status to facilitate proactive outreach and care coordination for greatest impact Savings Potential $6,403,775 Savings potential $7000 PM/PY Prioritize clinical resources to patients with highest potential for impact Caradigm Risk Management powered by LexisNexis with MEDai science
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Care Coordination and Management
2 Care Coordination and Management Right care, right place, right time Caradigm Care Management Personalized evidence-based care plans Automated and integrated workflows Real-time, event-based alerts and messages PHYSICIAN NURSE AT-RISK PATIENTS PLAN OF CARE MULTIPLE SYSTEMS PHONE WORK LIST CARE MANAGER MONITOR MEDICATION FILM LAB EHR Once the high risk actionable patients are identified, the next question to consider is “How can I best care for our high-risk patients with available resources? Caradigm Care Coordination and Management provides a rich library of evidence-based care plans based on protocols and guidelines developed by Geisinger Health Plan and available through the Caradigm/GHP collaboration. These protocols can be supplemented or further customized based on needs of individual organizations. The clinical guidelines are supported by automated workflows to help care managers coordinate and manage care of the complex patients across the care continuum, ensure patient compliance and track impact on patient health outcomes. Key features include: Provides IT enabled and personalized care plans based on standard evidence-based protocols. Automates care management tasks and workflows to increase efficiency and effectiveness of care managers so they can spend more time with patients Connects care managers to the extended care team via bi-directional sharing of documents, real-time alerts, messages and other critical patient health information EMERGENCY DOCUMENT EVENTS CONSENT FILE Evidenced-based care plans help manage care effectively and efficiently
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Wellness and Patient Engagement
3 Wellness and Patient Engagement Engage patients, improve outcomes Caradigm Wellness and Patient Engagement Patient-friendly tools and applications Messaging, alerts, communication, self-management action plans Programs focused on chronic care management, care transitions and readmission reduction Engaging patients in their care is pivotal to success of a population health initiative. The Get Real Health InstantPHR® application provides convenient tools and resources so patients can access their health information, securely communicate with providers, better manage their health and become more engaged in their own care. Key features include: InstantPHR is a customizable, patient-centric toolkit with more than 200 patient and provider health empowerment tools that can be accessed via web or mobile applications. Helps communicate important health alerts and self-management action plans to patients, their providers and family caregivers; all designed using relevant personal health information. Helps share important health information and educational resources with patients and tracks their progress across the care continuum. Providers can effectively manage chronic diseases, improve care transitions and reduce unnecessary readmissions. Empower patients using convenient and high impact patient engagement tools and resources
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Data Control: Data processing and normalization
4 Data Control: Data processing and normalization Create comprehensive longitudinal patient record Caradigm Intelligence Platform Robust data integration Scales easily to meet changing business needs Proven cloud-based platform 37+ million records, 295+ system interfaces Interoperable with major HIT vendors Supports commonly used data standards Data formats Underlying the three applications we already discussed is a critical capability that needs to be addressed - “I have a lot of IT systems – can I get one view of the patient?” Data aggregation, processing and normalization: Caradigm® Intelligence Platform is a state-of-the-art data integration platform that aggregates, processes and normalizes data from disparate clinical and financial systems inside and outside the network. It creates a unified patient record that can be accessed by a community of providers across the care continuum. Highlights include: Integrates data from disparate ambulatory and acute care EMRs, HIEs, laboratory and imaging systems, diagnostics centers, e-prescribing hubs, claims, and other sources of patient data inside as well as outside the network Robust yet flexible architecture supports ecosystem of analytics and applications so provider organizations can build customized solutions to solve specific business needs. Proven platform with over 175 million patient records and 295+ source systems that interface with most major Healthcare IT vendors (List of vendors can be provided upon request) One patient, one record available at the point of care
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Closing the loop on care coordination by seamless integration with EMR and PM workflows
Analyze Enroll & Design Monitor Manage Access longitudinal patient record within the EMR Simplify and automate clinical and administrative workflows Improve health outcomes and patient experience Manage utilization and control cost A Stratify population B Enroll in Care Mgt D Monitor care plans E Coordinate intervention $ Care Manager PHM Solution Identify high risk patients If eligible, refer to CM Design care plan Share with PCP Monitor progress Assess compliance Respond to event alert Notify PCP/care team C Engage PCP in care plan F Execute intervention EMR Schedule appts Review patient Revise care plan Close care gaps Arrange follow-up Schedule appts Review patient Revise care plan Close care gaps Arrange follow-up Existing EMR/PM As part of our commitment to developing impactful population health solutions, we are constantly looking ahead to solve the next set of challenges for our customer. Currently, many clinicians and care providers have to juggle several siloed clinical and financial systems in their daily workflow. This impacts their productivity and effectiveness. We are investing significant effort and resources to seamlessly integrate Caradigm population health solutions with GE Centricity system workflows. Because of this tight bi-directional connection, many clinical and administrative workflows can be automated and simplified. This integration would help help clinicians deliver high quality care more efficiently by enabling access to up-to-date longitudinal patient record directly from the EMR. Further, they would be able to make data-driven decision based on complete longitudinal patient information at the point of care. This may potentially have a significant positive impact on clinician efficiency and effectiveness and may result in improved patient outcomes. Beyond clinical workflows, tighter integration with financial HIT systems – Centricity Business; Centricity Practice Management; Centricity Financial Risk Management will help providers seamlessly exchange enrollment, referral and other critical patient information and better manage utilization based on up-to-date patient information on benefits and clinical requirements. PM Improved clinician efficiency and effectiveness through automation of administrative and clinical workflows Proprietary and confidential. Proof of Concept – Not a current offering or product. Concept shown represents ongoing product research and development efforts. These research and development efforts are not products and may never become products. Not for sale.
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Caradigm professional services Helping you get the most from your software investment
Early Engagement Implementation Utilization Planning System Configuration Education and training Analyze current state Test and refine Continued support Design optimal solution Scale Performance monitoring Design optimal workflow and tailor investment to meet unique organizational requirements Along with the core IT functionalities, both solution bundles include support from experienced implementation specialists who help customers create, configure, develop and test installations. Typically, it takes 3-6 months to implement the Caradigm Intelligence Platform and Risk Management application with an additional 3 months required to implement the care management functionality. Overall, the implementation of the complete solution may take between 6-9 months. Implementation occurs in three stages. The early engagement stage focuses on the planning and designing the optimal solution to best meet the goals and objectives of the organization. Once the planning is complete, the actual implementation phases involves configuring and testing the solution and preparing the organization for large scale adoption. The final utilization phase is focused on fine-tuning the solution but also driving adoption and change within the organization through education, training and support so that the client realizes maximum value from the solution. Organizational readiness and adoption of workflow and process improvements Drive adoption, monitor ongoing performance, drive improvements and adaptation to industry challenges
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A robust partner ecosystem with extended capabilities
Implementation/Advisory/Consulting Applications Identify and Access Management Health Information Exchange Caradigm works with an ecosystem of partners worldwide. These partners provide services and solutions for complex business challenges within healthcare. The Caradigm Intelligence Platform provides a powerful application development framework that serves as the foundation for this innovation and collaboration. The platform enables partners to quickly build new data-driven applications targeting healthcare surveillance, quality, disease management, care coordination and patient engagement. Beacon Partners is one of the largest healthcare management consulting firms, offering organizations in the healthcare community advisory services to improve overall operational, clinical and financial performance with the adoption of information technology. Cognizant is a leading provider of information technology, consulting and business process outsourcing services. CitiusTech is a specialist provider of healthcare consulting and technology services with deep healthcare domain expertise and strong technology experience. Aurionpro provides Healthcare Identity Management solutions that allow clinicians to access information more quickly and securely while reducing costs. BIO-key delivers fast, accurate, and compliant solutions that are interoperable on any device for providers accessing EHR. Dell is among the leading providers of IT services to the healthcare industry providing providers, payers and pharmaceutical companies with leading business and technology solutions that extend from the point of care to the data center. Dell's integrated business process and technology solutions help hospitals maximize efficiency and reimbursement; achieve clinical excellence and create communities of practice to more efficiently deliver patient care Fujitsu provides industry-oriented solutions for healthcare which enables their clients to meet their business objectives through integrated offerings including consulting, systems integration, managed services and outsourcing for enterprise applications, data center and field services operations, based on server, software, storage and mobile technologies. HP has more than 50 years of healthcare experience, delivering the solutions healthcare organizations require and demand. HP’s extensive portfolio of products, solutions, services and support network help to improve operational efficiencies, speed innovations into practice, and most importantly, improve quality of care. HP Thin Clients and virtualization enables easy access to the tools and information needed, anywhere, anytime, in a secure manner. Get Real Health provides award winning patient engagement solutions for our healthcare clients. Their flagship product, InstantPHR, is an electronic toolbox that easily creates and customizes personal health applications. The InstantPHR framework provides all the tools necessary to build a comprehensive patient centered health management portal. MEDai, a LexisNexis Company, has been developing and delivering medical and health information leveraging the industry’s most advanced data and technology solutions for over 20 years. MEDai started with one simple idea: the incredible volume of data that flows through health care organizations holds the secret to improving care and reducing costs. The key to success is being able to turn that data into action. Symphony Analytics is one of the largest analytics process integrators and a pioneer in decision sciences and modelling services, helping enterprises to integrate predictive analytics directly into key business processes. Its deep domain expertise in core vertical markets, such as retail and brands, financial services and healthcare, and its partnerships across Big Data and Predictive Analytics eco-systems, bring best-in-class services and solutions to its clients. Orion Health, Inc. is a global eHealth software company providing integration solutions. Their products and solutions are implemented in more than 30 countries, and used by hundreds of thousands of clinicians. Caradigm and Orion Health are teaming to provide complementary solutions for data exchange combined with robust analytics capabilities. NextGate's EMPI, Provider, and other healthcare registries deliver accurate, fast, and customizable identity matching technology to support HIE, ACO, Meaningful Use, and other IT initiatives. Built on the innovative MatchMetrix Technology Platform, NextGate solutions index and correlate patient data from any source, enabling unified views, reducing duplicate records, improving data quality and more.
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Population Health Management
Software-enabled population health solutions Software + Services + Ecosystem Centricity: Business, EMR, Practice Solution, Financial Risk Manager, EDI Non-GE: EMR; Claims; Clinical; Imaging; RX; Lab; HIE etc. Clinical & Claims Data Population Health Management Data Aggregation & Normalization Caradigm Intelligence Platform + GE/Caradigm implementation services Caradigm Risk Management powered by LexisNexis with MEDai science Risk Management As providers get ready to take on the complex challenge of population health management, their needs are evolving beyond just software applications. They are looking for software-enabled solutions to help them achieve improved health outcomes and financial performance. We understand the evolving needs of our customers. We bring together software and analytics, workflow and domain expertise, and strong partner ecosystem with a focus on outcomes to help us be the leader in improving the way healthcare is delivered globally. Data: Our solution is vendor agnostic – we can aggregate data from Centricity as well as non-GE clinical, financial and administrative HIT systems Data aggregation and normalization: The Caradigm Intelligence Platform from our partner Caradigm is an industry leading data integration and normalization technology that collects disparate data from various HIT systems and creates a comprehensive, single patient record Risk Management: Caradigm & MEDai, a LexisNexis company have partnered to provide one of the most accurate population risk analytics solutions in the industry Care Management: Through their collaboration with Geisinger, Caradigm has developed a state-of-the-art care management solution Wellness & Patient Engagement: Caradigm and Get Real Health, through their partnership, offer 200+ patient engagement tools and applications to help empower patients in their own care. Care Management Caradigm Care Management, based on collaboration with Geisinger Health Plan Wellness & Patient Engagement Caradigm Intelligence Platform + Get Real Health InstantPHRTM
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1 2 3 Topics Your challenges Population Health Management Solutions
Why GE Healthcare & Caradigm 3
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Transform healthcare through industry-leading innovation
Outcomes Better care, lower cost Healthier population Greater productivity State-of-the-art analytics and applications for population health + Deep healthcare expertise and a track record of innovation = By combining Caradigm’s industry leading data integration and population analytics applications and, GE’s deep healthcare expertise, we are focused on helping you drive better outcomes and give your patients a better healthcare experience. Further, we are committed to continued innovation and investment in new capabilities to evolve our population health management portfolio and help you stay ahead of the curve.
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Population Health Management
Population health management is key to improving care quality, and reducing cost in a value-based care delivery model Typically 25–30% of high-risk patients drive greater than 70% of costs Caradigm customers have reduced hospitalization of chronic patients by Nearly 5–10% of the population are complex, polychronic and require dedicated care management 40% Caradigm customers have increased efficiency of their care managers by Population Health Management 25% We strongly believe that our success is inextricably linked to that of our customers. We understand your key challenges of improving care quality, patient outcomes and reducing cost as you move into a new and unchartered territory of value-based care. Our population health management solutions help ensure your success by .. Helping your reduce cost of care by identifying and predicting the small cohort of patients that drive majority of the costs Helping you improve care quality and health outcomes by prioritizing, coordinating and manage the care of the 5-10% of the most complex patients in your population. Using our solution, our customers have seem real outcomes of nearly 40 % reduction in hospitalization of chronic patients. Further, the IT enabled Caradigm Care Management solution has helped increased care manager efficiency by nearly 25%. Analytics Risk Cohort Care Mgt. Source: Customer metrics program. Results may vary and do not constitute a representation, warranty or performance guarantee.
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A trusted partner for your population health journey
1 Strong focus on software-enabled population health solutions 2 Committed to continued innovations that improve patient health outcomes 3 Trusted partner in driving measurable outcomes Our success is defined by your success We believe that this journey from volume to value will be long one with several twists and turns along the way. To be successful, providers will need a trusted partner, not a vendor, to help them navigate this unchartered territory, provide effective solutions that meet their needs today and partner with them to provide innovative solutions as their needs evolve in the future. At GE, we understand that improving care delivery and managing financial performance is critical in these changing times—the company that brings together software and analytics, workflow and domain expertise, and authentic partnership at an outcomes level will be the leader in improving how healthcare is delivered to patients globally. We have made a strong commitment to population health management solutions – it is now one of the core pillars of our portfolio. Besides providing you with the right tools and capabilities to succeed today, we are continually striving to understand your evolving needs and provide innovative solutions that help you enhance care quality while helping eliminating cost, waste and adverse outcomes. Ultimately, our focus on driving measurable outcomes means that our success is defined by your success. And together, we can work together to reduce inefficiencies and enhance the quality of care. We look forward to partnering with you on your journey from volume to value.
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