1. Principles of Healthcare Management

2. HCM-401 Week I Syllabus Overview Group Project Case Study Midterm and Final Pre-test Group Project Outline Kyle Bain EMR Incentive Presentation Meaningful Use Core Measure Week I presentation by Kemal Erkan Changing the Behavior

3. Changing The Behavior of Responsible Parties Changing the Behavior Cost Profit Medicare Medicaid Fee For Service Length of Stay No Copay No Deductible Patients Physicians And Hospitals Insurance Companies Government

4. Changing the Behavior

6. United Medical Community Model Changing the Behavior Advanced Surgery Cardiology Dermatology Family Practice Gastroenterology Hospitalists Internal Medicine Nephrology OB/GYN Ophthalmology Optometrist Pediatrics Psychiatry Physical Pain & Rehab Podiatry Pulmonary Disease Radiology Rheumatology Sports Medicine Urology DHIN Hospitals CCHS Bayhealth AI DuPont Beebe Labs Other DHIN Organizations ONE PATIENT CHART Patient Demographics Medication History Allergies Progress Notes Flow Charts Immunizations All Other Patient Related Records United Medical Network

7. United Medical ACO Qualifications based on CMS ACO Guidelines ACOs must have a formal legal structure to receive and distribute shared savings to participating providers. Each ACO must employ enough primary care professionals to treat their beneficiary population (minimum of 5,000 beneficiaries) as deemed sufficient by CMS. Each ACO must agree to at least three years of participation in the program. Each ACO will have to develop sufficient information about their participating health care professionals to support beneficiary assignment and for the determination of payments for shared savings. ACOs will be expected to include a leadership and management structure that includes clinical and administrative systems. Each ACO will be expected to have defined processes to promote evidence-based medicine, report on quality and cost measures, and coordinate care. ACOs will also be required to produce reports demonstrating the adoption of patient-centered care. Changing the Behavior

8. 30 DAY READMISSION COST STUDY Estimated # of Total Readmissions in 12 months 5,437 Average Length of stay (4 days: 5437*4) 21,748 # of Total Discharges 5,437 Total Encounters-Days 32,622 Average payment per encounter $ 80.00 Total Payment for professional Services $ 2,609,760.00 (=32,622*80.00) Total Payment for Hospital Stay $ 150,789,758.00 (=5,437*27,734.00) This Estimate study does not take the reduction on the initial admissions in consideration but only focuses on 30 day Readmissions. Changing the Behavior

9. Board of Partners Executive Committee (EC) Doctors & Directors Executive Director Organizational Structure AccountingOperationsLegal

10. Changing the Behavior

11. Old Method Of Reporting Sample

12. Changing the Behavior United Medical ACO EHR Screen Shot for Patient Health Maintenance

13. Changing the Behavior

18. Balance Sheet 2011 Changing the Behavior