Alere Analytics ACO Panel Hospital of Tomorrow_Dr. Khan

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The Next Generation of ACOS Achieving Healthcare Transformation Through Care Coordination and Collaboration October 7, 2014 Fauzia M. Khan MD., FCAP. Chief Medical Officer, Alere Analytics

Transcript of Alere Analytics ACO Panel Hospital of Tomorrow_Dr. Khan

The Next Generation of ACOS

Achieving Healthcare Transformation

Through Care Coordination and

Collaboration

October 7, 2014

Fauzia M. Khan MD., FCAP.

Chief Medical Officer, Alere Analytics

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Alere’s Vision

All of healthcare, connected Immediate and timely access to the complete patient’s history from

all venues of care, from in-home diagnostics to acute care

Health records activated The best medical guidelines applied to the resulting

“one patient, one chart”

Physicians and patients engaged Alerts and recommendations proactively delivered to physicians and

patients at the right place, at the right time

Better outcomes achieved Avoidable errors reduced, higher acuity avoided, healthcare costs managed,

and operational efficiency increased due to adherence to plans and protocols

2

Alere’s ACO Solution Platform …

ALERE CONFIDENTIAL

3

Universal Healthcare Transformation Goals

Improve healthcare delivery by:

Reducing preventable errors

Improving healthcare outcomes

Enhancing utilization and operational efficiency

Managing healthcare expenditure

4

Alere’s Solution Approach

Connect all of healthcare, from the patient’s home to the acute

care setting

Provide convenient access to complete patient history and

personalized evidence-based guidelines to improve care standard

for lower-acuity patients

Use the best medical evidence to identify and risk stratify patients

with chronic conditions and provide targeted care management

Provide intensive case management support through

comprehensive team deployment for high risk patients

Constantly measure and improve programs

5

Alere Analytics

Provides physicians with a set of patient-specific actionable

recommendations prior to each visit, and alerts physicians

of possible gaps in care between visits

Similarly provides patients with actionable

recommendations based on the routine flow of observations

from across the connected ecosystem

Recommendations are driven by a rules engine with 30k

evidence-based rules and guidelines

Rules can be easily customized to include institution

specific guidelines and best practices

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Provider and Network Performance

Longitudinal tracking of high-risk groups

Clinically-based Utilization Reporting

Utilization Rates across all settings

Incorporates claims and clinical data

Physician specific Costs (per patient, per episode, etc.)

Population Health Management

Risk Stratification

Real time alerts for missing and insufficient HCC codes

PCMH and ACOs reimbursement on HCCs

Calculates Evidenced Based Care Gap (EBCGs) and Cost Scores

Perform Patient Outreach

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Actionable Population Profiling

Quality indicators

Savings & opportunities

Population Dx-specific dashboards

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Geo - Segmentation

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Care Providing Organizations

• 8 Hospitals and EDs

• 200+ Ambulatory Practices

• 6 Ambulatory Surgical

Centers

Trading Partners

• 4 Imaging Centers

• 4 Laboratories

• SureScripts

Hospital Information Systems

• Cerner

• Epic

• McKesson

• Siemens Soarian

Berlin

Hospital

Atlanticare

Atlantic

City

Virtua

Voorhees Quest

Larchmon

t Imaging

Atlanticare

Galloway

South

Jersey

Radiology Atlantic

Imaging

Memorial

Hospital

Marlton

Hospital SureScripts

LabCorp

Connected Healthcare Across Southern NJ

Children’s

Philly

New

Jersey

mmuniz.

Registry

Affiliated

Practices

Virtua

Lab

AtlantiCare

Lab

CHOP

Lab

Virtua

Imaging

CHOP

Imaging

"We appreciated the vision Alere had for

providing a central source for all the patients

information. Physicians now have access to

patient laboratory, radiology, pharmacy, and

visit data from multiple different sources all in

one place, allowing us to build up to care

coordination and value-driven care.”

-- Al Campanella, EVP, Strategic Business

Growth & Analytics at Virtua Health

Electronic Health Records

• Alere EHR

• Allscripts

• eClinicalWorks

• GE

• HMS

• NextGen

• Practice Fusion

• Sage

• STI

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Thank You

ALERE CONFIDENTIAL

Contact:

Fauzia M. Khan MD., FCAP.

Chief Medical Officer

Alere Analytics

[email protected]