KLAS Population Health Webinar

BRADLEY HUNTERRESEARCH DIRECTOR, POPULATION HEALTH

KLAS RESEARCH

© Copyright KLAS 2017 1

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Aggregation Layer Care Coordination Health

Improvement

Patient Engagement

Clinician Engagement

Administrative Financial

Analyze Layer

Climbing the Population Health Mountain of Success

P4P

Shared Savings

Bundled Payments

Shared Risk

Capitation ProviderSponsored

Health Plan

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2016 Keystone Summit: Population Health

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Firm DNA – Value Base Care Report 2016

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How are Providers attacking Value based Care

Engaging a third party for VBC managed services:

Some organizations engage managed services firms,

which offer a suite of end-to-end solutions to manage

the transformation and provide ongoing support for

VBC initiatives.

Engaging a third party for VBC consulting/advisory

services: Some organizations engage firms in an advisory capacity to

support them as they learn the skills needed to sustain their own VBC initiatives.

Tackling the transition in-house: Some advanced

organizations may have the necessary experience and capabilities to make the

transition to VBC independently.

Managed Services VBC Consulting PHM Technology

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Where is most of energy focused?

Managed Services VBC Consulting PHM Technology

90% Mindshare

6% Mindshare

4% Mindshare

22% Growth Year over Year

384% Growth Year over Year

688% Growth Year over Year

Opinion Poll

When do you think managing your patient population's health will surpass fee-for-service as your organization's standard mode of operation?Respondents: 225

A: 1-2 years – 11%

B: 3-5 years – 40%

C: 6+ years – 24%

D: Unsure – 25%

Riding the

VBC Waves

When do you think managing your patient population's health will surpass fee-for-service as your organization's standard mode of operation?

Value Based Care Timing Report 2016

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No Vendor Can Do EverythingWe evaluated 12 different pop health vendors and we narrowed it down to 3 and ended picking the one that met our current needs and that is to do care management. One thing we learned was that no one can do everything. They all had their various strengths and weaknesses. We were looking for a tool that can pull data from other EMR’s outside our core EMR. We will still leverage our EMR’s Pop Health tools, but none of the tools out there can do everything that we need them to do. So we will likely continue to use multiple tools.

- VP of Population Health

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What is KLAS hearing?Where are providers getting value?- There are many place that providers are getting value, but there is variability that is contingent on what

the providers expectations were. The most value comes from strong partnerships, aligned with provider needs that drive outcomes.

What are providers still missing?- This varies as well, but missing product functionality is the largest gap. Two key drivers in satisfaction here

are integration, and having data available at the point of care. Providers still ask for these pieces. Providers report that getting the data is the hardest challenge.

What are the 2 or 3 things that would make a difference?1. Partnership: Strive toward deeper partnerships between providers and vendors working together focused on

provider identified tangible outcomes.2. Provider Readiness: a look in the mirror and assessing the support from the top to the skill sets of the front line, and

the facilitation ability of the middle management. 3. Usability: Drive deep adoption with end users through:

• Provider-led training to enhance usability.• Best practice leadership from the vendor.

Opinion Poll: Where are you on the football field?

A18%

B50%

C24%

D5%

E3%

Respondents: 167

How far developed are solutions?

Providers said 35%

Vendors said 67%

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Aggregation: Vertical 1

Basic Functionalities• Ability to incorporate data using common industry standards• Timely aggregation/incorporation of ADT feeds

• Pharmacy, prescription data• Claims/payer data• Inpatient clinical (EMR) data• Outpatient clinical (EMR) data

• Aggregation of data from multiple, disparate sources• Incorporation of platform-generated data (such as

assignments to registries)• Ability to normalize and clean incoming data• Reliable MPI (including duplicate record merging/deletion)• Compilation of a longitudinal record (multi-sourced

longitudinal summary of all clinical activity, including clinical, claims, and care management interventions)

Compilation of disparate clinical/administrative data sources to support population health.

Advanced Functionalities• Integration with other organization MPIs• Advanced data quality monitoring tools (automated

recognition and flagging)• Data quality monitoring tools• Aggregation of Patient-sourced data• Social determinants of health/community health

data• Nontraditional data sets (i.e. public data sets,

genomics, bio-market structures, etc.)• Imaging data

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Population Health Perception 2016

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2016 Population Health Performance study• Healthcare Provider reported

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2016 Population Health Performance study

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2016 Population Health Performance study

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2016 Population Health Performance study