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population health managementTHE DESTINATION IS IN SIGHT. WE CAN HELP YOU GET THERE.
neW moDelS oF CaRe DeliVeRY The end of volume-based healthcare is in sight as care delivery moves to a patient-centered,
coordinated approach. With the right technologies, physician groups and integrated delivery
networks are poised to drive this shift toward population health management and
value-based care.
© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED.
Care delivery transformation is more than an IT solution, but technology provides necessary insight into clinical and financial data,
risk analysis, intervention outcomes, and return on investment. Even so, care teams are justifiably hesitant to layer additional technology
on an already-burdened system. If the goal is to put patients first, new approaches must complement established practices and
systems—not add overhead.
ENLI. BETTER OUTCOMES FOR EVERYONE.Enli helps healthcare delivery organizations meet today’s
challenges head-on. Our population health and patient
relationship management software incorporates clinical and
financial data to identify opportunities at the point-of-care,
so our customers can improve care quality, practice efficiency,
and overall accountability. This innovative technology is quickly
and easily integrated into care teams’ current systems and
practices, and complements existing IT investments. Enli
solutions are trusted by large integrated delivery systems,
accountable care organizations, ambulatory clinics, and
independent physician group practices.
Let us show you a new approach for empowered, activated healthcare.
THE TRANSITION TO CARE TEAMS
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For more details on the transition to accountable care teams and an in-depth review of Enli CareManager, see Frost & Sullivan’s white paper,
The Accountable Care Team: A Guide for Care Delivery Transformation.
ENLI CAREMANAGER™ ACHIEvE HEALTHCARE’S TRIpLE AIM
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Care teams can achieve healthcare’s “Triple Aim” with information that is accurate, timely—and above all, actionable. CareManager
complements existing IT infrastructure and workflow, while helping care teams drive this organizational change.
ENHANCES EXPERIENCE OF CARE• Engages patients in their care
• Informs practitioners team-wide
• Ensures the right care at the right time
REDUCES PER CAPITA COST OF CARE• Optimizes team member practices
• Reduces unwarranted care variations
• Makes patients active care team members
IMPROVES HEALTH OF POPULATIONSStratifies at-risk populations •
Increases visibility for interventions •
Reduces care gaps, omissions, & commissions •
CAREMANAGER
© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED.
© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 4
The 2014 IDC Health Insights MarketScape report recognizes Enli as a market leader in population health management.
IDC Health Insights believes that integration at the point of care delivers more effective care management; to be sustainable, accountable care programs must take advantage of every encounter with a patient.
CLICK ON IMAGE TO PLAY VIDEO DEMO
WATCH THE COMPLETE VIDEO CLICK HERE
Cynthia Burghard Research Director
Accountable Care Organizations
© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 5
ACTIvATE YOUR TEAM AT THE pOINT OF CARE Enli’s approach is ideally suited to care teams that are committed to driving engagement throughout the care ecosystem. By
building on existing IT infrastructures, we help care teams quickly and effectively identify populations at risk, create and monitor
care plans, interact with individuals and groups of patients, and measure and efficacy of interventions.
POPULATION HEALTH THROUGHOUT THE CARE ECOSYSTEM
Stratify at-risk segments
workflows in the clinicOptimize technology and
Coordinate resources across the enterprise
Enli CareManager™ is a field-proven, peer-reviewed suite of applications for population health and patient relationship management.
PAT I N T
Synchronize care throughout the provider community
C O M M U N I T YC O M M U N I T Y
E N T E R P R I S E
C L I N IC
P O P U L AT I O N
CAREMANAGER PRIORITIzES SEGMENTS wITH THE GREATEST HEALTH ANd FINANCIAL RISk
• Ingests data from multiple sources
• Stratifies populations according to clinical & financial risk
• Identifies priority cohorts using predictive modeling
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StRatiFY the patient populationCareManager automatically assesses and stratifies population segments using data from multiple sources. Evidence-based clinical guidelines,
curated by Enli’s CareManager Advisory Group, drive appropriate care plans. For individuals who need outreach and intervention,
care coordinators can build work queues for provider teams. Individuals at lower risk can be set up to receive automated communications.
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optimiZe CliniC WoRKFloWCareManager is deeply integrated with industry-leading electronic medical records (EMRs) and facilitates bi-directional data exchange.
Care team members have easy access to patient data at the point of care—without logging in to a separate application—to support clinical
decision-making and close gaps in care. And with CareManager’s intuitive, graphical dashboards, providers can quickly view and share
gaps in care while interacting with patients, providing an engaging means for patients to take an active role in managing their health.
CAREMANAGER IN THE CLINIC dELIVERS EVIdENCEd-BASEd GUIdELINES TO THE POINT OF CARE
• Reduces unwarranted variation in care
• Allows care team members to practice at the height of their licensure
• Makes the patient an active member of the care team
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CooRDinate ReSouRCeS aCRoSS the enteRpRiSeCareManager coordinates care by providing a consistent view to all team members. Patients are automatically arrayed into registries
by leveraging native EMR and claims data. With no requirement for data aggregation, deployment is typically completed within only
90 days. Care coordinators can be assigned tasks and access information related to individual patient measures, patient outcomes can
be tracked, and follow-up interventions can be initiated. The result is a rapid deployment of population health interventions to quickly
reduce costs and improve the quality of care.
CAREMANAGER FOR THE ENTERPRISE ALIGNS TASkS, RESOURCES, ANd CARE PLANS
• Stratifies at-risk populations to receive the appropriate care
• Aligns resources for cost-effective care
• Supports individualized patient messaging, coordinated across the organization
SYnChRoniZe CaRe thRoughout the CommunitY
CareManager is the conduit that brings external data to the care team. The software leverages data from business intelligence analytics to
identify cohorts and prioritize interventions for every patient in the panel. Network data is used to create a graphical timeline of a patient’s
care and compliance with the care plan. Finally, CareManager reads and interprets data to generate real-time alerts that can minimize
omissions, commissions, and gaps in care.
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CAREMANAGER TAPS THE NETwORk TO MONITOR PATIENT ACTIVITY EVERYwHERE IN THE COMMUNITY
• Reduces omissions, commissions, & gaps in care
• Increases visibility of where the patient has been to enable appropriate care
• Makes care history available across the continuum
Dr. Ogechika Alozie talks about how CareManager helped Texas Tech University Health Sciences Center at El Paso
streamline processes and improve care.
A patient may have come in for a sore throat, but the physician can quickly get a snapshot of other risks that are part of their care plan as a diabetic and intervene. Previously, the doctor would have had to remember all the standards for diabetes and then look for each measure in the patient’s chart. CareManager allows the doctor to consume a lot of information in a quick fashion in the application they have open during the office encounter, in the EMR.
CLICK ON IMAGE TO PLAY VIDEO DEMO
© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 10
EVALUATING THE IMPACT OF IMPLEMENTING CAREMANAGER IN 13 LOCATIONS, CARING FOR MORE THAN 6,000 PATIENTS WITH DIABETES1Conclusion: “Implementation of a physician-directed, multifaceted HIT system [CareManager] in primary care was associated with significantly improved diabe-tes process and outcome measures.”
To read more: http://www.ncbi.nlm.nih.gov/pubmed/20074429
TRIAL OF CAREMANAGER IN A TEAM-BASED, PRIMARY CARE SETTING TO STUDY THE IMPACT OF PHYSICIAN-PHARMACIST COLLABORATION ON UNCONTROLLED HYPERTENSION2
Conclusion: “In this study, subjects cared for in the physician-pharmacist team model were 40% more likely to achieve their goal blood pressure compared to those cared for by their physician alone.”
TO READ MORE: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596500/
EVALUATING THE IMPACT OF PHYSICIAN-PHARMACIST TEAM-BASED CARE USING CAREMANAGER FOR CHOLESTEROL MANAGEMENT IN DIABETES MELLITUS3
Conclusion: “The study found the model was both efficient and effective, yielding significant improvements in LDL goal attainment, reaching 86% in diabetes patients with the highest risk of subsequent cardiovascular events.”TO READ MORE: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596500/
LDL goal attainment
improved from 32% to 56%
86% of patients at highest risk saw
improvements in LDL goal attainment
BP goal attainment increased from
30% to 52%.
Subjects receiving the intervention achieved
significantly lower systolic and diastolic
blood pressures compared to control
62% of intervention subjects achieved target blood pressure compared to 44% of control subjects
137/75 vs.
143/78 62% vs.
44%
86%
pEER-REvIEWED STUDIES pROvEN OUTCOMES
Significant improvements were observed in almost all diabetes-related outcomes.
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CAREMANAGER IS THE CLEAR CHOICE
“Deepest EHR workflow integration” IDC Health Insights
Begin with a single clinic, scale to the entire system
51 customers, 7 years of peer-reviewed results
INTEGRATED PROVEN SCALABLE
Enli CareManager is the only population health management application available from a third-party vendor that offers bi-directional EHR
integration. Our collaborative, visionary customer base is one of the largest in the industry, and is actively involved in the ongoing development and
success of CareManager.
© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 12
CORPORATE OFFICE
844.572.6400
1600 NW 167TH PL SUITE 330 BEAVERTON, OR 97006
enli.net collaborate@enli.net
Enli Health Intelligence™ is a market leader in population health management.
Enli enables care teams to perform to their full potential by integrating healthcare
data with evidence-based guidelines embedded in provider workflows across the
population and at the point of care.
1. Hunt JS, et al. The Impact of a Physician-Directed Health Information Technology System on Diabetes Outcomes in Primary Care: A Pre- and Post-Implementation Study. Inform Prim Care. 2009;17:165-74.
http://www.ncbi.nlm.nih.gov/pubmed/20074429
2. Hunt JS, et al. A Randomized Controlled Trial of Team-Based Care: Impact of Physician-Pharmacist Collaboration on Uncontrolled Hypertension. J Gen Intern Med. 2008;23:1966-22.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596500/
3. Pape GA, et al. Team-Based Care Approach to Cholesterol Management in Diabetes Mellitus. Two-Year Cluster Randomized Controlled Trial.
http://www.ncbi.nlm.nih.gov/pubmed/21911633
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