Centricity™ Solutions

Population Health ManagementGE Healthcare ITApril, 2015

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Topics

Your Challenges1

Population Health Management Solutions

2

Why GE Healthcare & Caradigm

3

The US healthcare landscape is shifting from volume to value

PHYSICIANGROUPS

HOSPITALS

HEALTHPLANS PATIENTS

SPECIALIZED CONSOLIDATING SHIFTING RISK RESPONSIBLE

Provider financial risk

Care

Model /

IT c

om

pete

ncy

Shared Savings

Bundled Payments

Partial Capitation

Global Capitation

Fee-For-ValueFee-For-Service

• Disconnected silos

• Variation in care, duplication and redundancy

• Provider centric

• Clinically integrated networks

• Evidence-based coordinated care

• Patient and population centric

The transition to Fee-For-Value is gaining momentum

Nearly 700 ACOs, Greater than 20 million lives covered and counting

Emergence of ACOs

Q22011

Q32011

Q42011

Q12012

Q22012

Q32012

Q42012

Q12013

Q22013

Q32013

Q42013

Q12014

Q22014

Q32014

0

100

200

300

400

500

600

700

82 87 105145

196

317342

444471 483

601 616 624 646

Q22011

Q32011

Q42011

Q12012

Q22012

Q32012

Q42012

Q12013

Q22013

Q32013

Q42013

Q12014

Q22014

Q32014

0

5

10

15

20

25

Covere

d L

ives (

Million

s)

Nu

mb

er

of

AC

Os

Estimated accountable care lives

Source: Leavitt Partners ACO data; Accountable Care Growth in 2014; A look Ahead, Health Affairs, January, 2014

Value-based care is here to stay

Source: “Better, smarter, healthier”, www.hhs.org; Healthcare Transformation Task Force (http://www.hcttf.org/)

Managing illness

“… 25% of complex polychronic

patients drive 75% of costs …”

To transition from volume to value-based care, new capabilities will be required to improve outcomes and lower costs

Population Health

Management

Managing health and

wellness“... Right care,

right place, right time ...” Care

Management

PatientEngagement

RiskAnalytics

Data

10

Topics

Why GE Healthcare & Caradigm

3

Population Health Management Solutions

2

Your Challenges1

GE Healthcare IT Solution Portfolio

Enhance diagnostic speed & confidence

Lower cost of treating chronic

disease

Improve health system profitability

Make care pathways

more productive

Integrated Care Solutions

Ambulatory Care

Ambulatory EMR

Clinical QualityReporting

Care Areas

High Acuity

Maternal-Infant

Cardiology

Radiology

Pathology

System-wide

Visualization

Workflow

Collaboration

Archiving

Revenue & Risk Mgt

Revenue Cycle Mgt

Financial Risk Mgt

EDI

Practice Mgt

Profit Analytics

Activity-Based Costing

Contract Modeling

Utilization Management

Optimize workforce productivity

WorkforceManagement

Time & Attendance

Staffing & Scheduling

Patient Classification

HR & Payroll

Data Control

HealthcareAnalytics

Care Coordination& Management

Wellness &Patient Engagement

Enterprise Imaging

Care Delivery Management

Population Health Management

Financial Management

Caradigm offers population health solutions for IDN as well as ambulatory organizations

• 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

Caradigm Population Health Management Ambulatory

Solution

Caradigm Population Health Management Ambulatory

SolutionCaradigm Population Health

Management SolutionCaradigm Population Health

Management Solution

US: Caradigm wins 2014 Best in Biz Awards for Care Management applicationBusiness 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

Customer ChallengesCustomer Challenges

Population health management: Key challenges

11“How can I predict the clinical and financial risk of our patient population?”

Population riskmanagement

22“How can I best care for our high-risk patients with available resources?”

Care coordination and management

33“How can I more actively engage patients so they take a more proactive role in their own care?”

Patient engagement

44“I have a lot of IT systems – can I get one view of the patient?”

Connecting disparatedata systems

Ambulatory customers have unique requirements for population health solution

IDN Ambulatory

“How can I best leverage existing HIT systems while transitioning to value based care?”

“I need a standard, pre-packaged solution that can be easily implemented with limited budget and resources”

11Population riskmanagement

22Care coordination and management

33Patient engagement

44Connecting disparate data systems

Beyond the core HIT capabilities…Beyond the core HIT capabilities…

…Ambulatory providers face unique challenges…Ambulatory providers face unique challenges

55Workflow integration

66Cost and resource challenge

Caradigm Population Health Management Solution

Risk Management

Readmissions Management

Quality Improvement

Hospital Acquired Conditions

Healthcare Analytics

Care Management

Condition Management

Condition and Chronic Disease Management

Care Coordination

and ManagementPersonal Health Record

Wellness and Patient

EngagementCaradigm Intelligence Platform

Health Information Exchange

EMPI

Single Sign-On and Context Management

Provisioning

Knowledge Hub

Data Control

Caradigm Population Health Management Solution addresses critical challenges

Customer ChallengesCustomer Challenges Customer Outcomes1Customer 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?”

11

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?”

22

Provide patient portal with 200+ health empowerment tools

“I need to engage patients to take a more proactive role in their care.”

33

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?”44

1 “Caradigm™ Care Management Propels Geisinger Population Health Strategy into the Future,” Jan. 2014. Results may vary and do not constitute a representation, warranty or performance guarantee.

Caradigm Population Health Management Ambulatory Solution addresses critical challenges of ambulatory customersCustomer ChallengesCustomer Challenges Customer OutcomesCustomer Outcomes

Improved efficiency and effectiveness through automation of administrative and clinical workflows

“How can I leverage existing investments while transitioning to value based care?”

55

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”

66

Caradigm Population Health Management Ambulatory Solution

Identifying high-risk patients withhigh 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

Helps ambulatory providers improve health outcomes and reduce cost by ….Caradigm

CareManagemen

t

Caradigm Risk

Management

Wellness & Patient

Engagement

Data processing & normalization

GE Centricity Portfolio

Healthcare Analytics: Population Risk Management11

Identify most actionable patientsIdentify most actionable patients

Prioritize clinical resources to patients with highest potential for impact

Common Approach:High Cost patients

Using MEDaiAnalytics:

Acute ImpactQuality

ComplianceMotivation

Movers

High Cost Population

High Impact Population

54,552patients

925patients

Savings potential

$7000 PM/PY

Savings potential

$425 PM/PY

1.6 M population

77,000 Diabetics

Savings Potential

$6,403,775

Caradigm Risk Management powered by LexisNexis with MEDai science

Caradigm Risk Management

Predict actionable high-risk patients

Highlight risk and project cost, utilization and savings

Identify care-gaps, managechronic conditions

Care Coordination and Management

Evidenced-based care plans help manage care effectively and efficiently

Right care, right place, right timeRight care, right place, right time

FILE

EHRMONITOR MEDICATION LABFILM

CONSENTEMERGENCY DOCUMENT EVENTS

CARE MANAGER

PHONEMULTIPLE SYSTEMS

WORKLIST

AT-RISK PATIENTSPHYSICIAN NURSE

PLAN OF CARE

Caradigm Care Management

Personalized evidence-based care plans

Automated and integrated workflows

Real-time, event-based alerts and messages

22

Wellness and Patient Engagement

Empower patients using convenient and high impact patient engagement tools and resources

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

Engage patients, improve outcomesEngage patients, improve outcomes

33

Data Control: Data processing and normalization

One patient, one record available at the point of care

Create comprehensive longitudinal patient record

Create comprehensive longitudinal patient record

Data formats

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

44

Closing the loop on care coordination by seamless integration with EMR and PM workflows

Improved clinician efficiency and effectiveness through automation of administrative and clinical workflows

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

Analyze Enroll & Design Monitor Manage

$Care

Manager

EMR

PM

• 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

• Identify high risk patients

• If eligible, refer to CM

Stratify population

• Design care plan• Share with PCP

• Monitor progress• Assess compliance

• Respond to event alert

• Notify PCP/care team

PH

M S

olu

tion

PH

M S

olu

tion

Exis

ting

EM

R/P

ME

xis

ting

EM

R/P

M

Monitor care plans

CoordinateinterventionA Enroll in

Care MgtB D E

Engage PCPin care planC Execute

interventionF

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.

Caradigm professional servicesHelping you get the most from your software investment

Early Engagement Early Engagement

Planning

Analyze current state

Design optimal solution

Design optimal workflow and tailor investment to

meet unique organizational requirements

ImplementationImplementation

System Configuration

Test and refine

Scale

Organizational readiness and adoption of workflow

and process improvements

UtilizationUtilization

Education and training

Continued support

Performance monitoring

Drive adoption, monitor ongoing performance,

drive improvements and adaptation to industry

challenges

A robust partner ecosystem with extended capabilities Applications

Identify and Access Management Health Information Exchange

Implementation/Advisory/Consulting

Software-enabled population health solutions Software + Services + Ecosystem

PopulationHealth

Management

Centricity: Business, EMR, Practice Solution, Financial Risk Manager, EDINon-GE: EMR; Claims; Clinical; Imaging; RX; Lab; HIE etc.

Clinical & Claims Data

Caradigm Intelligence Platform + GE/Caradigm implementation services

Data Aggregation & Normalization

Caradigm Risk Management powered by LexisNexis with MEDai scienceRisk Management

Caradigm Care Management, based on collaboration with Geisinger Health Plan

Care Management

Caradigm Intelligence Platform + Get Real Health InstantPHRTM

Wellness & Patient Engagement

29

Population Health Management Solutions

2

Why GE Healthcare & Caradigm

3

Topics

Your challenges1

Transform healthcare through industry-leading innovation

State-of-the-art analytics and

applications for population

health

Deep healthcare expertise and a track record of

innovation+ =

Better care, lower cost

Healthier population

Greater productivity

OutcomesOutcomes

Population health management is key to improving care quality, and reducing cost in a value-based care delivery modelTypically 25–30% of high-risk patients

drive greater than 70% of costs

Nearly 5–10% of the population are complex, polychronic and require dedicated care management

Source: Customer metrics program. Results may vary and do not constitute a representation, warranty or performance guarantee.

Population Health Management

Analytics Risk Cohort Care Mgt.

Caradigm customers have reduced hospitalizationof chronic patients by

Caradigm customers have increased efficiency of their care managers by

40%

25%

A trusted partner for your population health journey

11 Strong focus on software-enabled population health solutions

22Committed to continued innovations that improvepatient health outcomes

33Trusted partner in driving measurable outcomesOur success is defined by your success

33

Questions