Healthy Nevada: A Cerner

ProjectPutting Health at the Heart of the Community

Kelly Ast, Community Coordinator

Denise Schuele, Health Strategist

Social Determinants of Health

40% SOCIAL AND

ECONOMIC FACTORS

10% PHYSICAL

ENVIRONMENT

20% CLINICAL

CARE

30% HEALTH

BEHAVIORS

BRNDEXP 3.0 © Cerner Corporation. All rights reserved.

This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.2

Source: Bankowitz, Richard A, EVP of American Health Insurance Plans (AHIP). “Future of Managed Care and Population Health.” The Seventeenth Population Health Colloquium. March 27, 2017.

Market Pulse

Leverage

system assetsInfrastructure

Clinical data

Wellness portal

Community

assessment

Reporting/analytics

Expand

partnershipsCommunity advancement

policy, system & practice

Health Systems

Employer Networks

Community Organizations

Schools

Public Health

Empower

individualsEquip with tools for health and

well-being opportunities

Personalized engagement

Member marketing

Community referral

Health navigation

Health coaching

Drive optimal well-being to improve health outcomes

and increase personal accountability for health.

Our model for community well-being

BRNDEXP 3.0 © Cerner Corporation. All rights reserved.

This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.5

Our roadmap to community well-being

Limited

Pathways

Getting By

Community

Used Car

Lots

E-cig Vape

Shops

Health + Care

Disconnect

Damaged

Side walks

Unhealthy

days

Fast

Food

Check

Cashing

Intermittent

Services Getting

Ahead

Community

Personal

Accountability

Wellness

at HomeHealthy days

Farmers Market

& Grocery

Advancement

Transportation

Models

Preventative

Screenings

Worksite

Wellness

Clean

indoor air

Financial

workshops

Walking &

Bike Routes

Clinical

Driven

BRNDEXP 3.0 © Cerner Corporation. All rights reserved.

This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.6

1. Clinical screening for social determinants

2. Referral to community services

3. Introduction of New Roles – Care team

Social & Community Health Workers

6 international models

4 domestic & 3 indexes

5 CMS domains

Social Determinants of Health – Market Pulse

“Emerging evidence show that

addressing health-related social

needs through enhanced clinical-

community linkages can improve

health outcomes and reduce costs.”

- CMS

Increases Risk of Chronic Conditions

Increases Health Care Costs

Reduces Individual’s Ability to Manage

Conditions

32 Accountable Health Communities

Regulatory Alignment - Top 3

MIPSAPM

(CPC+)Unmet Social Needs

CMS - Cost on Health Care

Social Determinants of Health & Cerner

Health System Innovators

Community Innovators

Cerner’s Academic &

Population Health Research

Client Case StudyHealthy Nevada

Healthy Nevada

Innovation Center connects community in town square

Address critical gap between clinical

care and community services

Focuses engagement tactics on improving

health behaviors, environment and lifestyles

Public and private partnership

Identifies and addresses social determinants of health

Healthy Nevada Population Health Community Model

Healthy Nevada Wellness Account

Community challenges have

led to 2,970 pounds weight lost

and 663,024,505 steps logged

Personal Health Assessments drive employee health efforts

96% completion among

small businesses

Easy access with

the Mobile App

3,395 LIVES

36 EMPLOYERS

80% of employers provide

health insurance

74% of employers

Identified productivity

and well-being as a top priority

94% of employers

provide paid leave

$15.64INCREASE IN MONTHLY

MEDICAL COSTS

ONE UNHEALTHY DAY

Healthy Nevada Improves the Health of Residents

Unhealthy

Days

Premature

Death

Health

Behaviors Social &

EconomicClinical

Care

Environment

Today’s HEALTH Tomorrow’s HEALTH

Health Outcomes

Health Factors

*based on Humana unhealthy day cost model – physical and mental health

Healthy Nevada – Vernon County Health Rankings

Healthy Nevada Takes #2 Seed in Rural, Missouri

HEALTHY NEVADA - VERNON, MO

Best Wins in Conference

HEALTH BEHAVIORS

HEALTH OUTCOMES

2nd

2nd

16th

19th

RANK

HEALTH BEHAVIORS

HEALTH OUTCOMES

LAST 5 SEASONS2012 to 2017

Rural Counties >20,000 PopulationOut of 29 Counties in Missouri Out of 268 Counties in Midwest

MISSOURI HEALTH OUTCOMES5 YEAR TREND

Healthy Nevada Improves Health Behavior Rank by 45%

Playgrounds, trails & bike

routes, sidewalk improvementMental health court established

30+ community

partners

PDMP First SW

Missouri county to adopt

100% employers tobacco-free

8.2% fewer mothers smoke115,000 + servings fresh produce to high-risk

633 million steps by adult challenge participants

7,600+ miles walked by students each month

140,000 minutes monthly reduced of

screen time by students