HIT | Addressing Issues That Keep Senior Living Leadership Up at Night

• The basic requirements needed for success.•Using HIT as a tool in the business.• Technology integration & adoption rates.•Data Analytics and its role in LTPAC•Artificial Intelligence and New Technologies

Topics to be covered:

Tony Coco, President & CEO Andy Belval, Chief Revenue Officer Cora Butler, President & CEO

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Material included within this presentation is believed to be accurate at the time of delivery. While it includes information related to regulations and legal matters as well as financial estimates, it does not constitute legal or financial advice.

If you require legal advice, you should consult with an attorney within the appropriate jurisdiction for your personal or business activities. If you require financial services, you should consult with an accountant or financial advisor.

Information provided here is for reference only and does not constitute professional advice or services from Mediprocity, Inc. Mediprocity, Inc. is not responsible for third party content or material located on links contained within this presentation.

Where do we stand?

10 http://www.myhealthtechblog.com/2009/08/an-example-of-workflow-complexity-for-ehr-implementation.html

Admissions

Assess, Person-Centered Care

PlansAssemble Chart,

Create MAR, Create TAR

Labs, Physician orders, Physical-Therapy Records

Labs, Physician orders, Physical-Therapy Records

HIT in Long Term Care: Where do we stand?

11 Health information technology in LTC: Where do we stand? https://www.iadvanceseniorcare.com/blogs/john-derr/health-information-technology-ltc-where-do-we-stand

• Characteristically, Long-Term Care has often been considered synonymous with Nursing Facilities/SNF.

• Historically, LTC facilities have been siloed.

• In the evolving world the health systems need to be interoperable and interconnected via the electronic health record (EHR) in order to break the silos.

Adoption of HIT within LTPAC Spectrum

• Long-term care facilities provide a wide range of services, both medical and personal care, to individuals who are no longer able to manage independently in the community

• HIE in facilities with EHR is FIVE TIMES better than facilities that do not use an EHR or an HIO.

• As per MO HIT AC, in 2016

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• Long-term care facilities that have an EHR, 45.6%

• Long-term care facilities that have an EHR and are using a HIE, 33.6%

http://hmi.missouri.edu/mohit/Long-Term_and_Post%20Acute_Care_Report_2016.pdf

Government efforts to advance interoperability among these settings of care

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1. Shift in Medicare payment that focus on value and population health management.

Adoption of HIT within LTPAC Spectrum

2. Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 requires SNFs to report standardized patient assessment data through standardized Minimum Data Set

3. Medicaid HITECH funds are available to support states in their initiatives to expand interoperability and data sharing.

SNF and Quality Reporting

14eSolutions: Improving Your Nursing Home Star Rating Infographic Serieshttps://www.esolutionsinc.com/blog/improving-your-nursing-home-star-rating-infographic-series-part-2

https://www.covisint.com/robohelp/comm_dashboard1/Work_Scenario_Flow_DIagram.htm15

Where should we stand?Seamless Integration

Transition of Healthcare

16https://caremilestones.com/2013/05/22/lessons-from-the-railroads-were-in-the-healthcare-business-not-in-the-hospital-business/

SharedRisk

(Bundled Payments)

Basic Requirements to get there

Knowledge derived when data of care management is analyzed to improve particular aspect of health.

Set of tools to transform system data into meaningful and useful information for business analysis purposes.

Tools used to identify the business’ critical needs, enhance efficiency, quality of care and overall improvement. Example: spreadsheets, charts, surveys, financial statements, and diagrams.

17https://www.mediware.com/rehabilitation/blog/what-is-clinical-intelligence-why-is-it-necessary-part-1/ http://www.accubisolutions.com/accubi-services/business-intelligence-descriptive-analytics/https://www.sehealthcarequalityconsulting.com/solutions/performance-improvement-tools/

Clinical Intelligence

Business Intelligence

Performance Improvement

Why do we need to evolve?

• Increase in population size.

• Aging population that are living longer.Demographics

• Increase in life style induced diseases.

• Increase in chronic diseases.Disease Patterns

• Health is valued more today.

• Residents decide on care.Consumer Behavior

• Incentives for EHR Platforms.

• Mandate for individual engagement.Government

Pressure

18https://www.slideshare.net/AchieveInternet/open-source-healthacquiafinalv220130415-21268249

What’s the Need of the Hour?

19https://www.navedas.com/real-world-examples-of-ai-and-healthcare-in-action/

TECHNOLOGY FACILITATED HEALTHCARE

• Health Information Technology• Allows the exchange of health information in an electronic

environment to improve the quality of health care, prevent medical errors, increase efficiencies, and expand access to affordable health care.

• Artificial Intelligence in Healthcare• Artificial intelligence (AI) in healthcare uses algorithms and

software to approximate human cognition in the analysis of complex medical data.

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US Department of Health & Human Services: Health Information Technologyhttps://www.hhs.gov/hipaa/for-professionals/special-topics/health-information-technology/index.htmlWikipedia: Artificial intelligence in healthcarehttps://en.wikipedia.org/wiki/Artificial_intelligence_in_healthcare

What’s all the chaos about?

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https://www.medimaging.net/imaging-it/articles/294770910/study-shows-electronic-hie-could-save-billions-in-healthcare-costs.htmlhttps://www.linkedin.com/pulse/role-ai-healthcare-in-depth-guide-thomas-riisgaard-hansen

The Need for AI in Healthcare

Individual located internet sources

Resident’s

Can I Help?

PATIENT / RESIDENT ENGAGEMENT AND

POPULATION MANAGEMENT

Using HIT as a powerful tool

The Institute of Medicine identified key functionalities of health information technology for long-term care setting:

• Health Data Management,

• Supportive Documentation,

• Point-of-care,

• Assessment and Care Planning,

• Electronic Prescribing,

• Computerized Physician Order Entry (CPOE),

• Electronic Health Records (EHRs), and

• Telehealth.

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Institute of Medicine (IoM) Committee on Data Standards for Patient Safety: Key Capabilities of an Electronic Health Record System: Letter ReportNational Academies Press, Washington, DC (2003)Booz Allen Hamilton: Evaluation Design of The Business Case of Health Technology In Long-Term Care: Final ReportOffice of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services, Washington, DC (2006)

Data Analytics and AIa powerful combination

23https://www.slideshare.net/Dataversity/dia-slides-descriptive-prescriptive-and-predictive-analytics

24 http://www.milliman.com/uploadedFiles/insight/2017/predictive-analytics-long-term-care.pdfhttps://www.datasciencecentral.com/profiles/blogs/prescriptive-analytics

Analytics and AI Predict the Future

Predictive analysis has taken long to get its foot-hold in the LTC space, but it promises to have a lasting impact now that it has arrived.

Predictive analytics offers several opportunities to Long-Term Care Providers. The most significant are:

• Predicting resident behaviors• Predicting the value of care delivery• Predicting financial costs• Assistance in performance improvement

1. Identifying medication variation

Average increase of drug cost is over 23% per year

• By analyzing patient profiles, prescribing physicians, medications, costs, and outcomes, the advanced systems can help the team make evidence-based decisions and drive down costs.

2. Physician selection for capitation contracts

CMS plans to move 50% of payments to value-based care by end of 2018.

• Understanding physician performance and variation by patient-type, one can select the best physicians to handle at-risk patients. The complexity of patient profiles makes this a difficult process without the tools to automatically understand, sort, and compare outcomes by physicians.

3. Predictive Denial Management

Denial rate averages can be as high as high as 5% for Medicare.

• By tracking the entire patient billing record from authorization through claims, an intelligent denial management system can flag problem areas and suggest interventions.

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AI Tools Track Performance & Support Finance

AMA’s National Health Insurer Report Card – $12 Billion Could be Saved Through Increased Claims Automation: http://www.policymed.com/2013/07/amas-national-health-insurer-report-card-12-billion-could-be-saved-through-increased-claims-automation.html || https://www.slideshare.net/RickCamp1/care-delivery-with-electronic-prior-authorization-5714-ncpdp-annual-conference-presentation || http://www.porteck.com/how-it-works.htmlReferralmd - The Hospital Executive’s Guide: Six Ways to Leverage AI for Hospital Operations: https://getreferralmd.com/2017/02/hospital-executives-guide-six-ways-leverage-ai-hospital-operations/CMS - Better Care. Smarter Spending. Healthier People: Paying Providers for Value, Not Volume: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-01-26-3.html

Resources1. Healthcare IT News – 2017: The Year Ahead in Healthcare Information Technology

http://www.healthcareitnews.com/news/2017-year-ahead-healthcare-information-technology

2. Healthcare IT News – How AI is transforming healthcare and solving problems in 2017 http://www.healthcareitnews.com/slideshow/how-ai-transforming-healthcare-and-solving-problems-2017?page=3

3. Accenture – Artificial Intelligence: Healthcare’s New Nervous System https://www.accenture.com/us-en/insight-artificial-intelligence-healthcare

4. Journal of PeriAnesthesia Nursing – Machine Learning in Healthcare http://www.jopan.org/article/S1089-9472(17)30322-2/abstract

5. HIMSS 16 – Rise of the Intelligent Machines in Healthcare http://www.himssconference.org/sites/himssconference/files/pdf/INV%201.pdf

6. Journal of the American Medical Directors Association – Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes https://www.ncbi.nlm.nih.gov/pubmed/26975206

7. Journal of the American Medical Directors Association – Successfully Reducing Hospitalizations of Nursing Home Residents: Results of the Missouri Quality Initiative https://www.ncbi.nlm.nih.gov/pubmed/28757334

8. American Medical Association – Electronic Prior AuthorizationThe prior authorization burden - https://youtu.be/cLpY_RiAxIgSimplifying prior authorization - https://youtu.be/0apTJSiNJ-UA better way: ePA and beyond - https://youtu.be/z6G85kxdlxg

9. Nuance Healthcare – Say hello to Nuance’s AI-powered virtual assistant solution & smart speaker designed for healthcare https://youtu.be/qwRyjKAo3Ko

10. iAdvance Senior Care - Health information technology in LTC: Where do we stand? https://www.iadvanceseniorcare.com/blogs/john-derr/health-information-technology-ltc-where-do-we-stand

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Questions ??

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Thank You!

www.BlueStrataEHR.comwww.HealthCoreValue.comwww.KeystoneTechnologies.com

Where do you find more information on our companies?

Tony Coco, President & CEO Andy Belval, Chief Revenue Officer Cora Butler, President & CEO

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