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© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Quarterly Business Review
Rutherford CountyQ2 2019
2© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Attendees
• Ed Elam, Director, Insurance and Risk
Management
• Sonya Stephenson, HR Director
• Rebecca Dexter, Vice President, Operations
• Dr. Cathy Womack, Regional Medical Director
• Shannon McNair, Director, Client Operations
• Jay Brown, Partner and Tennessee Office Leader
• Jake Davis, Principal Consultant
3© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Agenda
A Joint Roadmap
B Key Discussion Points: Roadmap
C Performance Metrics
D Primary Care Metrics
E Member Experience
F Industry Trends
G Best Practices
H Future Considerations / Next Steps
4© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Client: Strategic & Tactical Premise
Joint RoadmapA
Mobile Wellness
• Pilot at Risk Management Office for surrounding offices 1 day/
month
• Third Tuesday of every month (times TBD pending interest)
• Starting October 15, 2019
Mobile Biometric Screenings for 2019
• Pilot mobile biometric screenings in 2019 at school clusters?
Marketing Campaign for Virtual Health
• Offer members virtual appointments for lab result review as an
option in place of an onsite visit.
Changes to phone logistics to allow decrease in drops
before voicemail picks up
Review Mercer Assessment Report
• Member Engagement/Utilization
• Complete Mercer assessment of MedPoint clinics:
• Environmental Inspection
• Clinical Quality
• Administration
• Member Engagement
• Risk, Safety, Quality
• Technology, Integration, Reporting
5© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Areas for Continuous
Improvement
Performance Success
• Wait times are down at all three sites this quarter with an
aggregate wait time of 8.0 minutes.
• Portal Awareness and Active rates have fallen to 75.6% and
63.5%, respectively. Will continue to promote portal use.
• Out of 1,689 unique members this quarter, 1,535 saw a provider
for a visit resulting in 2,338 visits.
• Despite A1c screening falling to 95.65%, the number of attributed
diabetics who received a screen increased from 9 in Q1 to 23 in
Q2.
• Portal utilization remained strong with 178 medical advice and
114 medication refill requests this quarter, as well as 1,137
appointments scheduled through the portal. This accounted for
31.1% of all scheduled appointments
B Key Discussion Points: Roadmap
6© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Performance MetricsC
Metric Result Target
Performance
Guarantees
• Penetration Rate• 25.3% • >25%
• Budget Adherence• 96.8% • <105%
• Patient Satisfaction • NPS 90 • NPS>60
• Invoice Accuracy • 0 adjustments • <5% adjustment
7© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Wait Time (min) Third Next Available (days)
Completed Appointments
Clinical Quality Value
Operational EfficiencyMember Experience
HTN: BP Screening
DM: HbA1c
Screening
Primary Care MetricsD
8© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Value – Visits
Provider Visits Trend
Completed Appointments TrendCompleted Appointments by Top 5 LOS
Provider Visits by Top 5 LOS
Completed Appointments
Provider Visits
Insight:
2,338 Provider Visits
completed.
9© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Value – Members
Unique Members
Unique Members TrendUnique Members by Top 5 LOS
New Members by Top 5 LOS New Members Trend
Insight:
1,535 Unique
members saw the
provider in Q2.
10© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Value – Count of Unique Members by Completed Appointments
Count of Unique Members by Completed Appointments
11© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Local Virtual Health
VH – Video Visits Trend
VH – Phone Consults Trend
VH – Video Visits
VH – E-Visits TrendVH – E-Visits
VH – Phone Consults
12© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Value – Appointments
Scheduling Method
Walk-In, Same Day and Scheduled
13© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Visit Value Year to Date
Total Clinic VisitsProvider Primary Care
VisitsUnique Members
Q1 20192,761 2,471 1,635
Q2 20192,736 2,338 1,689
Q3 2019
Q4 2019
YTD 5,497 4,809 2,550
14© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Clinical Quality – Diagnoses
Top 10 Diagnoses – Unique MembersPreventive and Wellness
Services – Unique Members
Hypertension continues
to be the top diagnosis
for MedPoint members in
Q2. Hypertension was
the diagnosis that
resulted in the highest
percent of total plan
spend in 2018 per the
Cigna CAP Report.
15© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Member Experience – My Premise Health Portal
Medication Refill Requests Trend
Medical Advice Requests Trend
Medication Refill
Requests
Medical Advice
Requests
E
16© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Key Industry TrendsF
As we look towards 2020, research suggests that healthcare costs may rise at a faster rate than in the
past years, so employers will need to respond to the following developing trends to stem this increase
• Increasing prices
- Americans with Employer Sponsored Insurance are not getting any additional care at the aggregate level, but the care they are receiving has a
larger and larger price tag
- Employers will need to continue finding solutions to facilitate smart shopping by members and ensuring members are receiving care from the
highest value doctors at the highest value facilities
• Increasing prevalence of chronic diseases
- Studies indicate that 62% of members in a given employer population have a chronic or complex chronic condition, which drives 85% of the
total employer based healthcare spending
- Recent report identified ~20% of ER visits occurred for complications or issues associated with chronic conditions that could have been treated
in primary or ambulatory care setting
• Increasing dissatisfaction with rising deductibles
- Studies indicate that 42% of members on an employer-sponsored plan surveyed in the report said they were dissatisfied with their deductible;
frustration has been building as growth in employee cost sharing has surpassed wage growth in the past few years
- Outsized deductibles are now leading to members delaying or forgoing care, which has the potential to increase costs in future year
Sources: Medical cost trend: Behind the numbers 2020; Health Research Institute; June 2019; Ready, Risk,
Reward: Improving Care for Patients with Chronic Conditions, February 2019
17© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Best PracticesG
Member Engagement
• Making it easy for members to find the health center is
critical to success but can be challenging for Clients for
a variety of reasons
• Best practices include (1) clear and frequent signage
across the campus, (2) reminders included in HR and
benefits-related emails, and (3) location details on Client
intranet sites
Clinical Quality
• Design a benefit plan to incentivize participation in
condition improvement programming
• Effective incentives include (1) waived co-payments for
condition-related visits, (2) subsidized or free condition-
related medications, and (3) waived fitness center
membership fees for the duration of participation in the
condition management program
Biometric Health Screening
• An annual screening event drives prevention and early
detection of health risk and potential underlying
conditions
• Results from these events increase the likelihood of
engagement in additional employers sponsored
wellness programs and the onsite wellness center,
leading to improved health outcomes and lowering the
trajectory of employer related healthcare trends
Wellness
• Promoting and enabling a culture of self-care – any
activity that we do deliberately in order to take care of
our mental, emotional, and physical health – is
increasingly recognized as foundational to successful
Wellness programs
• According to the Harvard Business Review, wellness
programs are less effective without a culture in which it
is acceptable and encouraged to prioritize self-care
18© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Future Considerations / Next StepsH
Next Steps:
• Mercer Site Assessment
Report
• Support open enrollment
efforts and education of
clinic opportunities
• Health Fair- flu shots and
wellness booth
Accountable Party: Timeline:
• Mercer
• Premise Health
• Premise Health
• September/October 2019
• Present- October 2019
• October 2018, 2019
1919© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Appendix
20© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Rutherford County Medpoint Clinics - Blackman – Q2 2019 Quarterly Report
Wait Time (min) Third Next Available (days)
Completed Appointments
Clinical Quality Value
Operational EfficiencyMember Experience
HTN: BP Screening
DM: HbA1c
Screening
Rutherford County Medpoint Clinics - Blackman
21© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Rutherford County Medpoint Clinics - Stewarts Creek – Q2 2019 Quarterly Report
Wait Time (min) Third Next Available (days)
Completed Appointments
Clinical Quality Value
Operational EfficiencyMember Experience
HTN: BP Screening
DM: HbA1c
Screening
Rutherford County Medpoint Clinics - Stewarts Creek
22© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Rutherford County Medpoint Clinics - Walter Hill – Q2 2019 Quarterly Report
Wait Time (min) Third Next Available (days)
Completed Appointments
Clinical Quality Value
Operational EfficiencyMember Experience
HTN: BP Screening
DM: HbA1c
Screening
Rutherford County Medpoint Clinics - Walter Hill
2323© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
Metric Definitions
24© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
• Wait Time
- Average wait time in minutes is measured between a member checking in or appointment time, whichever is later, androoming documentation being entered by the first clinician that the member sees. Wait times over 24 hours areexcluded from the Wait Time calculation.
• Third Next Available
- This metric shows the number of days (not counting non-worked days) until the third available appointment slot, acommon industry-wide business metric. This information is used to estimate clinician accessibility and is automaticallycalculated by the system which looks for the first third appointment by date and time when an appointment request ismade. This metric is calculated over PC/Occ departments only.
• Completed Appointments
- This metric tracks the number of scheduled appointments with a status that is considered completed with any clinicianor visit type.
• New Members
- A New Member is any member who has not had a completed encounter with any clinician at a location in 36 months.
Metric Definitions
25© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
• Unique Member
- Unique Member is the count of members with a visit, including completed appointments and other face-to-faceencounters (i.e. mass campaigns like Flu or Biometric events) which create an encounter but not an appointment onthe schedule. Members are only counted once during the time frame. The number in the box represents the totalunique member count for the time frame. The unique member count shown in the department represents the uniquecount for that department.
• My Premise Health Active or Offered
- My Premise Health Activation Rate is the percentage of completed appointments where the member was My PremiseHealth active or offered prior to or within 30 days following the visit.
• DM: HbA1c Screening
- Percentage of diabetics aged 18-75 who are Attributed to the health center who had a HgbA1c screening in the past 12months.
• HTN: BP Screening
- Percentage of hypertensives aged 18-75 who are Attributed to the health center who had a blood pressure screening inthe past 12 months.
Metric Definitions
26© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.
• Walk In
- The appointment was scheduled within 1 hour of the appointment.
• Same Day
- The appointment was scheduled on the same day as the appointment, but more than 1 hour before the appointment.
• Scheduled
- Appointment was scheduled prior to day of appointment.
• Phone Activity
- Count of phone call activity performed by staff. These phone calls are not billable encounters. This count is not included in the phone consult count in local virtual health.
• Outgoing Referrals –
- Count of total referrals made to providers who are not affiliated with the Premise Health Center that were not cancelled or denied.
• Internal Referrals –
- Count of total referrals that are made to services that are supplied by Premise Health that were not cancelled or denied.
• Vendor Referrals
- Count of total referrals ordered for external vendors (these services are not provided by Premise Health Center).
Metric Definitions
© 2019 Premise Health. All material contained in this
presentation is extremely confidential and is not for distribution.