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PRECISION
piloting healthcare coordination in hypertension
© optima integrated health
© optima integrated health2
Operations: Loss Due to Avoidable ED Visits and Hospitalizations
For every 1000 patients with HTN, every year:
Patients visiting ED for HTN-related symptoms and complications (50%)
500
Cost of ED Services (500 x $1,233) $600,000Cost of Hospitalization (35% of ED visits @ $20,000/admission) $3,500,000Cost of Rehabilitation/Ambulatory Services (50% of Hospitalizations @ $12,000/patient)
$900,000
Cost of In-Patient Surgical Procedures (10% of Hospitalizations @ $70,000/patient)
$1,050,000
Overall Cost of Care for the 500 Patients visiting the ED $6,050,000
optima4BP Demo:
The Naked Analytic Intelligence
Medication Optimization Decision Support Workflow
© optima integrated health4
Assessment Is BP lowering On Track?
Do NothingOngoing
Surveillance
ACTIONGenerate Treatment
Optimization Recommendation
SURVEILLANCECollection and
Organization of Data Updates? YES
NO
ASSESSMENTDoes treatment
require optimization?
YES
NO
YES NO
ACTION sent to EHR In-Basket Risk Stratified Patient Roster
© optima integrated health5
EHR In-Basket Decision Support Recommendation
Outcomes
6 © optima integrated health
Interoperability: EHR - data “dump”
Care Coordination: adoption based on availability of RN support
Clinical Efficacy: Implementation of optima4BP recommendation: in BP Inertia: in BP/side-effects severity/symptoms
Lessons Learned
7 © optima integrated health
Interoperability: Chasing the Data - built own query and automation tools
Care Coordination: Risk Stratified Recommendations
Clinical Efficacy: Trusting the Analytic Intelligence
Next Steps
8 © optima integrated health
Ready to pilot/deploy optima4BP to other sites
Pipeline Development: optima4heart