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In Dr. Khan’s panel discussion, she discusses how population health management enables healthcare organizations to meet their operational, financial and clinical goals, by leveraging advanced analytics to identify critical gaps in care and streamline administrative costs. At the population-level, real-time analytics can assist hospitals, providers and ACOs to more effectively manage chronic conditions, reduce hospital admissions and readmissions, and ultimately may improve patient outcomes. She also discusses that by incorporating both real-time clinical information and claims data, providers can obtain a comprehensive view of their entire population data landscape, and thus are able to identify those with the greatest noncompliance risk and the most actionable clinical opportunities for improvement.
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The Next Generation of ACOS
Achieving Healthcare Transformation
Through Care Coordination and
Collaboration
October 7, 2014
Fauzia M. Khan MD., FCAP.
Chief Medical Officer, Alere Analytics
1
Alere’s Vision
All of healthcare, connected Immediate and timely access to the complete patient’s history from
all venues of care, from in-home diagnostics to acute care
Health records activated The best medical guidelines applied to the resulting
“one patient, one chart”
Physicians and patients engaged Alerts and recommendations proactively delivered to physicians and
patients at the right place, at the right time
Better outcomes achieved Avoidable errors reduced, higher acuity avoided, healthcare costs managed,
and operational efficiency increased due to adherence to plans and protocols
2
Alere’s ACO Solution Platform …
ALERE CONFIDENTIAL
3
Universal Healthcare Transformation Goals
Improve healthcare delivery by:
Reducing preventable errors
Improving healthcare outcomes
Enhancing utilization and operational efficiency
Managing healthcare expenditure
4
Alere’s Solution Approach
Connect all of healthcare, from the patient’s home to the acute
care setting
Provide convenient access to complete patient history and
personalized evidence-based guidelines to improve care standard
for lower-acuity patients
Use the best medical evidence to identify and risk stratify patients
with chronic conditions and provide targeted care management
Provide intensive case management support through
comprehensive team deployment for high risk patients
Constantly measure and improve programs
5
Alere Analytics
Provides physicians with a set of patient-specific actionable
recommendations prior to each visit, and alerts physicians
of possible gaps in care between visits
Similarly provides patients with actionable
recommendations based on the routine flow of observations
from across the connected ecosystem
Recommendations are driven by a rules engine with 30k
evidence-based rules and guidelines
Rules can be easily customized to include institution
specific guidelines and best practices
6 Confidential ©2013. All rights reserved.
Provider and Network Performance
Longitudinal tracking of high-risk groups
Clinically-based Utilization Reporting
Utilization Rates across all settings
Incorporates claims and clinical data
Physician specific Costs (per patient, per episode, etc.)
Population Health Management
Risk Stratification
Real time alerts for missing and insufficient HCC codes
PCMH and ACOs reimbursement on HCCs
Calculates Evidenced Based Care Gap (EBCGs) and Cost Scores
Perform Patient Outreach
7 Confidential ©2013. All rights reserved.
Actionable Population Profiling
Quality indicators
Savings & opportunities
Population Dx-specific dashboards
8 Confidential 8
©2013. All rights reserved.
Geo - Segmentation
9
Care Providing Organizations
• 8 Hospitals and EDs
• 200+ Ambulatory Practices
• 6 Ambulatory Surgical
Centers
Trading Partners
• 4 Imaging Centers
• 4 Laboratories
• SureScripts
Hospital Information Systems
• Cerner
• Epic
• McKesson
• Siemens Soarian
Berlin
Hospital
Atlanticare
Atlantic
City
Virtua
Voorhees Quest
Larchmon
t Imaging
Atlanticare
Galloway
South
Jersey
Radiology Atlantic
Imaging
Memorial
Hospital
Marlton
Hospital SureScripts
LabCorp
Connected Healthcare Across Southern NJ
Children’s
Philly
New
Jersey
mmuniz.
Registry
Affiliated
Practices
Virtua
Lab
AtlantiCare
Lab
CHOP
Lab
Virtua
Imaging
CHOP
Imaging
"We appreciated the vision Alere had for
providing a central source for all the patients
information. Physicians now have access to
patient laboratory, radiology, pharmacy, and
visit data from multiple different sources all in
one place, allowing us to build up to care
coordination and value-driven care.”
-- Al Campanella, EVP, Strategic Business
Growth & Analytics at Virtua Health
Electronic Health Records
• Alere EHR
• Allscripts
• eClinicalWorks
• GE
• HMS
• NextGen
• Practice Fusion
• Sage
• STI
10
Thank You
ALERE CONFIDENTIAL
Contact:
Fauzia M. Khan MD., FCAP.
Chief Medical Officer
Alere Analytics
