Embed Size (px)
Citation preview
1
How to Wire and Scale Primary Care InnovationAn Innovation Preconference Symposium Session
Session INV2, February 19, 2017
Sandeep Acharya, VP of Strategy and New Business, One Medical
Edwin Miller, Chief Technology Officer, Aledade
Christopher Sharp, MD, Chief Medical Informatics Officer, Stanford Health Care
2
Sandeep R. Acharya
VP of Strategy and New Business
One Medical
SAN FRANCISCO, CA
@onemedical
Christopher Sharp, MD
Chief Medical Informatics Officer
Stanford Health Care
PALO ALTO, CA
@tophersharp
Santosh Mohan, MMCi FHIMSS
Health Care IT Industry Analyst
Chairperson:
HIMSS Innovation Committee
@santoshSmohan
Edwin Miller, MBA
Chief Technology Officer
Aledade
BETHESDA, MD
@EdwinMillerHCIT
Today’s Moderator and Panelists
3
Sandeep Acharya
Has no real or apparent conflicts of interest to report.
Edwin Miller, MBA
Has no real or apparent conflicts of interest to report.
Christopher Sharp, MD
Has no real or apparent conflicts of interest to report.
Santosh Mohan, MMCi CPHIMS FHIMSS
Has no real or apparent conflicts of interest to report.
Conflict of Interest
4
• Review new and established technologies reinventing primary care models
• Demonstrate how to build sustainable models that meet consumer demands,
and simultaneously support the transition to risk
• Discuss IT-enabled tactics to facilitate team-based care, scale resources
across the network, use virtual channels to manage populations over time, and
engage patients beyond the clinic
• Identify strategies to generate clinical and financial returns from cost-effective
care management
Learning Objectives
5
Panel Introductions1
Overview:
New, IT-Enabled Primary Care Models2
Discussion:
How to Wire and Scale Primary Care Innovation3
Agenda
6
Overview: One Medical
7
One Medical’s Primary Care Model
8
Benefits Realized for the Value of Health IT
Satisfaction• 75-90% Net Promoter Scores
• CAHPS scores in mid-90s
Treatment
/Clinical• 90%th percentile HEDIS Scores across
Electronic
Secure Data
• Vetted and ultimately passed test with
several Fortune 500 clients
Patient
Engagement• >1 virtual touch per patient annually
Savings• 5-10% savings demonstrated in
payer studies
9
Overview: Aledade
• Founded June 2014
• Farzad Mostashari, MD – CEO
• Mat Kendall – EVP Provider Networks
• Edwin Miller – CTO
• 15 primary-care ACOs in 24 markets
• ~200k patients
• ~1,000 providers
• ~2.5B spend under management
• MSSP and Commercial contracts
10
Aledade’s Primary Care Model
• Goal: PCP transition to risk-based models while staying independent
• Contracting and regulatory/policy expertise
• Regional governance
• Evidence based playbook
• In-practice transformation teams and coaching
• Population health platform
Contracting
at ScaleProven
Field
Operation
s
Cloud-Based
Population Health
Software
11Confidential and Proprietary
End of Life Palliative Care
High Risk patientsCase Management
HospitalizationsTransitional Care Mgmt
Chronic Conditions Medication ManagementReferral Management
Healthy & HomeAccess
WellnessImmunization
Screening
Attribution & Risk Initiative
Referral
Management
Initiative
High Risk Initiative
Transitions of Care Initiative
Aledade’s Primary Care Model
12
Benefits Realized for the Value of Health IT
Satisfaction• 50%-100% Practice NPS
• CAHPS 2015 85-95th percentile
Treatment
/Clinical
• 14% YOY improvement in quality scores
• Aledade ACOs at 92nd and 94th percentile (GPRO)
• ~10% avg decreased hospital util
• ~5% avg decreased ED util
• ~10-12% reduced readmissions
Electronic
Secure Data
• Secure cloud infrastructure – claims, CCDA, SIU, ADT
• 49 EHRs across ~225 practices
• 9 HIEs
• ~175 point to point interfaces
Patient
Engagement
• Tripled wellness visits using prioritized worklists and patient
outreach coaching
• Tripled care transition visits based on realtime ADT feeds
Savings• Significantly decreased utilization but overall savings were
small in our freshman year. Shift of revenue to PCPs.
13
Overview: Stanford Health Care
Primary Care Network
3000 Square Miles
~350 Providers
70 Clinical Offices
14
Stanford Health Care’s Primary Care 2.0
Primary Care 2.0 Transformation: From Transactional to Team-based Care
15
Stanford Health Care’s Primary Care 2.0
16
Benefits Realized for the Value of Health IT
17
Introductions1
Overview:
Examples of New, IT-Enabled Primary Care Models2
Discussion:
How to Wire and Scale Primary Care Innovation3
Agenda
18
Sandeep Acharya
VP of Strategy and New Business
One Medical Group
@onemedical
LinkedIn.com/in/sandeep-acharya
Christopher Sharp, MD
Chief Medical Informatics Officer
Stanford Health Care
@tophersharp
LinkedIn.com/in/csharp
Santosh Mohan, MMCi FHIMSS
Health Care IT Industry Analyst
@santoshSmohan
LinkedIn.com/in/santoshmohan
Edwin Miller, MBA
Chief Technology Officer
Aledade
@EdwinMillerHCIT
LinkedIn.com/in/edwin-miller
Q&A and Contact Information
