Quality Metrics for Improved Practice

Management: There’s an

App for That!

CECity Executive Summary

Emdeon Executive Summary Healthcare Reform Drivers for Enhanced Practice

Management Tools Review of Clinical Quality Measurement, Reporting and

Improvement Solutions

Agenda

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CECity

Executive Summary

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CECity Executive Summaryleader in enterprise quality reporting, registries, improvement & lifelong learning

Healthcare’s leading social enterprise cloud platform to address needs under healthcare reform by aligning, simplifying, integrating and cost-effectively scaling

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• Performance Improvement• Pay for Performance • Professional Certification

CECity is…

• Neutral - layer or bolt onto EMR/HIT as collaborative value-added partner

• Dot Connector – gateway between EMR, society partners and payors; link to world leaders in performance improvement

• #1 Footprint - own largest footprint in professional certification, quality reporting & performance improvement space

CECity Deployment Options…

Multi-Tenant Private Portals

CECity’s Performance Management Solution…At the Point of ConvergenceAligning solutions across the “3Ps” to engage providers in improvement

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CECity’s Cost-Effective, Scalable Solution Layers onto EMRsaddressing the burgeoning needs under reform in synergy with existing HIT

GAPS

ePortfolio

Feed Dataforward from EMRs and

other Data Sources

Feed Useful Analytics, Gaps, Outliers and Quality Reports

BACK for qualityimprovement & research

Performance Learning

Incentives

Health Plans

EMRs

PMS

Patient Surveys

National Registries

Data Aggregators

Health Systems

Web Forms

Registries

Patient Surveys

Hybrids

Goal: enhance the value of EMRs by seamlessly layering or integrating unique, exclusive and/or necessary services that support the EMR’s quest to measure and manage quality, report for

payment or other incentives, and move providers from measurement to improvement

Regulating Boards and Quality Assurance

Organizations

Payors

Professional Organizations

Pharmacies

Provider Organizations

Pharma and Others

Commitment Quality & Professionalism

Johns Hopkins Armstrong Institute and CECity partner to Scale AI Continuous PI Programs Across the AI and MedConcert Enterprise

Support ABIM PIMs, Patient Surveys and other Products for Continuous MOC

ABMS Strategic Partner, including MOC:PQRS

ACP and CECity sign MOU to launch MedConcert for multiple registries, MOC, PQRS, PCMH Medical Home Builder and more

MGMA and CECity sign MOU to launch MedConcert Products and Services

PQA & CECity partner on EQuIPP…pharmacy’s national performance reporting and benchmarking platform focused on adherence and compliance

HCI3 selects CECity as Exclusive Performance Assessment Platform for Bridges to Excellence pay for performance program and work with Data Aggregators (Including top EMRs)

AAMC and NBME select CECity for PIVIO, national portfolio and primary data source “lockbox” platform for medical students, residents, etc.

CECity’s unique footprint and partnershipsmore than technology…relationships, experience, and trust

Partnerships

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Why are we here today?

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Why are we here today?

Meaningful Use Stages

• Healthcare reform is rapidly shifting from early stage data capture, collection activities (EMR, eRX) to later stage requirements driven by payment reform (MU Stage 2, 3) for ACO, IDN, VBP, MA Stars, and other shared-risk models

• Customer needs and focus shifting to performance measurement and management (pop health, patient care gap analysis, patient (CG surveys) and practice improvement), value-based payment, external (to EMR) reporting to national specialty registries, rapid cycle learning and compliance

Specialty BoardsProfessional Self Regulation

State Licensing BoardsProtect Public from Harm

Physicians / GroupsProfessional, Financial, Self Regulation

PO (Physician Org) QI and P4P Program

Group / HospitalQI and P4P Program

Group / HospitalCare Redesign

Hospital AccreditationProtect Patient

Quality

Credentialing /Re-Credentialing

Improve Patient Experience of Care

OPPE/FPPE

Private Payors

Attract/Protect Members

& Own P4P

Medicare Advantage Star Ratings

Physician VBPFederal: PQRS & VBMCommercial: BTE & P4P

Meaningful UseCQM, Specialized Registries

Shift from FFS to Value Based Contracts and

Shared Risk (ACO)

CME RequirementsMOL Coming Soon Board ExamsMaintenance of Certification

Hospitals VBPReadmission,Never Events

Public PayorsProtect

Members& Own P4P

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Why are we here today?Payment, compliance requirements growing & converging beyond the EMRProviders don’t know what to do, where to turn, how to handle them all!

E/RX EMR/MU/MU2 PQRS VBP

E/RX NO E/RX

EMR/MU (medicare)

($k) No EMR/MU PQRS PQRS+MOC No PQRSValue

modifier

2009 2.00% – – – 2.00% – – –

2010 2.00% – – – 2.00% – – –

2011 1.00% – $18K – 1.00% 1.50% – –

2012 1.00% (1.00)% $12 – 18K – 0.50% 1.00% – –

2013 0.50% (1.00)% $8 – 15K – 0.50% 1.00%Based on 2013 data

Based on 2013 data

2014 – (2.00)% $4 – 12K – 0.50% 1.00%

2015 – – $3 – 8K (1.00)% – – (1.50)% TBD

2016 – – $2 – 4K (2.00)% – – (2.00)% TBD

2017 – – (3.00)% – – (2.00)% TBD

2013/2014Year of the

Penalty

Why are we here today? Penalties and Requirements are being ratcheted upwards!Providers need help now, but most are struggling to meet them all on their own

There’s An App for That

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Quality Measurement, Reporting and Compliance Solutions Comprehensive suite of quality products and services to help providerssatisfy their healthcare reform requirements via one integrated, cost-effective solution

Integrated Products Satisfy Multiple Requirements

Federal VBPPQRS via Qualified

Clinical Data RegistryMOC:PQRS

Professional Certification

MOCPerformance Improvement

Fed

eral

VB

PC

omm

erci

alV

BP

Pro

fess

iona

lM

eani

ngfu

l Use

Sta

ge 2

Menu Item 6Specialized Registry Reporting

Clinical Quality MeasuresReporting via Registry

PQRS via QualifiedClinical Data Registry

Standalone Product Modules

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EHR

ImpaQt™ One-to-Many Clinical Quality GatewayConnect to a network of specialized registries via one clinical quality gateway

ImpaQt™ One to ManyClinical Quality Gateway Registry

MU

Quality Report

Feedback

Value

Data

Exchange

And More includingthe Societyof Societies

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Meaningful Use Stage 2 Menu Item (3-6) requirements mandate data exchange external to the EMR, including reporting to national specialty society registries.

Penalties begin w/ 2014 reporting

CECity uniquely positioned as gateway between EMR & multiple National Society Registries…Including top Primary Care societies (ACP and AOA) which represent nearly 250,000 physicians

CECity offers one national turnkey solution to meet MU2 requirement, solving problem of EMRs having difficulty stitching together of state by state registries

Opportunity to align and build one EHR to CECity data pipeline for MU, other payment programs (e.g. BTE), as well as professional certification programs (e.g. MOC)

Meaningful Use Stage 2 – Continuous Reporting to Specialized RegistriesCECity’s position provides unique opportunity to bring value to customers, access to sustainable model for MU2 and QI

ImmunizationRegistry

SpecializedRegistry Gateway

(option to add PQRS, CQM)

Data

ValueEMR Data

Data

Specialized ClinicalRegistries

CancerRegistry

Bridges to Excellence® #1 Commercial P4P Program

• #1 US Pay for Performance Program to Commercial Health Plans

• Data pipelines established with leading EMRs and HIT companies (GE, Meridios, NextGen, eCW, Athenahealth)

• Key States: Texas, California, NY, Carolinas

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Multiple Data Entry Options & Dynamic Progress Monitor

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Detailed Progress Report by Practice and Provider

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Performance Measures -Clinician View

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BTE Recognition Scoring

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PQRSwizard® like Turbo-Tax® for PQRS - mandated federal Value-based Purchasing program

• #1 Cloud-Based PQRS Registry Platform

• #1 Payment Success Rate (>99.5%)

• Proven Business Model, Revenue Share for Partners

• Only 25% eligible provider participation

• CMS Qualified for Registry, DSV, GPRO, and Qualified Clinical Data Registry (QCDR)

• CECity is bringing it all together – BTE, PQRS, QCDR, MU2 CQM and Specialized Registries with Societies

ACP Specialized Registry MU2, CQM, PQRS

Patient SurveyPatient Centered Satisfaction, Outcomes, Risk Assessments

MGMA DataDiveMetrics for Practice Management

Patient Population AnalysisAggregates demographic and diagnoses information

Practice PerformanceFeatures process and utilization measures with flexible benchmarking.

Financial AnalysisRevenue, cost, profit based on billings/cost allocation models

Financial InformationDrill down into any item to view the basis of the calculation.

Track Changes Over TimeRevenue, cost, profit based on billings/cost allocation models

Data ConnectivityChoose to automatically populate data through one of the connected data feeds.

Professional Compliance (Maintenance of Certification) multi-faceted Apps incorporate or link to MOC Part IV and other compliance programs

Send upstream to ABIMSelf Directed PIM for Credit

Performance Improvement Apps via CECity Access tools and resources from the world’s leaders in quality improvementDeliver them to providers in practice to move from measurement to improved outcomes

Quality Training PCMH Survey PI Toolkits

Thank You

CECity Contact:

Ariann Polasky, Director, Provider Products

apolasky@cecity.com

Emdeon Contact:

Matt Koerlin

mkoerlin@emdeon.com