Let’s Talk Healthcare with Informatica and Edgewater: Analytics for Accountable Care
Maury DePaloDirector of Healthcare Practice
Edgewater
John SchmidtVice President, Global Integration Services
Informatica
Richard CramerChief Healthcare Strategist
Informatica
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“An organization of health care providers that agrees to be accountable for the quality, cost, and overall care of beneficiaries who are assigned to it.”
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Why Accountable Care? -- Mandates & Incentives
Legislative & Regulatory …
• Primary Quality Performance Measures• Incentive Timetables & Deadlines• Penalties & Compliance Constraints
Operational & Sustainability …
Economic & Market …
• Cross-Continuum Coordination• Efficiency Performance Measures• Value / Cost / Risk Sharing
• Population Segments & Dynamics • Moving from Volume to Value• Market Structure & Dynamics
Progressing to Value-Based Healthcare
Primary Drivers
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How are ACOs supposed to work?
• By analyzing patient experiences across a population to implement quality improvement strategies.• Vertical integration of primary care, specialty, hospital providers
who share risk for quality and total healthcare costs.
• ACOs achieve this by addressing 3 barriers:• Tackle fragmented payment/delivery systems by fostering local,
organizational accountability for continuum of care including outcomes, quality and costs.
• Focus provider payments on improved health outcomes, better quality, and reduced costs.
• Support patient choice by providing information on treatment risks and benefits.
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Becoming “ACO – Ready”
► Establishing a Performance Track Record– Baseline of Effective, Efficient Patient Care & Favorable Outcomes
• Which Patients, Which Services, What Outcomes, What Costs?
– Quality Efficiency Value– Evidence-based Rationale for Components of Shared Value Proposition
• Value Added at Each Step in Coordinated Process of Encounters to Outcomes
► Primary Building Blocks– Models: Data, Process, Business, Populations & Practices
– Technology: Data Capture, Quality Control, Integration, Transformation, Aggregation, Analytics
► Defining Accountability– Who is accountable, and for what?
– Shared accountability – measure team and individual performance against industry or institutional standard (structures, processes, metrics)
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Learn More….
• Register for our first webinar in the series:
How to get started on the journey to the future of healthcare
Wednesday, August 1, 2012
11:00am PT /2:00pm ET
http://vip.informatica.com/?elqPURLPage=10261
• To join future webinars in the series, email Jenny Norwood: [email protected]